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Final Exam
Cerebrospinal Fluid
39
Science
Graduate
04/17/2013

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Term
Function of Cerebrospinal Fluid
Definition
Provides a system for the exchange of nutrients and removal of metabolic wastes from the central nervous system. Provides cushion to minimize trauma
Term
Formation of Cerebrospinal Fluid
Definition
Site of production is the choroid plexus
active transport and filtration
Term
Normal adult CSF volume
Definition
140-170 ml
Term
How is CSF collected?
Definition
Routinely collected by lumbar puncture commonly performed between the third and fourth or fourth and fifth lumbar vertebrae.
Term
Tube 1
Definition
used for chemical/ serological testing
Term
Tube 2
Definition
Used for Microbiology studies
Term
Tube 3
Definition
Cell counts (least affected by traumatic tap)
Term
What do you do with excess CSF?
Definition
Excess fluid should be stored frozen to facilitate additional testing.
Term
Normal appearance of CSF
Definition
crystal clear
Term
Xanthrochromic
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)
Term
Grossly bloody specimens
Definition
indicative of intracranial hemorrhage but can also result from puncture of blood vessel during specimen collection.
Term
Most blood in tube 1
Definition
traumatic tap
Term
blood spread out over tubes
Definition
intracranial hemorrhage
Term
blood clots
Definition
traumatic tap
Term
blood does not clot
Definition
intracranial hemorrhage
Term
Why can electronic counters not be used?
Definition
because of variations in background counts falsely elevating normal or moderately elevate counts.
Term
Cytocentrifugation
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
Term
Normal adult CSF usually contains
Definition
lymphocytes and monocytes (70:30)
Term
what cell dominates in children csf
Definition
monocytes
Term
multiple sclerosis
Definition
Low WBC cells counts with increased lymphocytes
Term
previous hemorrhage
Definition
macrophages containing RBC’s
Term
Abnormal concentrations of protein usually result from
Definition
Alterations in permeability of the blood-brain-barrier
Increased production by neural cells
Increased metabolism by neural cells
Term
Normal protein concentration in CSF
Definition
15 to 45mgs/dL
Term
primary component of the CSF
Definition
albumin
Term
Alpha globulin
Definition
composed primarily of haptoglobin and ceruloplasmin.
Term
primary beta globulin
Definition
Transferrin
Term
“tau” protein
Definition
carbohydrate-deficient transferrin fraction, may be present in CSF
Term
primary gamma globulin
Definition
IgG
Term
IgM, fibrinogen, and beta-lipoprotein
Definition
NOT in CSF
Term
The causes for increased protein include
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
Term
Low CSF glucose concentrations
Definition
meningitis
Term
Lactate Concentration
Definition
Can be effective in assisting with difficult meningitis diagnosis and therapy monitoring.
Term
Destruction of tissue due to hypoxia
Definition
increased lactate levels
Term
Glutamine
Definition
produced by the brain cells from ammonia and alpha-ketoglutarate
Term
What does glutamine do?
Definition
Permits the removal of toxic ammonia from the CNS.
Term
What is glutamine used to assess
Definition
assessing CNS ammonia levels.
Term
Reye’s syndrome
Definition
elevatated glutamine
Term
Limulus Lysate Test
Definition
diagnosing meningitis cases caused by gram negative bacteria
Term
VDRL, FTA-ASB, RPR
Definition
tertiary or neurosyphilis
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