Author Question: A synovial fluid has a high white cell count and large intracellular needlelike crystals that are ... (Read 79 times)

nenivikky

  • Hero Member
  • *****
  • Posts: 516
A synovial fluid has a high white cell count and large intracellular needlelike crystals that are yellow when the crystals are parallel to the y-axis of a red compensator. What is the likely diagnosis?
 
  a. Pseudo-gout
  b. Gout
  c. Lupus erythematosus
  d. Bacterial infection

Question 2

How must synovial fluids be handled differently than other fluids?
 
  a. Perform a Gram stain if bacteria are seen.
  b. Dilute the fluid if the cell counts are high.
  c. Add hyaluronidase to overcome the viscous nature of fluid.
  d. Carefully search the whole cytospin preparation for malignant cells.



katieost

  • Sr. Member
  • ****
  • Posts: 358
Answer to Question 1

ANS: B
These are monosodium urate crystals and are seen in gout.

Answer to Question 2

ANS: C
Synovial fluid contains hyaluronic acid, making it very viscous. Adding a small amount of hyaluronidase powder to the fluid will cause it to liquefy. Cell counts and/or cytocentrifuge slides can then be made.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

There are major differences in the metabolism of morphine and the illegal drug heroin. Morphine mostly produces its CNS effects through m-receptors, and at k- and d-receptors. Heroin has a slight affinity for opiate receptors. Most of its actions are due to metabolism to active metabolites (6-acetylmorphine, morphine, and morphine-6-glucuronide).

Did you know?

There are over 65,000 known species of protozoa. About 10,000 species are parasitic.

Did you know?

Approximately 70% of expectant mothers report experiencing some symptoms of morning sickness during the first trimester of pregnancy.

Did you know?

The first successful kidney transplant was performed in 1954 and occurred in Boston. A kidney from an identical twin was transplanted into his dying brother's body and was not rejected because it did not appear foreign to his body.

Did you know?

Lower drug doses for elderly patients should be used first, with titrations of the dose as tolerated to prevent unwanted drug-related pharmacodynamic effects.

For a complete list of videos, visit our video library