0.3 PERITONEAL FLUID (ABDOMEN)

Question 1

Accumulation of peritoneal fluid

Answer 1

ascites

Question 2

Hepatic disorders, such as cirrhosis, is the most frequent
cause

Answer 2

Transudates

Question 3

Exudates:
➔ Most common cause:

Answer 3

Malignancy

Question 4

Exudates:
Infection (peritonitis) due to?

Answer 4

ruptured intestinal perforation or
a ruptured appendix

Question 5

Peritoneal Lavage
Agent used as lavage:

Answer 5

Normal Saline

Question 6

___ is recommended
over the fluid:serum total protein and LD ratios to detect
transudates of hepatic origin

Answer 6

Serum-Ascites Albumin Gradient (SAAG)

Question 7

RBC counts ____/pL are indicative of blunt trauma
injuries

Answer 7

> 100,000

Question 8

Appearnce
Normal:

Answer 8

Clear and pale yellow

Question 9

Appearnce
Turbid:

Answer 9

: Bacterial & Fungal infection

Question 10

presence of bile (confirmed by bilirubin testing) means what appearance (color)?

Answer 10

• Green or dark-brown

Question 11

➔ * Trauma
➔ * Tuberculosis
➔ * Intestinal disorders
➔ * Malignancy
Appearance?

Answer 11

Blood-streaked

Question 12

➔ chylous and pseudochylous effusions
➔ Due to trauma or blockage of lymphatic vessels
Appearance?

Answer 12

Milky

Question 13

Laboratory tests
WBC count normal:

Answer 13

<500 cells/uL

Question 14

Peritonitis must be differentiated with cirrhosis.
* An absolute neutrophil count:

Answer 14

> 250 cells/uL or >50% of
the total WBC count = infection (peritonitis)

Question 15

predominant in tuberculosis and peritoneal carcinomatosis

Answer 15

Lymphocytes

Question 16

Detection of malignant cells

Answer 16

Cellular examination

Question 17

Malignant cells of ovarian, prostatic, and colonic origin,
often containing ___

Answer 17

mucin-filled vacuoles

Question 18

• Benign cells that contain concentric striations of collagen-like material
• Also associated with ovarian and thyroid malignancies

Answer 18

Psammoma bodies

Question 19

Chemistry test
- Glucose
● ↓ than serum levels =

Answer 19

= bacterial and tubercular
peritonitis and malignancy

Question 20

Chemistry test
Ascertain pancreatitis or damage to pancreas ↑ in gastrointestinal perforation

Answer 20

Amylase

Question 21

Chemistry test
Requested when ruptured bladder or accidental puncture of the bladder during the paracentesis is suspected

Answer 21

Blood urea nitrogen and creatinine

Question 22

___ = Ascertain pancreatitis or damage to pancreas

Answer 22

Lipase

Question 23

Chemistry test
Leakage of bile into the peritoneum after surgery

Answer 23

Total Bilirubin

Question 24

Microbiology
___ : Gram stains and bacterial cultures for both aerobes and anaerobes

Answer 24

Bacterial peritonitis

Question 25

Microbiology ___ : Acid fast stains, adenosine deaminase, and cultures

Answer 25

Tuberculosis

Question 26

Serology ___ is a valuable test for identifying the primary source of tumors producing ascitic exudates

Answer 26

CEA and CA 125

Question 27

Serology (+) CA 125 antigen with a (-) CEA = ___

Answer 27

ovaries, fallopian tubes, or endometrium

Question 28

Kinsa imong love?

Answer 28

Justin