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39 Cards in this Set
- Front
- Back
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synovil fluid is for ... list 4 reason
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for movibal joints,
lesson shock of joint compresstion provides nutrients to articular cartilage reduces friction btw bones |
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fluid is produce by
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comes for snovial cells
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its made up of
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mucopolyaccaride gives it its high viscosity (supper sugary) and hylronic acid
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collection when infection accurs
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arthocentiese
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differents btw plasma n synovila fluid is
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no selective transport.. just forms naturally
does have a high molecule weight protein |
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fluid will clot due too
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abnormal elements present n must be tested STAT
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the=is is centrifuge if sent to which department
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serology of chemistry deparment
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Sterile heparized tube
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gram stain and culture
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heparinized or EDTA
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cell count... refrigerated
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sterile hepernized tube
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graim stain and cultures
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hepernized tube or EDTA
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cell count and refrigarated
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sodiun fkuride
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glucose
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no additives
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serology
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color and clarity
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nromal clorless pale yellow
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red
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tramatic tap or athritis
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deep yellow with effutions
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.. nothing
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green/brown
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infection
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turbidity
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come synovila cells shedding off into fluid
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vicosity is due toooooooo
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its sugurness and hyalurnic acid
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Ropes test!!
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acetic added to synovial fluid, turning hyluarounic into a
clot.. may have surrounding clear fluid is compared with a confirmitory test |
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string test
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ability of fluid to form 4-6 cm inlentght from the tip of a syringe
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fining nutrophiles in cell count
normal amount? |
<25%.
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fining nutrophiles in cell count
tomuch? |
if more, then it means infection... this is a huge! problem
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lymphocyets in cell count
normal amount? |
<15 %
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lymphpcytes in cell count
tomuch? |
means inflamation
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Cells found in sybnovil fluid
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synovial cells n cartalge
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abnormal
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neutralphils and lyphoctytes and macrophes (very rare.. appear due to viruses)
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LE cells
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neutriphils with round bodies
= lupus |
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Reiter cells
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Macrophages with ingested neutirphlies = reiter syndrome
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RA cells (ragocytes)
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Neutrophils with dark staining granduals
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monosodiuum Urate
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acute gout
often found sticking through cytoiplasm of neutrophil |
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list three crytals that can be found in synovoil fluid
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monosodium urate
calcium pyrophosphate hydroxyapatite (Ca phophate) chlesterol crystals corticosteroid calcium oxalate |
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calcium pyrophosphate
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pseeudogout
often already ingested by neutrophils |
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hydroxyapatite
(Ca phosphate) |
osteoarthsis
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calcium oxalate
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End stage of renal disease
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corticosteroid
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injections of steroids
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cholesterol crystals
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chronic influmtion
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negative bifringes
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YELLOW
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POSITIVE BIFRINGES
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BLUE
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