can you please answer all the questions CASE STUDY 29 A 50-year seen in the emer
ID: 102481 • Letter: C
Question
can you please answer all the questions
CASE STUDY 29 A 50-year seen in the emergency room. The toe appears red and swollen. A serum uric acid level is CASE STUDIES TO ACCOMPANY STRASINGER'S URINAL YSS AND BODY Fuips, 3RD ED ATE] -old male patient complaining of severe pain in the large toe of his right foot is elevated, and the physician performs an arthrocentesis. 1. What type of fluid is sent to the laboratory? 2. Considering the patient's symptoms, what is the most diagnostically significant test that can be performed on this fluid? 3. State three types of microscopy that can be used to examine this fluid. Based on the patient's uric acid level state what you would expect to find? Describe the appearance with each type of microscopy. 4. the patient's uric acid level was normal, state what you would expect to find? Describe the appearance with each type of microscopy. 5. If the patient's uric acid level was normal, state what you would expect to find? 65 Copyright © 1996 FA. Davis Company, PhiladelphiaExplanation / Answer
1. Synovial fluid
2. The test for WBC(White blood cell) count as it is higher during an infection and provides clues for accurate diagnosis for any additional problems.
3.It would comprise analysis for Crystals, WBC ,and microorganisms.
4. Elevated uric acid crystal indicates gout as in normal scenario crystals are absent; WBC count has a direct relation with serum uric acid level and elevated uric acid may signify arthritis,gout, or rheumatoid arthritis, and the elevated serum uric acid may suggest utilization of the same by microorgamisms, thereby showing their presence.
5. In a patient with uric acid normal, there would not be any crystals in the synovial fluid; WBC count will be less than 200/mm3 and gram staining would be negative.
Reference
1. Cole, J,D.(2014). Diagnosis through Synovial Fluid Analysis. Arthritis-health. Retrieved from https://www.arthritis-health.com/treatment/joint-aspiration/diagnosis-through-synovial-fluid-analysis
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