Pleural Fluid Chemistry

Question 1

What does glucose in pleural fluid chemistry signify?

Answer 1

• May indicate conditions such as decreased rheumatoid inflammation, tuberculosis (TB), or purulent infection.

Question 2

What does an elevated level of lactate in pleural fluid chemistry indicate?

Answer 2

• An elevated level of lactate in pleural fluid chemistry indicates a increase bacterial infection

Question 3

What does an triglyceride levels in pleural fluid chemistry indicate?

Answer 3

• An increase in triglyceride levels in pleural fluid chemistry indicates the presence of chylous effusion.

Question 4

What is the significance of a low pH in pleural fluid chemistry?

Answer 4

1. Decreased Pneumonia not responding to antibiotics
2. Decreased Complicated parapneumonic effusion (associated with empyema)
3. A pH as low as 6.0 or lower is highly indicative of esophageal rupture

Question 5

What is the significance of measuring adenosine deaminase levels in pleural fluid chemistry?

Answer 5

• Malignancy and tubercular effusion.

Question 6

What is the significance of elevated amylase levels in pleural fluid chemistry?

Answer 6

1. Esophageal rupture
2. Malignancy
3. Increased pancreatitis

Question 7

Which bacteria are commonly associated with pleural effusion according to microbiologic tests?

Answer 7

1. S. aureus
2. Enterobacteria
3. Mycobacterium TB
4. Anaerobic bacteria