M4: Serous Fluids (Part 3: Pericardial Fluid) Flashcards

1
Q

Normal volume range for pericardial fluid?

A

10-50 ml

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q
  • Pericarditis
  • Malignancy
  • Trauma-Producing Exudates

the conditions indicate what?

A

Pericardial Effusions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q
  • Metabolic disorders (uremia/hypothyrodsim)
  • Autoimmune disorders

the conditions indicate what?

A

Transudate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Effusion is suspected when this condition is noted during the physician’s examination

A

Cardiac compression (tamponade)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

This refers to increased pressure to the heart

A

Tamponade

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

SIGNIFICANCE OF PERICARDIAL FLUID TESTING

  1. Normal, Transudate
  2. Infection, Malignancy
  3. Cardiac puncture, Anticoagulant medications
  4. Chylous and Pseudochylous material

a. blood-streaked
b. Clear, Pale Yellow
c. Grossly bloody
d. Milky

Match appearance based on the significance or condition

A
  1. Normal, Transudate b
  2. Infection, Malignancy a
  3. Cardiac puncture, Anticoagulant medications c
  4. Chylous and Pseudochylous material d
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

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

a. Bacterial Endocarditis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

SIGNIFICANCE OF PERICARDIAL FLUID TESTING

Malignant cells and Carcinoembryonic Antigen

a. Bacterial Endocarditis
b. Metastatic Carcinoma
c. Tubercular Effusion
d. ALL
e. NOTA

A

b. Metastatic Carcinoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

SIGNIFICANCE OF PERICARDIAL FLUID TESTING

Acid-Fast Stain and Adenosine Deaminase

a. Bacterial Endocarditis
b. Metastatic Carcinoma
c. Tubercular Effusion
d. ALL
e. NOTA

A

c. Tubercular Effusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Pericardial Fluid: Laboratory Tests

Familiarize all teh laboratory test under perocardial fluid

A
  • Bacterial cultures and Gram stains
  • Serological (Tumor markers)
  • AFS
  • Chemical tests
  • PCR
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Pericardial Fluid: Laboratory Tests

> 1000 WBCs/μL
with a high percentage of neutrophils in

Bacterial cultures and Gram stains

this indicates what condition

A

Bacterial endocarditis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Pericardial Fluid: Laboratory Tests

What (4) bacteria/virus are associated with Bacterial cultures and Gram stains

bacteria present on pericardial fluid

A
  • Streptococcus
  • Staphylococcus
  • Adenovirus
  • Coxsackievirus
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Pericardial Fluid: Laboratory Tests

Metastatic Giant
Mesothelioma Cell indicate what condition?

A

Asbestos contact

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Pericardial Fluid: Laboratory Tests

Test for adenosine deaminase

a. Acid-fast stains
b. Bacterial cultures
c. both
d. NOTA

A

a. Acid-fast stains

ALSO CHEMICAL TESTS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Pericardial Fluid: Laboratory Tests

Effusions of tubercular origin are increasing as a result of?

A

AIDS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

is a more sensitive technique for diagnosing infections caused by organisms that are viral, bacterial, or fungal.

A

PCR

molecular