Professional Documents
Culture Documents
Ultrafiltrate of plasma Similar concentration of plasma Nutrition for vascular deficient cartilage Hyaluronic acid
Less than 10 mg/dL lower than the blood glucose Less than3 g/dL UABF By;Strasinger et.,al.
Total protein
2% - 5% ACETIC ACID REPORTING Good Fair Low Poor VISCOSITY SOLID CLOT Soft clot Friable clot No clot
CRYSTAL IDENTIFICATION
Crystal identification
To evaluate arthritis, microscopic examination of synovial fluid for the presence of crystals is an important diagnostic test. Crystal formation is caused by metabolic disorders and decreased renal excretion that produce elevated blood levels of crystallizing chemicals, degeneration of cartilage and bone, and injection of medications, such as corticosteroids into a joint.
Sources: Henrys 22nd edition, Analysis of urine and other body fluids by: Susan Stratsinger
Types of Crystals
Monosodium urates
- needle-shaped rods 520 m long, 12 m in L
Cholesterol
-appear as irregular birefringent
Calcium oxalate
-5- to 30-m bipyramidal octahedral envelopes with variable birefringence and positive elongation -seen in arthropathy associated with chronic renal dialysis and primary oxalosis, a rare inborn error of metabolism - monohydrate form is birefringent but nondescript in shape
Other crystals:
Lipid crystals
1- to 20-m spheres with a Maltese cross appearance and positive birefringence; implicated as a cause of acute arthritis
Calcium hydroxyapatite
small and nonbirefringent (isotropic) ,they are clumped into 1to 50-m spherical microaggregates
Crystalline corticosteroids
blunt, jagged edges without clear crystal structure
Slide Preparation
Fluid is examined as an unstained wet preparation, slide and
coverslip must be cleaned and carefully dried ,the coverslip edges are sealed
with nail polish, and crystals may be observed in Wright stained smears.
Crystal Polarization
Polarization of crystals is used to differentiate the linear structures
of their molecules, and to identify them through the color they produced.
Sources: Henrys 22nd edition, Analysis of urine and other body fluids by: Susan Stratsinger
Microbiologic Tests
An infection may occur as a secondary complication of
Serologic Tests
Through measurement of the concentration of acute phase reactants such as fibrinogen and C- reactive protein the
Secretory diarrhea
Macroscopic Screening
Color
Appearance
Leukocytes
associated with microbial diarrhea Muscle fiber Fats associated with steatorrhea
PROCEDURE
MATERIALS, INSTRUMENTATION
Sudan stain, microscopy Hematocrit centrifuge, gravimetric assay Immunoassay ELISA technique
Van de Kamer
NIRA spectrophotometer. wavelengths range 1400-2600 nM. computer software for processing spectra Fecal fat extraction and titration of long chain fatty acid by sodium hydroxide.