A cerebrospinal fluid sample was received in the clinical laboratory. Collection tube 3 was delivered to the hematology department for a cell count and differential. No dilution was prepared. The hemocytometer was charged and both sides of the chamber were counted. The results are below. Determine the total cell count for both WBC and RBC.
square counted
side 1
side 2
Large Square
WBC
RBC
WBC
RBC
#1
0
0
0
0
#2
0
2
1
0
#3
1
1
0
1
#4
0
0
0
1
#5
1
0
1
1
#6
0
0
0
0
#7
0
1
1
0
#8
0
0
0
2
#9
1
2
0
1
Total Count
3
6
3
6
A
total WBC/µL and
total RBC/
give step by step with explanation and conclusion
Question:
A cerebrospinal fluid sample was received in the clinical laboratory. Collection tube 3 was delivered to the hematology department for a cell count and differential. No dilution was prepared. The hemocytometer was charged and both sides of the chamber were counted. The results are below. Determine the total cell count for both WBC and RBC.
square counted
side 1
side 2
Large Square
WBC
RBC
WBC
RBC
#1
0
0
0
0
#2
0
2
1
0
#3
1
1
0
1
#4
0
0
0
1
#5
1
0
1
1
#6
0
0
0
0
#7
0
1
1
0
#8
0
0
0
2
#9
1
2
0
1
Total Count
3
6
3
6
A
total WBC/µL and
total RBC/
give step by step with explanation and conclusion
This is AI generated Response.
Asked by: Test User 100132
Created at: 2025-05-03 06:20:32
Final Answer:
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Let's carefully analyze the data and determine the total cell counts for WBC and RBC in the cerebrospinal fluid (CSF) sample.
---
### 1. **Understanding the Data and Method**
- **Sample:** CSF, no dilution was prepared.
- **Charged chambers:** Both sides of the hemocytometer were counted (side 1 and side 2).
- **Squares counted:** The counts are from 8 large squares (numbered #1 to #8).
- **Counting method:** For each large square, counts of WBC and RBC in both sides are provided.
- **Goal:** Determine total WBC and RBC per microliter (µL) of CSF.
---
### 2. **Hemocytometer and Cell Counting Basics**
- Each large square (on a hemocytometer) covers a known volume:
- **Volume per large square:** 0.1 µL (since standard hemocytometers are designed with this volume).
- **Calculating total cell count:**
\[
\text{Total cells per µL} = \frac{\text{Sum of all counts}}{\text{Number of squares} \times \text{Number of sides}} \times \frac{1}{\text{Volume per square}}
\]
Since counts are from 8 squares, each with 2 sides, total counts are summed across all squares and sides.
---
### 3. **Summing the Counts**
Let's sum the WBC and RBC counts separately.
**WBC counts (side 1):**
| Square | Side 1 (WBC) |
|---------|--------------|
| 1 | 0 |
| 2 | 0 |
| 3 | 1 |
| 4 | 0 |
| 5 | 1 |
| 6 | 0 |
| 7 | 0 |
| 8 | 0 |
| **Total WBC (side 1):** | 0 + 0 + 1 + 0 + 1 + 0 + 0 + 0 = **2**
**WBC counts (side 2):**
| Square | Side 2 (WBC) |
|---------|--------------|
| 1 | 0 |
| 2 | 2 |
| 3 | 1 |
| 4 | 0 |
| 5 | 0 |
| 6 | 0 |
| 7 | 1 |
| 8 | 0 |
| **Total WBC (side 2):** | 0 + 2 + 1 + 0 + 0 + 0 + 1 + 0 = **4**
**Total WBC counts:**
\[
\text{Total WBC} = 2 + 4 = 6
\]
---
**RBC counts (side 1):**
| Square | Side 1 (RBC) |
|---------|--------------|
| 1 | 0 |
| 2 | 1 |
| 3 | 0 |
| 4 | 0 |
| 5 | 1 |
| 6 | 0 |
| 7 | 1 |
| 8 | 0 |
| **Total RBC (side 1):** | 0 + 1 + 0 + 0 + 1 + 0 + 1 + 0 = **3**
**RBC counts (side 2):**
| Square | Side 2 (RBC) |
|---------|--------------|
| 1 | 0 |
| 2 | 0 |
| 3 | 1 |
| 4 | 1 |
| 5 | 1 |
| 6 | 0 |
| 7 | 0 |
| 8 | 2 |
| **Total RBC (side 2):** | 0 + 0 + 1 + 1 + 1 + 0 + 0 + 2 = **5**
**Total RBC counts:**
\[
\text{Total RBC} = 3 + 5 = 8
\]
---
### 4. **Calculating Cell Concentrations**
- **Number of squares counted:** 8
- **Number of sides counted:** 2
- **Total counts:**
- WBC: 6
- RBC: 8
- **Volume per large square:** 0.1 µL
---
### 5. **Total Cell Count per Microliter (µL)**
\[
\text{Total cell count per µL} = \frac{\text{Sum of counts}}{\text{Number of squares} \times \text{Number of sides}} \times \frac{1}{\text{Volume per square}}
\]
which simplifies to:
\[
= \frac{\text{Total counts}}{8 \times 2} \times \frac{1}{0.1}
\]
**Calculations:**
**WBC:**
\[
\text{WBC per µL} = \frac{6}{8 \times 2} \times 10 = \frac{6}{16} \times 10 = 0.375 \times 10 = \boxed{3.75 \text{ cells/µL}}
\]
**RBC:**
\[
\text{RBC per µL} = \frac{8}{8 \times 2} \times 10 = \frac{8}{16} \times 10 = 0.5 \times 10 = \boxed{5 \text{ cells/µL}}
\]
---
### **Final Results:**
| Cell Type | Total cells per µL |
|------------|---------------------|
| **WBC** | **3.75 / µL** |
| **RBC** | **5 / µL** |
---
### **Conclusion:**
- The cerebrospinal fluid contains approximately **3.75 WBCs per microliter**.
- The RBC count is approximately **5 RBCs per microliter**.
**Note:** The very low cell counts are typical for CSF, which normally has few cells.
---
**If needed, these results can be used for clinical interpretation regarding infection or other neurological conditions.**
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