Reference Cards
Arthritis
Synovial Fluid Analysis
Condition
Grp1
Color
Clarity
WBCC(mm4)
PMN%
GLU
CULT
CRYST
VOL(ml)
Normal
-
C
CL
<200
<25
A
-
-
<4
OA
I
S
CL
200 2K
<25
A
-
-
RA
II
Y
TL
2K 75K
>50
B
-
-
SLE
I/II
Y
TL
"
"
"
-
-
Reiter's
II
Y
TL
"
"
"
-
-
Gour
II
Y
TL
"
"
"
-
+
Psudogout
II
Y
TL
"
"
"
-
+
Lyme
I/II
V
V
see 4 below
see 4 below
"
see 4 below
-
Bacterial
III
V
O
>75K
>75
C
+
-
TB
III
V
O
>75K
>75
C
+
-

Note
1 Group I (Noninflammatory); II (Inflammatory); III (Septic or Purulent); IV (Hemorrhagic) R/O: Trauma, Thrombocytopenia, Anticoagulation Therapy, Hemophilia, Von Willebrand's, Pigmented Villonodular Synovitis, Synovioma, Hemangioma, AVM, Charcot, Sickle Cell, Myeloproliferative
2 Color: C = Colorless; S = Straw; Y = Yellow; V = Variable
3 Clarity CL = Clear; TL = Translucent; O = Opaque
4 Lyme: Median Cell Count 25K (500 - 110K); check ELISA; West. Blot; Cutture rarely positive; Cell count with PMN or Lymph - depends on stage
5 Glucose (compared to serum glucose); A = Nearly equal to serum; B = Lower than serum; C = Much lower than serum
6 Crystals: Gout (Urate-Neg. Birefringence); Pseudogout (CPPD-Pos. Birefringence)