Cheatography
                https://cheatography.com
            
        
        
    
                   
                            
    
                    To help study for the ASCP cert exam.
                    
                 
                    
        
        
            
    
        
                                    This is a draft cheat sheet. It is a work in progress and is not finished yet.
                    
        
                
        
            
                                
            
                
                                                | Fixation
                        
                                                                                    
                                                                                            | Additive | chemically linked |  
                                                                                            | Non-Additive | not chemically linked |  
                                                                                            | Coagulant | creates mesh |  
                                                                                            | Non-coagulant | creates gel |  Fixatives
                        
                                                                                    
                                                                                            | Formaldehyde | Additive | Non-coagulant |  
                                                                                            | Gluteraldehyde | Additive | Non-coagulant |  
                                                                                            | Osmium tetroxide | Additive | Non-coagulant |  
                                                                                            | Potassium dichromate | Additive | Non-coagulant |  
                                                                                            | Mercuric chloride | Additive | Coagulant |  
                                                                                            | Chromic acid | Additive | Coagulant |  
                                                                                            | Picric acid | Additive | Coagulant |  
                                                                                            | Zinc salts | Additive | Coagulant |  
                                                                                            | Alcohol | Non-additive | Coagulant |  
                                                                                            | Acetone | Non-additive | Coagulant |  
                                                                                            | Acetic acid | Non-additive | Coagulant |  |  | Factors Affecting Fixation
                        
                                                                                    
                                                                                            | Temperature increase | speeds up fixation and autolysis |  
                                                                                            | Temperature decrease | slows down fixation and autolysis |  
                                                                                            | Size (Electron microscopy) | 1 mm thick |  
                                                                                            | Size (Routine surgical) | 4 mm thick, 20 mm width, 30 mm length |  
                                                                                            | Volume of fixative | 15-20x greater than tissue |  
                                                                                            | Time | At least 24 hours |  
                                                                                            | Penetration (Fast) | Alcohol, acetic acid, acetone |  
                                                                                            | Penetration (Slow) | Osmium tetroxide, gluteraldehyde |  
                                                                                            | pH (Formalin fixed) | 6.8-7.2 |  Fixation Accelerators
                        
                                                            
                            | What accelerates fixation? Heat, agitation, and vacuum |  Cell Reaction with Fixative
                        
                                                                                    
                                                                                            | Nucleus | No reaction |  
                                                                                            | Protein | Stabilized |  
                                                                                            | Lipid | Only fixed with osmium tetroxide and chromic acid, not aldehydes |  
                                                                                            | Carbohydrates | Some loss during fixation |  |  |  |