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