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18 Cards in this Set

  • Front
  • Back
What are the three way you evaluate body cavity fluid?
1) Cell concentration
2) Protein concentration
3) Types of cells present
What causes the formation of pure transudates?
Modified transudates? Exudates?
Hypoalbuminemia
Impaired blood or lymph flow
Inflammatory response due to increased capillary permeability
What is the appearance, total protein and NCC of transudate? Does it form clots?
Clear
< 3 g/dl
< 6,000/ul
No
What is the appearance, total protein and NCC of exudate? Does it form clots?
Cloudy
> 3g/dl
> 6,000/ul
Yes
What biological test would you look at if you suspected a uroabdomen? Chylous effusion?
Bile leakage?
Creatinine
Triglycerides
Bilirubin
What is the predominant technique for making a slide prep?
Pull film
What type of inflammation is predominantly neutrophils? Macs and lymphs? Segs, lymphs, macs and eosinos?
Suppurative
Mononuclear
Mixed
What can degenerated neutrophils mean?
What does a mixed bacterial infection indicate?
Bacteria have broken out of neutrophils
Perforated intestines
How do you tell if you tapped the intestines rather than the abdomen?
No neutrophils in the intestines
What type of cell is normally seen in abdominal fluid cytology that can be mistaken for neoplastic?
Mesothelial cells
How can you distinguish a mesothelial? What cells should never be in a fluid cytology? If you see them what would it mean?
Glycocaylx "beard"
Epithelial cells
Cancer
What are the three cell types that are encountered in a neoplastic effusion?
1) Round cells ex. lymphoma
2) Epithelial cells = carcinoma
3) Mesenchymal cells = sarcoma
What are the four visible signs of malignancy in cells?
Variable nuclear size (anisokaryosis)
Large multiple nucleoli
Abnormal mitose
What should you think of when you have a high protein and low cell count?
FIP
What cells will predominate in early chylous effusion? Later?
Small lymphocytes
Inflammatory cells (netus & macs)
What do you confirm the presence of chyle with? If chyle is secondary to lymphoma what cells would you see?
Cholesterol : triglyceride ratio
Lymphoblasts
Do you expect to see sarcomas exfoliate into body cavity effusions? Which do?
No
Lymphomas and carcinomas
Do you see platelets in a hemoabdomen or hemothorax? What does their presence indicate?
No
Contamination with peripheral blood