Brushing Cytology, Specimen

Norm of Brushing Cytology, Specimen

Negative. Requires interpretation.
Positive of Brushing Cytology, Specimen
Allergic reaction, asbestosis, Barrett's esophagus, cryptosporidiosis, echinococcosis, Goodpasture's syndrome, infection (herpes virus, cytomegalovirus, measles virus, fungus), legionnaires' disease, neoplasm (primary or metastatic), paragonimiasis, pneumonia (lipoid, Pneumocystis carinii), pulmonary infection (anaerobic), and strongyloidiasis.

 

Description of Brushing Cytology, Specimen

A brushing is taken (usually by means of endoscopy, bronchoscopy, cystoscopy, or gastroscopy) from a particular body site, smeared onto a slide, stained, examined microscopically, and possibly culturee. The specimens may be examined for bacterial and tumor antigens. Possible sites may be the bronchus, colon, esophagus, stomach, oropharynx, small bowel, trachea, or urethra.

 

Professional Considerations of Brushing Cytology, Specimen

Consent form NOT required.
Preparation

1. Obtain a brush, a glass slide, and a fixative container.
2. Label the slide with the client's name.

 

Procedure

1. Obtain a brushing from a body site or a lesion.
2. Gently roll the brush over the slide and immediately fix in 95% ethyl alcohol (ethanol).
3. For bronchial brushings, omit the slide and transport the disposable brush immediately to the laboratory.
4. The specimens for the culture require a double-sheathed brush sealed with the sheath after specimen collection.

 

Postprocedure Care

1. Write on the laboratory requisition the date, the site brushed, and the client's diagnosis, age, and history pertinent to this test.
2. Transport the fixative container or brush to the laboratory.

 

Client and Family Teaching

1. The test is painless.
2. Results are normally available within 24 hours.

 

Factors That Affect Results

1. Do NOT allow the slide to dry before fixing in alcohol.

 

Other Data

1. May be used to diagnose Pneumocystis carinii in clients with AIDS.