AUBF Book Flashcards

1
Q

serum like fluids formed as plasma ultrafiltrate which provides lubrication in the cavities they are found

A

serous fluid

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2
Q

membrane that lines the cavity

A

parietal membrane

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3
Q

membrane that covers the organ

A

visceral membrane

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4
Q

alteration to the oncotic and hydrostatic pressure can cause fluid buildup between the two membranes called

A

effusion

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5
Q

Increased hydrostatic pressure

Decreased oncotic pressure

A

Transudate

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6
Q

Increased capillary permeability

Lymphatic obstruction

A

Exudate

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7
Q

Congestive heart failure

Salt and fluid retention

A

Increased hydrostatic pressure

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8
Q

Nephrotic syndrome

Hepatic cirrhosis

Malnutrition

Protein-losing enteropathy

A

Decreased oncotic pressure

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9
Q

Microbial infections

Membrane inflammations

Malignancies

A

Increased capillary permeability

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10
Q

Malignant tumors

Lymphomas

Infection and inflammation thoracic duct injury

A

lymphatic obstruction

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11
Q

result from systemic disorders that disrupt fluid regulation

A

Transudates

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12
Q

produced by conditions that directly affect the membranes of the specific cavity

A

Exudates

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13
Q

Preferred parameters for pleural and pericardial fluid

A

Fluid: serum protein ration

Fluid: serum LD ratio

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14
Q

Appearance: Clear

Fluid : Serum Protein Ratio: <0.5
Fluid : Serum LD Ratio: <0.6

WBC Count: < 1000 WBC c/uL

Spontaneous clotting: No

Pleural fluid cholesterol: <45 to 60 mg/dL

Pleural fluid : Serum Cholesterol Ratio <0.3

Pleural Fluid: Bilirubin Ratio: <0.6

Serum Ascites Albumin Gradient: >1.1

A

Transudate

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15
Q

Appearance: Cloudy/Turbid

Fluid : Serum Protein Ratio: >0.5
Fluid : Serum LD Ratio: >0.6

WBC Count: > 1000 WBC c/uL

Spontaneous clotting: Possible

Pleural fluid cholesterol: >45 to 60 mg/dL

Pleural fluid : Serum Cholesterol Ratio >0.3

Pleural Fluid: Bilirubin Ratio: >0.6

Serum Ascites Albumin Gradient: <1.1

A

Exudate

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16
Q

Collection tube for serous fluid:

cell counts, morphology, and differential count

A

EDTA

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17
Q

Collection tube for serous fluid:

chemistry

A

clotted specimens

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18
Q

Collection tube for serous fluid:

microbiology and cytology

A

sterile heparin
SPS

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19
Q

Collection tube for serous fluid:

pH analysis

A

anaerobically on ice

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20
Q

Turbid appearance of Pleural Fluid indicates:

A

presence of WBC (indicates infection like TB)

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21
Q

Bloody appearance of pleural fluid

A

Hemothorax/Hemmorhagic exudate

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22
Q

test to differentiate hemothorax and hemorrhagic exudate

A

Hematocrit

> 50% hemothorax
<50% hemorrhagic exudate

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23
Q

Presence is caused by traumatic injury in pleural fluid

A

Hemothorax

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24
Q

Caused by malignancies in pleural fluid

A

Hemorrhagic exudate

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25
Pleural fluid appearance: rupture of amebic liver abscess
brown
26
Pleural fluid appearance: Black
aspergillosis
27
Pleural fluid appearance: viscous
Malignant mesothelioma (increased hyaluronic acid)
28
Pleural fluid appearance: Milky
Chylous Pseudochylous
29
Chylous and Pseudochylous appearance can be differentiated by
TAG determination
30
Pleural fluid appearance: milky and white
chylous
31
Pleural fluid appearance: milky and green
pseudochylous
32
> 110 mg/dL TAG no cholesterol crystals Lymphocytes are predominant
Chylous pleural fluid
33
<50 mg/dL Cholesterol crystals are present Mixed cells
Pseudochylous
34
Cells in plural fluid: Pneumonia, Pancreatitis, Pulmonary infarction
Neutrophils
35
Cells in plural fluid: Tuberculosis, viral infection, autoimmune disorders, malignancy
lymphocytes
36
Cells in plural fluid: normal, reactive forms, have no significance, decreased in cases of tuberculosis
mesothelial cells
37
Substances in pleural fluid
Glucose, Lactate, TAG, ADA, Amylase, pH
38
Substances in pleural fluid: Normally parallel to plasma level
Glucose
39
Substances in pleural fluid: Decreased in rheumatoid inflammation, TB, malignancy, and infections <60 mg/dl
GLUCOSE
40
Substances in pleural fluid: Increased in bacterial infections
Lactate
41
Substances in pleural fluid: Increased in chylous effusions >110 mg/dL
TAG
42
Substances in pleural fluid: Indicative of TB and also elevated in malignancy
ADA (amino deaminase)
43
Substances in pleural fluid: Increased in pancreatitis, esophageal rupture, and malignancy
Amylase
44
pH level in pleural fluid: Esophageal rupture allowing influx of gastric acid
6.0
45
pH level in pleural fluid: Indicates need for chest tube drainage
<7.2
46
pH level in pleural fluid: Malignancies
>7.4
47
Autoantibodies and Tumor markers: Immunologic vs. Non-immunologic
ANA and RF
48
Autoantibodies and Tumor markers: Colorectal cancer
CEA
49
Autoantibodies and Tumor markers: Metastatic uterine carcinoma
CA 125
50
Autoantibodies and Tumor markers: Breast cancer
CA 15.3 CA 549
51
Autoantibodies and Tumor markers: Lung cancer Breast cancer
CYFRA 21-1
52
Variation in appearance of pericardial fluid: infection and malignancy
blood-streaked
53
Variation in appearance of pericardial fluid: accidental cardiac puncture, anticoagulant medications
grossly bloody
54
Variation in appearance of pericardial fluid: chylous and pseudochylous
milky
55
Cells in pericardial fluid: bacterial endocarditis (s. viridans, s. epidermidis, HACEK)
neutrophils
56
Cells in pericardial fluid: metastatic carcinoma
malignant cells
57
Sensitive test for the detection of intra-abdominal bleeding
Peritoneal lavage
58
____ RBC count indicative of blunt trauma injuries
> 100,000 cells/uL
59
contains concentric striations of collagen-like material seen in ovarian and thyroid malignancies
psammona bodies
60
Substances in peritoneal fluid:
Glucose, ALP, Amylase, BUN, Creatinine
61
Substances in peritoneal fluid: Decreased in tubercular peritonitis and malignancies
Glucose
62
Substances in peritoneal fluid: Increased in intestinal perforations
ALP
63
Substances in peritoneal fluid: Increased in pancreatitis and intestinal perforations
Amylase
64
Substances in peritoneal fluid: requested in cases of ruptured bladder or accidental bladder puncture
BUN and Creatinine