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PART  EIG HT




                         Fundamentals of Hematological Analysis



















                                                 29                          Body Fluid Analysis*


                     CHAPTER



















                                KEY TERMS






                   abdom inal   uid                                                        cholesterol crystals                                                    pleural effusion
                   am niotic   uid                                                         effusion                                                                pleural   uid

                   arthrocentesis                                                          ependym a                                                               sem inal   uid
                   artifacts                                                               exudates                                                                signet ring cells

                   ascites                                                                 lum bar puncture                                                        standard precautions
                   basic calcium  phosphate (BCP)                                          malignant                                                               synovial   uid

                   blood-brain barrier                                                     mesothelial cells                                                       tanycytes
                   calcium  pyrophosphate dihydrate                                        monosodium urate (MSU)                                                  thoracentesis

                       (CPPD)                                                              paracentesis                                                            transudates
                   cardiac tam ponade                                                      pericardial effusion                                                    xanthochrom ia

                   cerebrospinal   uid                                                     peritoneal   uid







                                LEARNING OUTCOMES






                   Introduction                                                                                                Pleural, peritoneal, and pericardial   uids



                   ■   Associate the various types of body   uids with their respective                                        ■   De  ne the term effusion.
                       synonyms.                                                                                                 Compare the major characteristics of transudates and exudates.


                                                                                                                               ■   Identify the location of the pleura.
                   Cerebrospinal   uid                                                                                         ■   Name at least three disorders associated with the existence of pleu-



                   ■   Describe the anatomical structures involved in the circulation of                                           ral exudate.
                       cerebrospinal   uid (CSF).                                                                              ■   Associate the various colors of exudate with the typical disorders.

                     Explain how CSF is produced.                                                                              ■   Name at least two reasons for turbidity in pleural   uid.

                     Describe the collection procedure for CSF                                                                 ■   Name the disorder that produces an extremely elevated total leuko-
                                                                                  .

                   ■   Name the appropriate type or types of testing for each of the ali-                                          cyte count in pleural   uid.
                       quots of a CSF specimen.                                                                                   Name the types of common cells that can be encountered in pleural   uid.

                     Compare the descriptive characteristics of CSF on gross examina-                                          ■   Name the characteristics of malignant cells that can be found in a

                       tion and the respective associated abnormalities.                                                           pleural effusion.

                     Compare the characteristics of a recent hemorrhage, an old hemor-                                           Discuss the cellular abnormalities encountered in pleural and peri-

                       rhage, and a traumatic tap.                                                                                 toneal   uid.


                   ■   Explain the procedure of manually counting leukocytes in a cere-                                        ■   Identify the location of the peritoneum.
                       brospinal   uid.                                                                                        ■   Name at least three disorders or diseases that can cause a perito-

                     Describe the common cells seen on microscopic examination and                                                 neal effusion.

                       the associated disorders.                                                                               ■   List at least two reasons for a turbid peritoneal effusion.

                                                                                     .
                     Name and describe cells unique to the CSF                                                                   Associate a variety of conditions with various colors or appearances
                     Describe the appearance of erythrophagocytosis in CSF                                                         of peritoneal effusion.
                                                                                                      .
                   *


                   *Additional procedures, in CLSI format, are provided on this book’s companion Web site at thepoint.lww.com/Turgeon6e.





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