M4: Serous Fluids (Part 3: Pericardial Fluid) Flashcards
Normal volume range for pericardial fluid?
10-50 ml
- Pericarditis
- Malignancy
- Trauma-Producing Exudates
the conditions indicate what?
Pericardial Effusions
- Metabolic disorders (uremia/hypothyrodsim)
- Autoimmune disorders
the conditions indicate what?
Transudate
Effusion is suspected when this condition is noted during the physician’s examination
Cardiac compression (tamponade)
This refers to increased pressure to the heart
Tamponade
SIGNIFICANCE OF PERICARDIAL FLUID TESTING
- Normal, Transudate
- Infection, Malignancy
- Cardiac puncture, Anticoagulant medications
- Chylous and Pseudochylous material
a. blood-streaked
b. Clear, Pale Yellow
c. Grossly bloody
d. Milky
Match appearance based on the significance or condition
- Normal, Transudate b
- Infection, Malignancy a
- Cardiac puncture, Anticoagulant medications c
- Chylous and Pseudochylous material d
SIGNIFICANCE OF PERICARDIAL FLUID TESTING
Increased Neutrophils and Gram Stain & Culture
a. Bacterial Endocarditis
b. Metastatic Carcinoma
c. Tubercular Effusion
d. ALL
e. NOTA
a. Bacterial Endocarditis
SIGNIFICANCE OF PERICARDIAL FLUID TESTING
Malignant cells and Carcinoembryonic Antigen
a. Bacterial Endocarditis
b. Metastatic Carcinoma
c. Tubercular Effusion
d. ALL
e. NOTA
b. Metastatic Carcinoma
SIGNIFICANCE OF PERICARDIAL FLUID TESTING
Acid-Fast Stain and Adenosine Deaminase
a. Bacterial Endocarditis
b. Metastatic Carcinoma
c. Tubercular Effusion
d. ALL
e. NOTA
c. Tubercular Effusion
Pericardial Fluid: Laboratory Tests
Familiarize all teh laboratory test under perocardial fluid
- Bacterial cultures and Gram stains
- Serological (Tumor markers)
- AFS
- Chemical tests
- PCR
Pericardial Fluid: Laboratory Tests
> 1000 WBCs/μL
with a high percentage of neutrophils in
Bacterial cultures and Gram stains
this indicates what condition
Bacterial endocarditis
Pericardial Fluid: Laboratory Tests
What (4) bacteria/virus are associated with Bacterial cultures and Gram stains
bacteria present on pericardial fluid
- Streptococcus
- Staphylococcus
- Adenovirus
- Coxsackievirus
Pericardial Fluid: Laboratory Tests
Metastatic Giant
Mesothelioma Cell indicate what condition?
Asbestos contact
Pericardial Fluid: Laboratory Tests
Test for adenosine deaminase
a. Acid-fast stains
b. Bacterial cultures
c. both
d. NOTA
a. Acid-fast stains
ALSO CHEMICAL TESTS
Pericardial Fluid: Laboratory Tests
Effusions of tubercular origin are increasing as a result of?
AIDS
