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Hematology Internship Section 1
Part B2: CSF and Miscellaneous Body Fluids - Serous and Synovial Fluids
28
Biology
Undergraduate 4
09/25/2015

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Term
Differentiate transudates from exudates based on the following criteria:
Transudate - Gross Appearance
Definition
Clear, Yellow
Term
Differentiate transudates from exudates based on the following criteria:
Transudate - WBC Count
Definition
Pleural <1000
Term
Differentiate transudates from exudates based on the following criteria:
Transudate - Predominant WBC type
Definition
Mononuclear
Term
Differentiate transudates from exudates based on the following criteria:
Transudate - Protein Level
Definition
<3 g/dL
Term
Differentiate transudates from exudates based on the following criteria:
Transudate - Primary Causes
Definition
CHF, Neph, Syn, Liver Failure
Term
Differentiate transudates from exudates based on the following criteria:
Exudate - Gross Appearance
Definition
Cloudy, Turbid
Term
Differentiate transudates from exudates based on the following criteria:
Exudate - WBC Count
Definition
Pleural >1000
Term
Differentiate transudates from exudates based on the following criteria:
Exudate - Predominant WBC type
Definition
Segs
Term
Differentiate transudates from exudates based on the following criteria:
Exudate - Protein Level
Definition
>3 g/dL
Term
Differentiate transudates from exudates based on the following criteria:
Exudate - Primary Causes
Definition
Infection, Inflammation, Malignancy, Trauma
Term
The presence of chylous appearing fluid indicates what situation or condition?
Definition
Damage or leak to lymphatic vessel or duct
Term
What are mesothelial cells?
Definition
Lining Cells
Term
What is the significance of mesothelial cells when seen in serous fluids?
Definition
Increased Numbers seen in inflammation.
Need to differentiate from malignant cells
Term
What is the cell count in normal synovial fluid?
Definition
<200
Term
What is the predominant cell type in normal synovial fluid?
Definition
Mononuclear Cells
(Lymphs, Monos, Macrophages)
Term
What is the substance that causes this fluid to be highly viscous?
Definition
Hyaluronic Acid
Term
What can be done to reduce viscosity for testing purposes?
Definition
Add a little Hyaluronic Acid
Term
Why should acetic acid be avoided when preparing dilutions for cell counts?
Definition
Acetic acid causes cells to clump when exposed to hyaluronic acid
Term
What type of diluent should be used for synovial fluids?
Definition
Saline
Term
Why should powdered anticoagulants be avoided when collecting synovial fluid?
Definition
Powdered artifacts may be confused for crystals.
Term
List the expected cell count in someone with a septic joint
Definition
Markedly Elevated
Term
List the expected predominant cell type in someone with a septic joint
Definition
>90% Segmented Neutrophils
Term
What is the color appearance of MSU crystals when viewed with a red compensator filter; Aligned Parallel to the filter
Definition
Yellow
Term
What is the color appearance of MSU crystals when viewed with a red compensator filter; Aligned Perpendicular to the filter
Definition
Blue
Term
What is the color appearance of CPPD crystals when viewed with a red compensator filter; Aligned Parallel to the filter
Definition
Blue
Term
What is the color appearance of CPPD crystals when viewed with a red compensator filter; Aligned Perpendicular to the filter
Definition
Yellow
Term
With what primary disease are MSU crystals associated?
Definition
Gout
Term
With what condition are CPPD crystals associated?
Definition
Pseudogout
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