Erythrocyte Sedemntation Rate Experiment Flashcards

1
Q

Appratus used

A

Westergren tube

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2
Q

Clinical significance of experiment

A

Prognostic not diagnostic used for a follow up

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3
Q

Materials used

A

0.5 ml of 3.8% of sodium citrate anticoagulant
2 ml of blood so ratio is
1:4
Westergren tube

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4
Q

Steps

A

Add na citrate to blood and leave in tube and read plasma level after first and second hours

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5
Q

Principle of the experiment

A

Rbcs settle down and form the rouleaux appearance as sodium citrate cancel ca++ charges
In body plasma protein levels neutralize electrostatic charges on rbcs so decrease repulsion forces of rbcs so they adhere together
Rbcs settle down due to their 1060 specific gravity

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6
Q

Normal levels of experiment

A

In males: 5 & 8
In females: 10 & 16

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7
Q

Physiological and pathological variation in results

A

See can increase physiologically in pregnant and menstruating females
Pathologically it can increase in infections, inflammation, malignant tumor present in the body, autoimmune disease and anemia
Pathological wise it can decrease in afibrinogenemia & polycythemia

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8
Q

Why in inflammation the esr increase

A

Due to increase levels of plasma proteins so neutralize hydrostatic charges in rbcs so decrease their repulsion forces so adhere together

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9
Q

Plasma proteins involved in neutralizing charges

A

Fibrinogen & globulin

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10
Q

Westergren tube

A

Graded from upwards downwards from 0 and increasing till 200 ml

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