abdominal and thoracic fluid effusions Flashcards

1
Q

what is a peural effusion

A

fluid accumulation in the chest cavity

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2
Q

what is pleural effusion AKA

A

drowning

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3
Q

what is abdominal effusion

A

fluid accumulation in abdominal cavity

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4
Q

what is a red top tube used for

A

biochemical analysis of cholestorol and triglycerides

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5
Q

what is a culture tube used for

A

microbiological cultures

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6
Q

slide preparation of a non turbid fluid

A

centrifuge for 5 min @ 1000-1500rpm; linear or squash

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7
Q

slide preparation of a low cellular fluid

A

linear smear

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8
Q

slide preparation of a opaque fluid

A

direct (roll) smear due to high cell concentration

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9
Q

what is used to classify effusions

A

TP, SG, and TNCC

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10
Q

normal fluid transparency

A

clear to slightly turbid

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11
Q

normal fluid color

A

colorless to straw yellow

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12
Q

normal fluid TP

A

<2.5 g/dl

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13
Q

normal fluid SG

A

<1.015

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14
Q

normal fluid TNCC

A

less than 10,000/ul (AVG: 2000-6000/ul)

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15
Q

what is the most prodominant cell in effusions

A

neutrophils

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16
Q

what is a transudate

A

fluids from a non inflammatory orgin

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17
Q

transudate AKA

A

asceitic effusion

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18
Q

transudate causes

A

hypoalbuminemia, renal glomerular disease, hepatic insufficiency, uroperitoneum

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19
Q

transudate colory

A

colorless

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20
Q

transudate turbidity

A

clear

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21
Q

transudate SG

A

<1.103

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22
Q

transudate TP

A

<3.0 g/dl

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23
Q

transudate TNCC

A

<1,500 cells/ul

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24
Q

what results from lymphatic fluid leaks

A

modified transudates

25
causes of modified transudates
FIP, Chylous effusion, lymphatic fluid, cardiovascular disease, ruptured bladder
26
does a modified transudate clot
sometimes
27
modified transudate color
amber, red, white, mil white, yellow
28
modified transudates turbidity
clear to slightly turbid
29
modified transudate SG
variable
30
modified transudate TP
2.5-7.5 g/dl
31
modified transudate TNCC
1000-7000/ul
32
mos common cause of modified transudates
abdominal or plural effusion
33
when does eudate most commonly occur
due to inflammation
34
causes of exudates
inflammation, infection
35
what is a septic infection
bacteria and degenerative neutrophils present
36
what is a non-septic infection
absence of bacteria
37
exudate color
amber, white, red
38
exudate turbidity
cloudy
39
exudate SG
>1.018
40
exudate TP
>3 g/dl
41
exudate TNCC
>5000-7000/ul
42
what is peritonitis
inflammation of the abdominal cavity
43
what does increased capillary permeability lead to
increase in neutrophils, monocytes, macrophages, increased protein
44
causes of infectious peritonitis or pleuritis
bacterial infections(most common), fungal protozoan and rickettsial infections, viral infections(FIP), neoplasia
45
what causes FIP
corona virus
46
FIP mortality rate
close to 100%
47
describe FIP fluid
odorless, straw to golden, tenacious with possible fibrin, clots when exposed to air
48
describe the neutrophils seen in uroperitoneum
raised nuclear borders with occasional crystals in the effusion as wall
49
how often do cats develop pericardial effusions from CHF
28%
50
how often do cats develop pericardial effusions from FIP
17%
51
define chyle
triglyceride rich lipoproteins from the intestines after ingestion of food containing lipids
52
what are important tests in chylous effusion
triglycerides and cholestorol
53
what causes the chyles milky white color
triglycerides and high fat content
54
causes of chylous effusions
ruptured thoracic duct, cardiovascular disease, lymphoma, trauma, HW disease
55
when is pseudochylous effusion seen
in heart disease
56
what is seen in exudates
bacteria, small lymphocytes, predominate nondegenerative neutrophils
57
what is seen in modified transudates
neoplastic cells
58
what is a neoplastic cell
an epithelial cell