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Cerebrospinal Fluid Analysis BY BIJO AUGUSTINE
Anatomy and Physiology ,[object Object],[object Object],[object Object],[object Object]
Functions of CSF ,[object Object],[object Object]
Formation and composition of CSF ,[object Object],[object Object],[object Object]
Formation andComposition of CSF ,[object Object],[object Object]
[object Object],Formation and Composition of CSF
 
Composition of Normal CSF ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Composition of Normal CSF ,[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Application of CSF Examination ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Characteristics of normal CSF ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Collection and Processing ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
Diagnosis by CSF ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Routine Lab Tests ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Gross Examination ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clot/Coagulation formation Allow the specimen of CSF to stand over over night and examine the sample for fibrin clot, which is formed if the sample contains fibrinogen. Also note the nature of the clot. - Delicate clot, which resembles a cobweb, is characteristically seen in tubercular meningitis due to marked increased in CSF proteins. The clot may have entrapped tubercle bacilli, which could be demonstrated microscopically by staining for acid-fast bacilli.
Clot/Coagulation formation Corase clot is formed in pyogenic meningitis, traumatic tap and in case of complete spinal block. pH Determination.   pH can be measured by using pH paper or using pH meter.
Xanthochromia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Differential Dx of Bloody CSF ,[object Object],[object Object],[object Object]
Microscopic Exam of CSF ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Procedure ,[object Object],[object Object]
Counting of cells ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Important points ,[object Object],[object Object]
Differential leucocytes count ,[object Object],[object Object],[object Object]
Reference Intervals for CSF
Increased Neutrophils in CSF ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Increased Lymphocytes in CSF ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Plasmacytosis in CSF ,[object Object],[object Object],[object Object],[object Object],[object Object]
Immature cells in CSF
Eosinophilic pleocytosis in CSF ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Chemical Analysis  ,[object Object],[object Object],[object Object],[object Object]
Conditions Associated with Increased CSF Total Protein  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Electrophoresis  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Glucose estimation in CSF ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Bacterial Meningitis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Bacterial Meningitis ,[object Object],[object Object],[object Object],[object Object]
Test Appearance Pressure WBC/ μ L Protein mg/dL Glucose mg/dL Chloride Normal CSF Clear 90 – 180 mm  0-8 lymph. 15-45 50-80 115-130 mEq/L Acute bacterial meningitis Turbid Increased 1000 -10000 100 – 500 < 40 Decreased Viral meningitis Clear Normal to moderate increase 5-300, rarely >1000 Normal to mild increased Normal Normal Tubercular meningitis Slightly opaque cobweb formation  Increased/ decreased, spinal block 100-600 mixed or lymph. 50-300 due to spinal block Decreased Decreased Fungal meningitis Clear Increased 40-400 mixed 50-300 Decreased Decreased Acute syphilitic Clear Increased About 500 lymph Increased but <100 Normal normal
Bacterial Meningitis
Neurosyphilis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Neurosyphilis
Viral Meningitis ,[object Object],[object Object],[object Object],[object Object],[object Object]
HIV ,[object Object],[object Object],[object Object]
Fungal Meningitis ,[object Object],[object Object],[object Object],[object Object]
 
 
Tuberculous Meningitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Primary Amoebic Meningoencephalitis (PAM) ,[object Object],[object Object],[object Object]
 
CSF Cytology ,[object Object]
Thank you

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Csf analysis presentation

  • 1. Cerebrospinal Fluid Analysis BY BIJO AUGUSTINE
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  • 18. Clot/Coagulation formation Allow the specimen of CSF to stand over over night and examine the sample for fibrin clot, which is formed if the sample contains fibrinogen. Also note the nature of the clot. - Delicate clot, which resembles a cobweb, is characteristically seen in tubercular meningitis due to marked increased in CSF proteins. The clot may have entrapped tubercle bacilli, which could be demonstrated microscopically by staining for acid-fast bacilli.
  • 19. Clot/Coagulation formation Corase clot is formed in pyogenic meningitis, traumatic tap and in case of complete spinal block. pH Determination. pH can be measured by using pH paper or using pH meter.
  • 20.
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  • 41. Test Appearance Pressure WBC/ μ L Protein mg/dL Glucose mg/dL Chloride Normal CSF Clear 90 – 180 mm 0-8 lymph. 15-45 50-80 115-130 mEq/L Acute bacterial meningitis Turbid Increased 1000 -10000 100 – 500 < 40 Decreased Viral meningitis Clear Normal to moderate increase 5-300, rarely >1000 Normal to mild increased Normal Normal Tubercular meningitis Slightly opaque cobweb formation Increased/ decreased, spinal block 100-600 mixed or lymph. 50-300 due to spinal block Decreased Decreased Fungal meningitis Clear Increased 40-400 mixed 50-300 Decreased Decreased Acute syphilitic Clear Increased About 500 lymph Increased but <100 Normal normal
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