Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Block 7 Week 5 > Synovial Fluid Analysis- Parks > Flashcards

Synovial Fluid Analysis- Parks Flashcards

1
Q

What color is normal synovial fluid?

A

Clear

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the three things you look at with synovial fluid?

A
  • general appearance
  • bacteriology
  • microscopy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

If synovial fluid is white, how would you describe it?

A

purulent (lots of neutrophils) -> seen in septic arthritis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

If synovial fluid is cloudy, what should you be thinking?

A

lymphocytes?-> could be signs of inflammation, need to check this out, not septic yet.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

If synovial fluid is red/brown/orangish (xanothochromia), what should you be thinking?

A

old degenerating red cells-> old hemmorhage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

If your synovial fluid is bright red then what is it?

A

hemearthrosis (caused by trauma or hemophilia)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What does arthrosis mean?

A

joint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

If you have inflammatory synovial fluid what do you need determine first?

A

if it is septic arthrosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

If you have a white cell count greater than 100,000 then what is the problem?

A

septic arthrosis (appears purulent)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

If you have a white cell count less than 2000, is it inflammotry or non inflammatory?

A

noninflammatory, greater than 2000-inflammatory

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is linkd to otitis media?

A

H. influenza

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

YOu can get (blank) from gonnorhea, seen in the hands

A

septic arthritis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

DO all septic arthroses present with redness?

A

no

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

In septic arthritis you see inflammed (blank)

A

synovial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Septic arthritis has an increased amount of (blank)

A

fluid (when doing a needle biopsy, the more fluid you take out the better)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What all do you want to do to they synovial fluid?

A 
Get a:
gram stain
culture
cell count
differential
17
Q

Need to treat septic arthrisis or you can get inflammation which will cause breakage of (blank) resulting in destruction of bone

A

tissue

18
Q

What are some causes of hemarthrosis?

A
  • trauma
  • bleeding disorders
  • villondular synovitis
  • charcot joint
  • resolving infection
  • contamination during aspiration
  • pyrophosphate arthropathy
19
Q

What are causes of pyarthrosis?

A
  • joint sepsis
  • crystal synovitis
  • rheumatoid arthritis
  • inflammatory diseases
20
Q

WHen you see something purulent what are you thinking?

A

septic arthritis!!!!!!!

21
Q

If you have an ulcer that leads to a joint what do you call this?

A

a fistula or sinus tract

22
Q

How should you assess a messed up inflammed knee?

A

take a biopsy from the hemmorhaging messed up tissue

23
Q

Wht are the most helpful tests in assessing a perioprosthetic joint infection?

A

A) Syn fld WBC elevated (3450/uL) and greater than 75% polys
B) Elevated ESR and C-reactive protein
A normal CRP ‘generally’means NEG
C) Both fluid and tissue culture

24
Q

How to assess gout?

A

get needle aspiration and utilize befringment (shows the needle-like crystals of urate if gout)

25
Q

Can you assess gout based on uric acid levels?

A

no because some cases of gout do not have increased uric acid levels

26
Q

If you see a an circular outpouching in gout, what do you call this?

A

a tophus

27
Q

T or F
In some cases of septic arthritis the serum uric acid level is increased.

So what does this mean

A

T

Do NOT use the serum uric acid level to make the initial dx of acute gouty arthritis.

28
Q

If you see rhomboid/rectangular cyrstals what is this?

A

pseudogout AKA calcium pyrophosphate

29
Q

(blank)can occur after joint trauma, post-surgery and with moderate to severe medical illness

A

calcium pyrophosphate deposition disease (CPDD aka pseudogout)

30
Q

What do you call calcification of the meniscus of the knee?

A

chondro-calcinosis

31
Q

What causes chondro-calcinosis?

A

pseudo gout

32
Q

What are three conditions associated CPDD aka pseudgout?

A
  1. Hemochromatosis
  2. Hyperparathyroidism
  3. Hypomagnesemia

Block 7 Week 5 (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions