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Function of Cerebrospinal Fluid |
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Definition
Provides a system for the exchange of nutrients and removal of metabolic wastes from the central nervous system. Provides cushion to minimize trauma |
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Formation of Cerebrospinal Fluid |
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Definition
Site of production is the choroid plexus active transport and filtration |
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Definition
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Routinely collected by lumbar puncture commonly performed between the third and fourth or fourth and fifth lumbar vertebrae. |
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Definition
used for chemical/ serological testing |
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Definition
Used for Microbiology studies |
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Definition
Cell counts (least affected by traumatic tap) |
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What do you do with excess CSF? |
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Definition
Excess fluid should be stored frozen to facilitate additional testing. |
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Definition
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Definition
CSF supernatant that is pink/yellow/ orange. Causes for include the presence of red blood cell degradation products, i.e., pink (oxyhemoglobin), orange (heavy hemolysis), yellow (unconjugated bilirubin) |
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Definition
indicative of intracranial hemorrhage but can also result from puncture of blood vessel during specimen collection. |
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blood spread out over tubes |
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Why can electronic counters not be used? |
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Definition
because of variations in background counts falsely elevating normal or moderately elevate counts. |
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Definition
the fluid is forced into a monolayer within a 6mm circle on the microscope slide. Albumin may be added to minimize cellular distortions. Microscope slide surfaces may be positively charged to improve cell attraction |
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Normal adult CSF usually contains |
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Definition
lymphocytes and monocytes (70:30) |
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what cell dominates in children csf |
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Definition
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Definition
Low WBC cells counts with increased lymphocytes |
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Definition
macrophages containing RBC’s |
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Abnormal concentrations of protein usually result from |
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Definition
Alterations in permeability of the blood-brain-barrier Increased production by neural cells Increased metabolism by neural cells |
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Normal protein concentration in CSF |
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Definition
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primary component of the CSF |
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Definition
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Definition
composed primarily of haptoglobin and ceruloplasmin. |
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Definition
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Definition
carbohydrate-deficient transferrin fraction, may be present in CSF |
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Definition
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IgM, fibrinogen, and beta-lipoprotein |
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Definition
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The causes for increased protein include |
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Definition
Damage to the blood-brain-barrier Production of immunoglobulins within the Central Nervous System Decreased clearance of protein from the fluid Degeneration of neural tissue |
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Low CSF glucose concentrations |
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Definition
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Definition
Can be effective in assisting with difficult meningitis diagnosis and therapy monitoring. |
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Destruction of tissue due to hypoxia |
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Definition
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produced by the brain cells from ammonia and alpha-ketoglutarate |
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Definition
Permits the removal of toxic ammonia from the CNS. |
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What is glutamine used to assess |
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Definition
assessing CNS ammonia levels. |
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Definition
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Definition
diagnosing meningitis cases caused by gram negative bacteria |
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Definition
tertiary or neurosyphilis |
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