Body Fluids & Reference Ranges Flashcards

1
Q

Which tube of CSF is used for hematology?

A

Tube 3

Tube 1 = Chemistry
Tube 2 = Micro

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2
Q

In viral meningitis, does glucose and lactate increase/decrease/stay the same?

A

Normal

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3
Q

Protein reference range

A

15-45 mg/dL

150-450 mg/L

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4
Q

Glucose reference range (in CSF)

A

50-80 mg/dL

2.8-4.4 mmol/L

2/3 or 60-70% of plasma glucose

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5
Q

WBC and RBC reference range (in CSF)

A

0-5/uL

0-5 x 10^6/L

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6
Q

Differential in CSF (what cells would you see?)

A

70% lymphs, 30% monos

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7
Q

What would you see on CSF electrophoresis in multiple sclerosis?

Would glucose and protein increase or decrease?

A

Oligoclonal banding

(also would have decreased glucose and increased protein)

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8
Q

Volume of seminal fluid - reference range `

A

2-5 mL

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9
Q

Seminal fluid liquefaction time reference range

A

30-60 mins

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10
Q

WBC reference range in seminal fluid

A

<1 x 10^6/mL

<1 x 10^9/L

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11
Q

pH of seminal fluid - reference range

A

7.2 - 8.0

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12
Q

Motility of seminal fluid - reference range

A

> 50% within 1 hr

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13
Q

Sperm concentration - reference range

A

> 20 x 10^6/mL

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14
Q

Morphology of sperm - reference range

A

> 30% normal forms

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15
Q

Transudate vs Exudate

A

Transudate (transparent): originates OUTSIDE of body cavity (CHF, hypoalbuminemia, cirrhosis)
- colorless/clear/watery
- «<
- mononuclear cells in differential (lymphs, mono)
- no spontaneous clotting

Exudate: involves membranes WITHIN the cavity (infection, inflammation, malignancy, hemorrhage). Fluid that leaks out of blood vessels to surrounding tissues or cavities.
- colored (yellow, brown, red, green) & cloudy
-&raquo_space;>
- polys in differential (neutro, baso, eosino)
- spontaneous clotting

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16
Q

What does serous fluid consist of?

A
  • Pleural (lung)
  • Pericardial (heart)
  • Peritoneal (ab)
17
Q

In amniotic fluid, what L/S ratio indicates fetal lung maturity?

A

> 2.0

18
Q

Increase in AFP indicates?

A

Neural tube defects, spina bifida

19
Q

Decrease in gastric fluid = ?
(Gastric fluid = HCl and pepsin)

A

Pernicious anemia (no intrinsic factor so deficiency of Vitamin B12)

20
Q

Increase in gastric fluid = ?

A

Duodenal ulcer, Zollinger-Ellison syndrome

21
Q

What is increased in all types of meningitis?

A

WBC and protein