SYNOVIAL FLUID Flashcards

(34 cards)

1
Q

def? Fluid within joint cavities

A

synovial fluid

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2
Q

what changes are examined for in synovial fluid

A

septic, aseptic, or degenerative

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3
Q

true or false: synovial fluid Provides nutrients to articular cartilage

A

true

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4
Q

true or false: Reduces shock of joint compression during strenuous activities

A

true

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5
Q

how is synovial fluid formed

A

Ultrafiltrate of plasma across synovial membrane

Synoviocytes secrete hyaluronate

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6
Q

what is normal amount of synovial fluid in the knee cavity

A

less than 3.5 mL

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7
Q

true or false: synovial fluid in the knee clots

A

false

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8
Q

what is the needle aspiration for synovial fluid called

A

arthrocentesis

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9
Q

true or false: synovial fluid is not STAT

A

false

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10
Q

what should not be used for crystal analysis in synovial fluid

A

powdered anticoagulants

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11
Q

what is the normal appearance of synovial fluid

A

colorless to pale yellow

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12
Q

what does yellow synovial fluid mean

A

inflammation

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13
Q

what does milky synovial fluid mean

A

crystals

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14
Q

what does bloody synovial fluid mean

A

hemorrhagic arthritis

traumatic aspiration

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15
Q

what does greenish synovial fluid mean

A

bacterial infection

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16
Q

what is the normal amount of viscosity of synovial fluid

A

4-6 cm string

17
Q

what does turbid synovial fluid mean

A

WBC
cell debris
fibrin

18
Q

what gives synovial fluid viscosity

A

polymerization of hyaluronic acid

19
Q

what happens to hyaluronic acid in arthritis pt

A

polymerization decreases

20
Q

true or false: less than 2000/uL RBC is normal in synovial fluid

21
Q

what is the normal amount of WBC in synovial fluid

A

less than 200/uL

22
Q

what condition has increase WBC in synovial fluid

A

bacterial arthritis

23
Q

what is the most common WBC in synovial fluid

A

monocytes or macrophages

24
Q

if there are more than 80% neutrophils in synovial fluid what does this indicate

A

bacterial arthristis

urate gout

25
what crystals are in synovial fluid of gout pt
Monosodium urate crystals
26
what crystals are in synovial fluid of degenerative arthritis pt
Calcium pyrophosphate crystals
27
what crystals are in synovial fluid of chronic arthritic inflammation pt
cholesterol crystals
28
how are crystals prepared for examination under a light microscope
wet prep | wright stained
29
what tool examines crystals based on the velocity of light rays passing through the crystal’s grain
Quartz Red Line Compensator
30
when monosodium urate crystals are parallel to the axis quartz red line compensator what color are they
yellow
31
when monosodium urate crystals are perpendicular to the axis quartz red line compensator what color are they
blue
32
def? Tiny, needle-like crystals
hydroxyapatite
33
what kind of crystals are seen months after steroid injections
corticosteroids
34
true or false: All synovial fluid samples should be cultured
true