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Botany > CM LEC - Pericardial and Peritoneal Fluid > Flashcards

CM LEC - Pericardial and Peritoneal Fluid Flashcards

1
Q

pericardial effusion suspected when ??

A

there is cardiac compression during physician’s examination

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2
Q

pericardial effusion suspected when ??

A

there is cardiac compression during physician’s examination

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3
Q

Primary causes of pericardial transudates (HUA)

A

uremia, hypothyroidism, and autoimmune disorders

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4
Q

common/important lab tests for pericardial fluid

A
  • Fluid:serum protein

* Lactic dehydrogenase ratios

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5
Q

what type of tests are perfomed when endocarditis is suspected

A

culture and G/S

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6
Q

• Common infection-causing organism in pericardial fluid (4)

A

o Streptococcus
o Staphylococcus
o Adenovirus
o cox- sackievirus

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7
Q
  • accumulation of fluid between the peritoneal membranes
A

Ascites

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8
Q

– fluid between the peritoneal membranes (not “peritoneal fluid”)

A

Ascitic fluid

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9
Q

-causes of ascitic transudates:

A

hepatic disorders (cirrhosis)

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10
Q

-causes of ascitic exudates:

A

bacterial infections (peritonitis)

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11
Q

– introduced to peritoneal cavity as lavage to detect abdominal injuries that have not yet resulted in fluid accumulation

A

Normal saline

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12
Q

– sensitive test to detect intra-abdominal bleeding in blunt trauma cases

A

Peritoneal lavage

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13
Q

RBC count in blunt trauma injuries

A

> 100 000/mL

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14
Q

recommended over the fluid:serum total protein and LD ratios to detect peritoneal transudates of hepatic origin

A

Serum-ascites albumin gradient (SAAG)

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15
Q

Other tests to detect peritoneal transudates of hepatic origin

A

fluid:serum total protein and LD ratios

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16
Q

gradient of a peritoneal transudate effusion of hepatic origin

A

> 1.1

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17
Q

lower gradients

what type of peritoneal effusion

A

exudative

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18
Q

normal WBC count in peritoneal fluid

A
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19
Q

increased WBC count in peritoneal fluid associated with

A

bacterial peritonitis, cirrhosis

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20
Q

to differentiate bacterial peritonitis and cirrhosis, what test is performed

A

absolute neutrophil count

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21
Q

increased lymphocytes in peritoneal fluid associated with

A

TB

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22
Q

substance in peritoneal fluid: with concentric striations of collagen-like material
- seen in benign conditions, ovarian and thyroid malignancies

A

Psammoma bodies

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23
Q

what chemical test/s is/are elevated in GIT perforations

A

AMS/ALP

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24
Q

What test performed when: a ruptured bladder or accidental puncture of the bladder during the paracentesis is of concern

A

BUN and Creatinine

25
Q

What test performed when: when leakage of bile into the peritoneum is suspected following trauma or surgery

A

Bilirubin/Total Bilirubin

26
Q

AMS/ALP elevated in

A

GIT perforations

27
Q

what test to determine whether the pancreatitis or damage to the pancreas is accounting for the accumulation of these pancreatic enzymes in the ascitic fluid

A

Amylase or Lipase

28
Q

serologic tests use to identify the primary source of tumors producing ascitic exudates

A

CEA and CA 125

29
Q

(+) CA 125 and (-) CEA: source of tumor is (3)

A

ovaries, fallopian tubes, or endometrium

30
Q

(+) __
(-) __
Source of tumor: ovaries, fallopian tubes, or endometrium

A

(+) CA 125 and (-) CEA

31
Q

Primary causes of pericardial transudates (HUA)

A

uremia, hypothyroidism, and autoimmune disorders

32
Q

common/important lab tests for pericardial fluid

A
  • Fluid:serum protein

* Lactic dehydrogenase ratios

33
Q

what type of tests are perfomed when endocarditis is suspected

A

culture and G/S

34
Q

• Common infection-causing organism in pericardial fluid (4)

A

o Streptococcus
o Staphylococcus
o Adenovirus
o cox- sackievirus

35
Q
  • accumulation of fluid between the peritoneal membranes
A

Ascites

36
Q

– fluid between the peritoneal membranes (not “peritoneal fluid”)

A

Ascitic fluid

37
Q

-causes of ascitic transudates:

A

hepatic disorders (cirrhosis)

38
Q

-causes of ascitic exudates:

A

bacterial infections (peritonitis)

39
Q

– introduced to peritoneal cavity as lavage to detect abdominal injuries that have not yet resulted in fluid accumulation

A

Normal saline

40
Q

– sensitive test to detect intra-abdominal bleeding in blunt trauma cases

A

Peritoneal lavage

41
Q

RBC count in blunt trauma injuries

A

> 100 000/mL

42
Q

recommended over the fluid:serum total protein and LD ratios to detect peritoneal transudates of hepatic origin

A

Serum-ascites albumin gradient (SAAG)

43
Q

Other tests to detect peritoneal transudates of hepatic origin

A

fluid:serum total protein and LD ratios

44
Q

gradient of a peritoneal transudate effusion of hepatic origin

A

> 1.1

45
Q

lower gradients

what type of peritoneal effusion

A

exudative

46
Q

normal WBC count in peritoneal fluid

A
47
Q

increased WBC count in peritoneal fluid associated with

A

bacterial peritonitis, cirrhosis

48
Q

to differentiate bacterial peritonitis and cirrhosis, what test is performed

A

absolute neutrophil count

49
Q

increased lymphocytes in peritoneal fluid associated with

A

TB

50
Q

substance in peritoneal fluid: with concentric striations of collagen-like material
- seen in benign conditions, ovarian and thyroid malignancies

A

Psammoma bodies

51
Q

what chemical test/s is/are elevated in GIT perforations

A

AMS/ALP

52
Q

What test performed when: a ruptured bladder or accidental puncture of the bladder during the paracentesis is of concern

A

BUN and Creatinine

53
Q

What test performed when: when leakage of bile into the peritoneum is suspected following trauma or surgery

A

Bilirubin/Total Bilirubin

54
Q

AMS/ALP elevated in

A

GIT perforations

55
Q

what test to determine whether the pancreatitis or damage to the pancreas is accounting for the accumulation of these pancreatic enzymes in the ascitic fluid

A

Amylase or Lipase

56
Q

serologic tests use to identify the primary source of tumors producing ascitic exudates

A

CEA and CA 125

57
Q

(+) CA 125 and (-) CEA: source of tumor is (3)

A

ovaries, fallopian tubes, or endometrium

58
Q

(+) __
(-) __
Source of tumor: ovaries, fallopian tubes, or endometrium

A

(+) CA 125 and (-) CEA

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