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Raymond is an elderly man who has been experiencing elbow pain. An arthocentesis was performed. Color:...

Raymond is an elderly man who has been experiencing elbow pain. An arthocentesis was performed. Color: Pale yellow, clarity: milky, viscosity: low, leukocyte count: 90,000 uL, Neutrophils: 64%, crystals: present, synovial fluid glucose: 67mg/dL, serum glucose: 91 mg/dL, synovial fluid protein : 2.8 g/dL

• How do Raymond's results compare to normal synovial fluid results? • What type of crystals were identified in Raymond's synovial fluid? • What is the classification of synovial effusion? • What is the most likely diagnosis?

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Answer: The normal result of synovial fluid consists of normal clear colour of the fluid, normal WBC count is less than 200 cells/µL, neutrophils less than 25%. Whereas the Raymond's results are Color: Pale yellow, clarity: milky, viscosity: low, leukocyte count: 90,000 uL, Neutrophils: 64%, crystals: present, synovial fluid glucose: 67mg/dL, serum glucose: 91 mg/dL, synovial fluid protein : 2.8 g/dL.

The type of crystals present were the microcrystalline form. The classification of synovial effusion involves inflammatory. The patient is suffering from osteoarthritis. Because these results shows the presence of the joint disease. MRI and CT scans can identify the abnormal condition of the joints.

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