AUBF-Lec-Serous Fluid

Question 1

Fluid between parietal & visceral membranes

Answer 1

Serous Fluid

Question 2

FUNCTION of serous fluid

Answer 2

To provide lubrication between the 2 membranes as a surfaces move against each other

Question 3

Accumulation of fluid between the membranes

Answer 3

EFFUSION

Question 4

EFFUSION Classified as

Answer 4

EXUDATE or TRANSUDATE

Question 5

Disruption of fluid production & regulation between membranes

Answer 5

TRANSUDATE

Question 6

TRANSUDATE is Caused by systemic disorders such as

Answer 6

Hypoproteinemia, Congestive Heart Failure, Nephrotic Syndrome

Question 7

Direct damage to the membrane of a particular cavity

Answer 7

EXUDATE

Question 8

EXUDATE examples

Answer 8

Infection, Inflammation, Malignancy

Question 9

Rivalta’s Test AKA

Answer 9

SEROSAMUCIN CLOT TEST

Question 10

Differentiate exudates from transudates

Answer 10

Rivalta’s Test
AKA SEROSAMUCIN CLOT TEST

Question 11

Rivalta’s Test AKA SEROSAMUCIN CLOT TEST procedure and result

Answer 11

ACETIC ACID + WATER + UNKNOWN FLUID
(+) Heavy Precipitation (EXUDATE)

Question 12

Recommended to detect transudates of hepatic origin

Answer 12

Serum-Ascites Albumin Gradient (SAAG)

Question 13

SAAG=

Answer 13

Serum Albumin – Peritoneal Fluid Albumin

Question 14

Serum-Ascites Albumin Gradient (SAAG):

> /= 1.1 :
<1.1 :

Answer 14

> /= 1.1 : transudate
<1.1 : Exudate

Question 15

3 P’s

Answer 15

3 P’s (Pleural, Pericardial, Peritoneal fluid)

Question 16

NORMAL APPEARANCE of serous fluid

Answer 16

Clear, Pale Yellow

Question 17

Method of Collection for Pleural fluid

Answer 17

Thoracentesis

Question 18

Method of Collection for Pericardial fluid

Answer 18

Pericardiocentesis

Question 19

Method of Collection for Peritoneal (ascitic) fluid

Answer 19

Paracentesis

Question 20

NORMAL VALUES for Pleural fluid:

Answer 20

less than 30 mL

Question 21

NORMAL VALUES for Pericardial fluid:

Answer 21

less than 50 mL

Question 22

NORMAL VALUES for Peritoneal (ascitic) fluid:

Answer 22

less than 100 mL

Question 23

Serous Specimen is distributed in the following tubes:

EDTA:

Sterile heparin tubes:

Plain/heparin tubes:

Answer 23

EDTA: cell counts and differential

Sterile heparin tubes: Microbiology and cytology

Plain/heparin tubes: Chemistry (spx for pH must be maintained anaerobically in ice)

Question 24

TUMOR MARKERS FOR EFFUSION of MALIGNANT ORIGIN: Colon CA

Answer 24

Carcinoembryonic antigen (CEA)

Question 25

TUMOR MARKERS FOR EFFUSION of MALIGNANT ORIGIN: Ovarian CA

Answer 25

CA 125

Question 26

TUMOR MARKERS FOR EFFUSION of MALIGNANT ORIGIN: Breast CA

Answer 26

CA15-3, CA 549

Question 27

TUMOR MARKERS FOR EFFUSION of MALIGNANT ORIGIN: Lung CA, Breast CA, Urinary bladder CA

Answer 27

Cytokeratin Fragment (CYFRA 21-1)

Question 28

Distribution of Blood:
Uneven

Answer 28

Hemothorax (traumatic tap)

Question 29

Pleural fluid Hct is >/= 1⁄2 of whole blood hematocrit

Answer 29

Hemothorax (traumatic tap)

Question 30

Effusion is actually occurring from the impouring of blood from the injury

Answer 30

Hemothorax (traumatic tap)

Question 31

Distribution of Blood: Even

Answer 31

Hemorrhagic Effusion

Question 32

Pleural Fluid Hct is <1/2 of whole blood Hematocrit

Answer 32

Hemorrhagic Effusion

Question 33

A chronic membrane disease effusion contains both blood and increased pleural fluid.

Answer 33

Hemorrhagic Effusion

Question 34

Contain concentric striations of collagen like material

Answer 34

PSAMMOMA BODIES

Question 35

PSAMMOMA BODIES Seen in

Answer 35

benign conditions and associated with ovarian and thyroid carcinomas