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EKU summer urines

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Question
Answer
Normal 24 hour urine volume   500-1800 mL  
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having a urine osmolality of approximately 300 mOsm/kg   diuresis  
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the excretion of excessive amounts of urine >3L perday   polyuria  
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tot urin volume of less than 400 mL perday   oliguria  
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no urine is excreted from the body   anuria  
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bilirubin to biliverdin, hemoglobin to methemoglobin and urobilinogen to urobilin are all reasons for changes in this characteristic of urine   color  
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due to bacterial proliferation and solute precipitation clarity of urine can be   decreased  
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at room temperature pH is increased due to what   bacterial decomposition of urea to ammonia  
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at room temperature pH is increased due to what   bacterial or yeast conversion of glucose to metabolic acids  
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at room temperature glucose is decreased due to what   cellular or bacterial glycolysis  
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at room temperature ketones decrease due to what two reasons   bacterial metabolism of acetoacetate to acetone and volatilization of acetone  
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why is bilirubin decreased at room temperature   photooxidation to biliverdin and hydrolysis of free bilirubin  
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at room temperature why is urobilinogen decreased   oxidation of urobilin  
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at room temperature why would nitrite in urine be increased   bacterial production following collection  
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at room temperature why would nitrite be decreased   conversion to nitrogen  
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at room temperature what would happen to RBC, WBC, and casts   disintegration of cellular and formed elements  
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at room temperature why would bacteria be increased   due to proliferation following collection  
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normal urine color   yellow  
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dilute urine color   colorless or light yellow  
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concentrated urine color   amber  
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bilirubin in urine color   dark amber to orange  
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urobilin in urine color   amber to orange  
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biliverdin in urine color   dark amber  
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hemoglobin in urine color   red, pink, or brown  
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myoglobin in urine color   red or brown  
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beets in urine color   red  
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fuscin alanine dye in urine color   red  
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methemoglobin in urine color   brown  
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homogentistic acid in urine color   brown to black  
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melanin in urine color   black  
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reasons for green or blue urine   indican, chlorophyll, pseudomonas, dyes and medications  
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what is the normal clarity of urine   clear  
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what does clarity depend on in urine   amount of constituents in the urine  
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Normal specific gravity   1.002-1.035  
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pKa change of pretreated polyelectrolyte is the principle of what urine test   specific gravity  
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a duel indicator test in which substances act as either proton acceptors or proton donors is what urine test   pH  
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What is normal pH for urine   4.5-8.0  
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this test involves catalase and peroxidase activity of heme in which myoglobin and rbc case oxidation of chromogen   Blood  
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what is normal result of blood test   negative  
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this test involves the coupling of an ester to form an aromatic compound with a diazonium salt to form a purple color   leukocyte esterase  
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what is the normal result for leukocyte esterase   negative  
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this test uses para-arsanilic acid and tetrahydrobenzo(h)-quinolin-3-ol and coupleswith diazonium salt   nitrite  
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what is the norm value for nitrite in urine   neg  
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this test involves citrate buffer at pH2; tetrabromphenol blue as an indicator and is based on the error of indicators   protein  
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what is the normal value for protein in urine   negative  
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this test involves glucose oxidase, peroxidase, o-toluidine, potassium iodide or aminopropylcarazol as a two step reaction with the goal of oxidizing chromogen   glucose  
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what is the norm value for glucose in urine   negative  
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this test is called legal's test and uses the reagent sodium nitroprusside   ketones  
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what is the norm value for ketones in urine   negative  
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this reaction again is a diazonium salt coupling reaction in which the reagents are dichloroanilin or dichlorobenzene-diazonium tetrafluoroborate   bilirubin  
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what is the normal value for bilirubin in urine   negative  
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this reaction has the reagents of dimethylamino-benzaldehyde   urobilinogen  
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what is the norm value for urobilinogen in the urine   .1-1.0  
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Which chemical urine tests are affected by ascorbic acid   blood, nitrite, glucose, bilirubin  
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urobilinogen can have a positive reaction if this is substance is in the urine   ehrlich's reagent  
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Which chemical urine tests are affected by soaps and oxidizing agents   blood and glucose  
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what can cause errors in specific gravity   proteins, glucose, urea, pH and ketones  
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What is the confirmatory test for protein   SSA  
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What is the confirmatory test for carbohydrates other than glucose   clinitest  
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what is the confirmatory test for ketones   acetest  
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what is the confirmatory test for bilirubin   ictotest  
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what is the confirmatory test for porphyrins   watson schwartz  
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which confirmatory test uses ehrlick diazo reagen   watson schwartz  
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what confirmatory test is based on the coupling of a unique solid diazonium salt with bilirubin in an acid medium   ictotest  
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what confirmatory test involves a purple color formed with nitroprusside in the presence of glycine   acetest  
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what confirmatory test involves copper sulfate reacting with reducing substances producing heat and cuprous oxide   clinitest  
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what confirmatory test involves acidification causing precipitation of protein   SSA  
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What can affect the results of an SSA test   turbid urine or polyuria false negatives  
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sulfa drugs can affect what confirmatory test   clinitest  
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low specific gravity can cause a false positive for what confirmatory test   clinitest  
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these cells originate from the lining of the vaginal tract or lower portions of the male and female urethra   squamous epithilial  
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these cells originate from the renal pelvis to the proximal two thirds of the urethra   transitional epithelial  
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these cells originate in the renal tubules   renal tubule cells  
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this cell is from vascular fat degeneration   oval fat body  
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these cells are often seen in bacterial infections or nonbacterial disorders   WBC  
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these cells are due to WBC that lyse or swell   Glitter cells  
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these cells originate from renal bleeding or glomerulonephritis   RBC  
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30-40 um with abundant cytoplasm with small central nucleus   squamous  
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12-20 um round or pear shapped with centrally located nucleus   transition  
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20-60 um oblong or round to oval and contain eccentric nucleus   renal tubular  
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tains with sudan black and have a maltese cross shape   Oval fat body  
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10-15 um contains distinct nucleus   WBC  
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brownian movement of their internal granules produce sparkles   glitter cells  
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7-10 um biconcave disks without nucleus   RBC  
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an increas number of these indicates acute tubular necrosis from heavy metals or drug toxicity and all renal disease   renal tubular  
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these indicate glomerular dysfunction with renal tubular cell death   oval fat bodies  
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these indicate an infection or inflammation of the genitourinary tract   WBC  
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when a large number or misshapen cells indicate renal transplant rejection, acute tubular necrosis, ischemic injury to the kidney or renal carcinoma   transition  
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when these cells are covered with bacteria they are called clue cells   squamous  
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amorphous urates, calcium oxalate, cholesterol are crystals found in what type of urine   acidic to neutral  
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leucine, tyrosine, cystine, and bilirubin are crystals found in what type of urine   acidic  
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amorphous phosphates, triple phosphates, calcium carbonate, ammonium biurate are crystals that are found in what type of urine   neutral to alkaline  
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calcium phosphate crystals are found in what type of urine   acidic, neutral, and alkaline  
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This crystal can be seen in urine of someone who has ingested ethylene glycol   calcium oxalate  
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this crystal can be seen in gout patients   uric acid  
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leucine and tryosine are found in the urines of people with what   rare liver disease aminoaciduria  
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cystine crystals are found in urines of people with what   cystinosis or cystinuria  
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cholesterol is found in urine due to what   lipiduria  
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these crystals look like an envelope   calcium oxalate  
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these crystals look like a lemon   uric acid  
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this crystals are dark yellow spheres with concentric circles   leucine  
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these crystals are colorless to yellow with fine delicate needles in clusters or sheaves   tyrosine  
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these crystals are colorless hexagonal plates often layered   cystine  
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these crystals often are flat rectangles with notched corners   cholesterol  
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these christals are yellow brown fine needles or granules that form clusters   bilirubin  
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these crystals resemble coffin lids   triple phosphate  
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these christals are dark yellow to brown and resemble thorny apples   ammonium biurate  
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these crystals are ovten thin prisms in rosetts or stellar forms   calcium phosphate  
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these crystals are often granular spheres or dumbbells   calcium carbonate  
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these are normally colorless homogeneous protein matrix with rounded ends that vary in shape and size   hyaline casts  
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Casts are made out of what protein   tamm-horsfall  
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this protein matrix is filled with degenerating cells, amorphous chrystals or bacteria, is normally colorless to yellow and varies in size and shape   granular cast  
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this protein matrix is filled with red blood cells often many free red cells in same field of view   RBC cast  
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this protein matrix is filled with renal epithelial cells   epithelial cast  
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these casts are homogeneous with a waxy thick appearance often with blunt uneven brittle looking edges   waxy/broad  
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this protein matrix contains oval fat bodies   fatty cast  
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these casts occur after strenuous exercise, stress, inflamation of the urogenital tract   hyaline  
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these cast occur during urine flow stasis, urogenital tract infections strenuous exercise or stress   granular  
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these casts occure in glomerulonephritis, acute interstitial nephritis, and after strenuous exercise   RBC  
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These cast occur due to renal tubular damage   epithelial  
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these casts occur due to tubular obstruction, urine flow stasis, severe nephron damage, and nephritic syndrome   waxy and broad  
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these casts occur during nephritic syndrome, renal tubular cell death, severe crushing injury   fatty  
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these cells found in urine can be rods, cocci, chains of cocci   bacteria  
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these cells found in urine can be seen after dilute acetic acid is added to the urine to lyse rbcs   yeast  
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these are 8-20 um with undulating flagella   trichomonas  
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this is threadlike structures with low refractive index found in urine with no significance   mucus  
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this renal disorder has a rapid onset of fever, malaise, and oliguria, normally post bacterial infection, RBC and RBC casts seen   acute glomerulonephritis  
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this renal disorder has a pronounced proteinuria and is due to systemic disease, all types of casts are seen as well as oval fat bodies   nephritic syndrome  
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this renal disorder is an infection of the renal tubules, interstitium and renal pelvis and all cell casts can be seen along with pyuria   pyelonephritis  
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this is a microbial infection of the bladder   cystitis  
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normal color of CSF   colorless  
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CSF with a yellow color indicates   bilirubin  
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CSF with a pink color indicates   oxyhemoglobin  
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CSF with an orange color indicates   oxyhemoglobin and bilirubin  
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CSF with a brown color indicates   methemoglobin  
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the term xanthochromic means   yellow color but in CSF can indicate any color  
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CSF normal clarity   clear  
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Reasons for CSF to be turbid   >200 WBC, >400 RBC, increased protein or microorganisms  
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Normal WBC for CSF   0-5 uL  
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WBC for bacterial infection in CSF   >500  
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WBC for viral infection in CSF   <100  
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WBC for mycobacterial infection in CSF   <500  
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WBC for fungal infection in CSF   <500  
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Normal CSF glucose   40-85 mg/dL  
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CSF glucose in bacterial infection   <40  
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CSF glucose in viral infection   normal  
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CSF glucose in mycobacterium infection   <40  
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CSF glucose in fungal infection   <40  
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Normal CSF protein   15-45 mg/dL  
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CSF protein in bacterial infection   >250  
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CSF protein in viral infection   <100  
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CSF protein in mycobacterial infection   50-500  
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CSF protein in fungal infection   25-500  
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Normal CSF lactate   <35 mg/dL  
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CSF lactate in bacterial infection   >35  
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CSF lactate in viral infection   normal  
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CSF lactate in mycobacterial infection   >35  
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CSF lactate in fungal infection   >35  
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Cells found in normal CSF   lymphocytes  
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CSF cells in bacterial infection   neutrophils  
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CSF cells found in viral infection   early-neutrophils late-lymphocytes  
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CSF cells found in mycobacterial infection   lymphocytes  
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CSF cells found in fungal infection   lymphocytes  
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this fluids origin is in the cavities of the body   effusion  
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fluid volume between two membranes due to an alteration in the hydrostatic and oncotic pressure in the capillaries is what   effusion  
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this fluid is between the parietal membrane and the visceral membrane   serous  
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this is an ultrafiltrate of plasma and is produced and reabsorbed at a constant rate and allows for free movement of the organs   serous fluid  
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this fluid surrounds the heart   pericardial  
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this fluid is found in the abdominal cavity   peritoneal  
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this fluid surrounds the lungs   pleural  
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this fluid is found in the joints   synovial  
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How are serous fluids collected   paracentesis  
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how is pleural fluid collected   thoracentesis  
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how is peritoneal fluid collected   peritoneocentesis  
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how is pericardial fluid collected   pericardiocentesis  
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how is synovial fluid colected   arthrocentesis  
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this fluid is caused by increased hydrostatic pressure and a decreased oncotic pressure   transudate  
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this fluid is caused by inflammation with an increased capillary permeability and a decreased lymphatic absorbion   exudate  
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transudate color   pale yellow  
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exudate color   yellow, green, pink, red  
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transudate clarity   clear  
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exudate clarity   cloudy  
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transudate spontaneous clotting   negative  
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exudate spontaneous clotting   variable but mostly yes  
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transudate specific gravity   <1.012  
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exudate specific gravity   >1.012  
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transudate protein   <2  
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exudate protein   >2.9  
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transudate fluid serum ratio   <.5  
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exudate fluid serum ratio   >.5  
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transudate LD   <60%  
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exudate LD   >60%  
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transudate fluid to LD ratio   <.6  
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exudate fluid to LD ratio   >.6  
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transudate WBC   <1000 pleural <300 peritoneal  
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exudate WBC   >1000 pleural >500 peritoneal  
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transudate differential   mononuclear cells  
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exudate differential   early-neutrophils late-mononuclear cells  
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normal color of synovial fluid   pale yellow  
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normal viscosity of synovial fluid   high  
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Normal WBC of synovial fluid   <200  
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What causes a non-inflammatory response in synovial fluid   osteoarthritis  
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what causes an inflammatory response in synovial fluid   RA and systemic disease  
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what causes an infectious response in synovial fluid   microbes  
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What cause a crystal response in synovial fluid   gout  
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what causes a hemorrhagic response in synovial fluid   joint injury or tumor  
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what two synovial conditions have a low viscosity   inflammatory and infectious  
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What is the specifications for a semen sample collection   ejaculation after two days of abstinence not more than 7 days  
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how long should normal semen take for liquefaction   60 min or less  
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how long would an abnormal semen take for liquefaction   more than 60 min  
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what is the normal volume of semen   2-5 mL  
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What is the normal cell count for semen   20-250 million  
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what is the normal morphology for semen   14% normal  
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what is the pH of semen   7.2-7.8  
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What does lecithin measure   fetal lung maturity  
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what is the normal lecithin value for a mature fetal lung   >2  
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What does phosphtidyl glycerol measure   fetal lung maturity  
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What does the foam stability test measure   fetal lung maturity  
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What is the normal value for a foam test of a mature fetal lung   >.48  
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what does amniotic bilirubin measure   HDN  
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What spectrophotometer setting for bilirubin   350 or 580  
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What is the normal amniotic bilirubin   10-30 ug/dL  
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What does alpha-fetoprotein measure   neural tube defects  
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