Synovial Fluid Flashcards

1
Q

viscous liquid found in the cavities of the movable joints

A

Synovial fluid/ joint fluid

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2
Q

The synovial membrane contains specialized cells called

A

Synoviocytes

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3
Q

macrophage-like cells located in the superficial layer of the synovial membrane

A

Type A cells

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4
Q

play an important role in phagocytosis.

A

Type A cells

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5
Q

fibroblast-like cells with prominent endoplasmic reticulum

A

Type B cells

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6
Q

reduce friction between the bones during joint movement

A

smooth articular cartilage and synovial fluid

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7
Q

formed as an ultrafiltrate of plasma across the synovial membrane.

A

Synovial fluid

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8
Q

synoviocytes secrete a mucopolysaccharide containing

A

hyaluronic acid and a small amount of protein

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9
Q

Damage to the articular membranes produces pain and stiffness in the joints, collectively referred to as a

A

arthritis.

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10
Q

Synovial fluid is collected from a joint by needle aspiration

A

Arthrocentesis

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11
Q

Volume Normal Synovial Fluid Values

A

<3.5 mL

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12
Q

Color Normal Synovial Fluid Values

A

Colorless to pale yellow

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13
Q

Clarity Normal Synovial Fluid Values

A

Clear

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14
Q

Viscosity Normal Synovial Fluid Values

A

High; Able to form a string
4-6 cm long

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15
Q

Leukocyte count Normal Synovial Fluid Values

A

<200 cells/uL

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16
Q

Neutrophils count Normal Synovial Fluid Values

A

<25% of the differential

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17
Q

Glucose: plasma difference Normal Synovial Fluid Values

A

<10 mg/dI lower than the blood
glucose level

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18
Q

Total protein Normal Synovial Fluid Values

A

<3 g/dL

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19
Q

Lactate Normal Synovial Fluid Values

A

<25.0 mg/dL

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20
Q

Tube 1

A

Red stopper tube chemical or immunologic analysis.

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21
Q

Tube 3

A

Sodium heparin (green), sodium polyanethol sulfonate (yellow stopper) for microbiological studies.

22
Q

Synovial fluid viscosity comes from

A

polymerization of the hyaluronic acid

23
Q

Hyaluronate polymerization can be measured using a

A

Ropes, or mucin clot test.

24
Q

group 1

A

Non inflammatory

25
Tube 2
Sodium heparin, EDTA for hematology
26
Gram stain and culture Required Tube Type
Sterile sodium heparin or sodium polyanethol sulfonate
27
Cell counts Required Tube Type
Sodium heparin or liquid ethylenediaminetetraacetic acid (EDTA)
28
Glucose analysis Required Tube Type
Sodium fluoride or nonanticoagulated
29
Glucose analysis Required Tube Type
Sodium fluoride or nonanticoagulated
30
Type 2 classification
Inflammatory
31
Type 3 group classification
Septic
32
Group 4 classification
Hemorrhagic
33
The color becomes a deeper yellow in the presence of
noninflammatory and inflammatory effusions
34
The color may have a greenish tinge with
Bacterial infection
35
vacuolated noninflammatory and inflammatory effusions
Neutrophages
36
neutrophils with small, dark cytoplasmic granules
Ragocytes
37
hemosiderin granules are seen in cases of
pigmented villonodular synovitis
38
The primary crystals seen in synovial fluid
monosodium urate (uric acid) (MSU), calcium pyrophosphate dihydrate (CPPD)
39
Polymorphonuclear leukocyte
Neutrophil
40
Significance of neutrophil
Bacterial sepsis, crystal induced inflammation
41
Mononuclear leukocyte Nonseptic inflammation
Lymphocyte
42
- Large mononuclear leukocyte, may be vacuolated - normal and viral infections
Macrophage (monocyte)
43
Similar to macrophage, but may be multinucle- ated, resembling a mesothelial cell
Synovial lining cell
44
Normal, disruption from arthrocentesis
Synovial lining cell
45
Neutrophil containing characteristic ingested "round body"
LE cell
46
Vacuolated macrophage with ingested neutrophils
Reiter cell
47
Neutrophil with dark cytoplasmic granules containing immune complexes
RA cell (ragocyte)
48
Large, multinucleated cells
Cartilage cells
49
Macroscopically resemble polished rice Microscopically show collagen and fibrin
Rice bodies
50
Refractile intracellular and extracellular globules Stain with Sudan dyes
Fat droplets
51
Inclusions within clusters of synovial cells
Hemosiderin