Serous fluid Flashcards

1
Q

Accumulation of fluid between membranes

A

Effusion

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2
Q

Disruption of fluid production and regulation (not inflammatory)

A

Transudate

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3
Q

Hypoproteinemia, CHF, Nephrotic syndrome effusion

A

Transudate

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4
Q

Direct damage to the membrane (inflammation caused)

A

Exudate

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5
Q

Transudate vs. Exudate: Fluid:serum protein ratio (most reliable) <0.5

A

Transudate

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6
Q

Transudate vs. Exudate: Fluid:serum LD ratio (most reliable) <0.6

A

Transudate

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7
Q

Pleural fluid cholesterol of exudate

A

> 45-60

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8
Q

Serum ascites albumin gradient (SAAG) of transudate

A

≥1.1

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9
Q

Rivalta’s test (+)

A

Exudate

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10
Q

Recommended to detect transudate of hepatic origin

A

SAAG

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11
Q

Method of collection for pleural fluid

A

Thoracentesis

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12
Q

Method of collection for pericardial fluid

A

Pericardiocentesis

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13
Q

Method of collection for ascitic fluid (peritoneal)

A

Paracentesis

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14
Q

Turbid white pleural fluid

A

Microbial infection (TB)

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15
Q

Brown color of pleural fluid

A

Rupture of amoebic liver abscess

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16
Q

Black color of pleural fluid

A

Aspergillosis

17
Q

Milky color of pleural fluid

A

Chylous material, pseudochylous material

18
Q

Bloody color of pleural fluid

A

Hemothorax, hemorrhagic effusion

19
Q

Appearance of pseudochylous

A

Milky, green tinge/gold paint

20
Q

Increased lymphocytes in pleural fluid indicates

A

Chylous effusion

21
Q

Hemothorax distribution of blood

A

Uneven

22
Q

Hemothorax Hct value

A

Pleural fluid ≥1/2 of whole blood

23
Q

Hemorrhagic effusion hematocrit value

A

Pleural fluid < Whole blood

24
Q

Significance of neutrophil in pleural fluid

A

Pneumonia, pancreatitis, pulmonary infarction

25
Q

Significance of eosinophil in pleural fluid

A

Pneumothorax, hemothorax, allergic reaction, parasitic infections

26
Q

Significance of mesothelial cells in pleural fluid

A

Normal, reactive forms no sig, decreased in TB

27
Q

Adenosine deaminase in pleural fluid indicates

A

Malignancy, tuberculosis

28
Q

Amylase in pleural fluid indicates

A

Pancreatitis, esophageal rupture, malignancy

29
Q

Tumor marker for colon cancer

A

CEA

30
Q

Tumor marker for ovarian, metastatic uterine cancer

A

CA 125

31
Q

Tumor marker for breast cancer

A

CA 15-3, CA 549

32
Q

Tumor marker for lung cancer, breast cancer, urinary bladder cancer

A

CYFRA 21-1

33
Q

Green color of peritoneal ascitic fluid

A

Bile, pancreatic, gall bladder disorders

34
Q

Milky ascitic fluid

A

Lymphatic trauma and blockage

35
Q

Peritoneal lavage RBC count indicating blunt trauma

A

> 100,000 RBCs/μL

36
Q

Glucose in peritoneal fluid

A

Tubercular peritonitis, malignancy

37
Q

Contains concentric striations of collagen-like material seen in benign conditions and associated with ovarian and thyroid carcinomas

A

Psammoma bodies