Pleural Fluid Flashcards
1
Q
Indication of pleural tap in hf
A
U/l
Fever
Pleuritic chest pain
2
Q
Protein >7
A
Waldenstorms macroglonulineia
Mm
3
Q
Debris
A
Rheumatoid pleurisy
4
Q
Brown
Yellow green
A
Long standing bloody effusion
Amoebic liver abcess
5
Q
Ldh 3times
A
Empyema
Complicated effusion
Rheumayoid
Paragonimiasis
6
Q
Ada 1and 2
A
Ada 1 all but predominant on t lymphocytes
Ada2- monocytes- tb
7
Q
Ada increased in
A
Tb Empyema Lymphoma Malignancy Ra Q fever Brucellosis
8
Q
Tb pleural fluid
A
Pf ada 70
Lym to neutrophil 0.75
Ada 1 to 2 0.42
9
Q
Amylase
A
Adeno ca
Ovary
Lymphoma
10
Q
Chylothorax
A
50 unlikely
50-110 lipoprotein electrophoresis.
110 presumptive
11
Q
Causes of chylothorax
A
Lymphoma Goiter Sarcoid Lam Sx Radiotherapy
12
Q
Causes of hemorrhagic
A
Malignancy
Tb
Asbestos
Post cardiac injury syndrome
13
Q
Wbc Neutrophila Eosinophil Lympho Mesothelial cells
A
Most exudative 1000 Acute inflammatory- early tb >10 - air , hemo , asbestosis, drug , parasitic. ,churh strauss Tb/malignant/cabg Abesnt in tb- fibrin deposition
14
Q
Heffners criteria
A
Pleural fluid protein 2.9
Ldh 0.45 ul of normal
15
Q
Eosinophilic
A
Drug rxn Parasite Churg strauss Hemo Asbestosis Eosinophilic pneumonia
