Cerebrospinal Fluid Analysis
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Questions and Answers

What is the appearance of the CSF sample in a normal condition?

  • Cloudy, turbid, or milky
  • Xanthochromic
  • Crystal clear (correct)
  • Bloody
  • Which of the following is NOT a cause of a cloudy, turbid, or milky CSF appearance?

  • CHON/lipid
  • Hemorrhage (correct)
  • Microorganisms
  • WBCs
  • What is the likely cause of a bloody CSF sample?

  • Tubercular meningitis
  • Intracranial hemorrhage
  • Traumatic tap (correct)
  • Meningitis
  • What is the term for the yellow, orange, or pink discoloration of the CSF sample?

    <p>Xanthochromia</p> Signup and view all the answers

    What is the significance of a pellicle in a CSF sample?

    <p>Indicates the presence of M. tuberculosis</p> Signup and view all the answers

    What can cause disruptions to the selective filtration of the blood-brain barrier?

    <p>Traumatic tap</p> Signup and view all the answers

    What is the typical appearance of CSF in cases of old hemorrhage?

    <p>Xanthochromic</p> Signup and view all the answers

    What can cause elevated serum bilirubin levels?

    <p>RBC degradation</p> Signup and view all the answers

    What is the name of the protein that can be produced within the CNS in certain disorders?

    <p>Oligoclonal IgG</p> Signup and view all the answers

    What can cause uneven distribution of blood components in the CSF?

    <p>Meningeal melanoma</p> Signup and view all the answers

    Study Notes

    CSF Appearance and Causes

    • Crystal clear CSF: normal appearance
    • Hazy, turbid, or cloudy CSF: presence of microorganisms, white blood cells (WBCs), or high protein levels, indicating meningitis
    • Bloody CSF: intracranial hemorrhage or traumatic tap
    • Xanthochromic CSF (pink/orange/yellow): presence of hemoglobin, bilirubin, carotene, or melanin, depending on the length of contact between RBCs and CSF
    • Clotted CSF: introduced clotting factors due to traumatic tap
    • Pellicle: seen in tubercular meningitis, especially after overnight refrigeration
    • Oily CSF: presence of radiographic contrast media

    CSF Abnormalities and Disorders

    • Meningitis: cloudy, turbid, or milky CSF, high WBC count, and elevated protein levels
    • Traumatic tap: bloody CSF, clotted CSF, or presence of RBCs
    • Intracerebral hemorrhage: bloody CSF
    • Tubercular meningitis: pellicle formation, cloudy CSF, and high protein levels

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    Description

    This quiz covers the analysis of cerebrospinal fluid, including the appearance of the sample and the significance of different colors and components. It's an essential topic in neurology and laboratory medicine.

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