CSF Flashcards

1
Q

What is the process of CSF production?

A

Ultrafiltration of plasma and active secretion

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

What structure absorbs CSF to keep it at a constant pressure

A

Arachnoid villi

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

Which direction does CSF circulate?

A

Cranial to caudal within the subarachnoid space

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

What are the functions of CSF?

A

acts as a shock absorber to protect the brain and spinal cord from trauma
Regulates CNS pressure and chemical composition
Provides buoyancy to reduce pressure at brain base
Transport nutrients, hormones, and metabolites

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

What is the normal color of CSF?

A

Its normally completely clear

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

No answer but read: Different diseases can cause similar changes in CSF. Bacterial meningitis and Eastern equine viral encephalitis both cause pleocytosis (many cells)

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

What are some indications for CSF analysis?

A

Abnormal neurologic exam
Fever of undetermined origin
Neck or limb pain

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

What are some advantages of CSF analysis?

A

Safe, inexpensive, establish diagnosis

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

What are disadvantages of CSF analysis?

A

general anesthesia, prompt processing required, abnormalities non-specific

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

What are the 2 locations to collect CSF?

A

Lumbar cisterna or lumbosacral interspace

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

Why does CSF need to be collected in an anticoagulant tube?

A

CSF will not naturally clot but if there’s any blood contaminants than it will

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

Why must CSF be processed within 30 minutes?

A

Cells deteriorate quickly due to low protein

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

What are the 2 gross characteristics that can be seen in CSF

A

Color and clarity

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

What is yellow CSF causes by macrophage output called?

A

Xantho (yellow) chromia (color)
prior hemorrhage causes it

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

What is the most abundant protein in CSF?

A

Albumin

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

Important: What is increased protein concentrations in CSF called?

A

Albuminocytologic dissociation

17
Q

How are blood cells counted in CSF?

A

Manually with a hemocytometer

18
Q

What is an increased cell count without increased protein count called?

A

pleocytosis
A lot of overlap among diseases causing pleocytosis

19
Q

Does normal CSF have RBC?

A

No

20
Q

What are most cells present in CSF?

A

Large mononuclear cells and lymphocyte

21
Q

What is an increased level of neutrophils called (above 25% neutrophils)

A

Neutrophilic pleocytosis

22
Q

What is it called with over 70% of CSF is mononuclear cells or lymphocytes?

A

Mononuclear pleocytosis

23
Q

What is it called when there is an increased level of lymphocytes? above 70%

A

lymphocytic pleocytosis

24
Q

What is it called when there is over 1% eosinophils?

A

Eosinophilic pleocytosis