CM LEC - Pericardial and Peritoneal Fluid Flashcards Preview

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Flashcards in CM LEC - Pericardial and Peritoneal Fluid Deck (58):
1

pericardial effusion suspected when ??

there is cardiac compression during physician’s examination

2

pericardial effusion suspected when ??

there is cardiac compression during physician’s examination

3

Primary causes of pericardial transudates (HUA)

uremia, hypothyroidism, and autoimmune disorders

4

common/important lab tests for pericardial fluid

• Fluid:serum protein
• Lactic dehydrogenase ratios

5

what type of tests are perfomed when endocarditis is suspected

culture and G/S

6

• Common infection-causing organism in pericardial fluid (4)

o Streptococcus
o Staphylococcus
o Adenovirus
o cox- sackievirus

7

- accumulation of fluid between the peritoneal membranes

Ascites

8

– fluid between the peritoneal membranes (not “peritoneal fluid”)

Ascitic fluid

9

-causes of ascitic transudates:

hepatic disorders (cirrhosis)

10

-causes of ascitic exudates:

bacterial infections (peritonitis)

11

– introduced to peritoneal cavity as lavage to detect abdominal injuries that have not yet resulted in fluid accumulation

Normal saline

12

– sensitive test to detect intra-abdominal bleeding in blunt trauma cases

Peritoneal lavage

13

RBC count in blunt trauma injuries

> 100 000/mL

14

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

Serum-ascites albumin gradient (SAAG)

15

Other tests to detect peritoneal transudates of hepatic origin

fluid:serum total protein and LD ratios

16

gradient of a peritoneal transudate effusion of hepatic origin

> 1.1

17

lower gradients
what type of peritoneal effusion

exudative

18

normal WBC count in peritoneal fluid

19

increased WBC count in peritoneal fluid associated with

bacterial peritonitis, cirrhosis

20

to differentiate bacterial peritonitis and cirrhosis, what test is performed

absolute neutrophil count

21

increased lymphocytes in peritoneal fluid associated with

TB

22

substance in peritoneal fluid: with concentric striations of collagen-like material
- seen in benign conditions, ovarian and thyroid malignancies

Psammoma bodies

23

what chemical test/s is/are elevated in GIT perforations

AMS/ALP

24

What test performed when: a ruptured bladder or accidental puncture of the bladder during the paracentesis is of concern

BUN and Creatinine

25

What test performed when: when leakage of bile into the peritoneum is suspected following trauma or surgery

Bilirubin/Total Bilirubin

26

AMS/ALP elevated in

GIT perforations

27

what test to determine whether the pancreatitis or damage to the pancreas is accounting for the accumulation of these pancreatic enzymes in the ascitic fluid

Amylase or Lipase

28

serologic tests use to identify the primary source of tumors producing ascitic exudates

CEA and CA 125

29

(+) CA 125 and (-) CEA: source of tumor is (3)

ovaries, fallopian tubes, or endometrium

30

(+) __
(-) __
Source of tumor: ovaries, fallopian tubes, or endometrium

(+) CA 125 and (-) CEA

31

Primary causes of pericardial transudates (HUA)

uremia, hypothyroidism, and autoimmune disorders

32

common/important lab tests for pericardial fluid

• Fluid:serum protein
• Lactic dehydrogenase ratios

33

what type of tests are perfomed when endocarditis is suspected

culture and G/S

34

• Common infection-causing organism in pericardial fluid (4)

o Streptococcus
o Staphylococcus
o Adenovirus
o cox- sackievirus

35

- accumulation of fluid between the peritoneal membranes

Ascites

36

– fluid between the peritoneal membranes (not “peritoneal fluid”)

Ascitic fluid

37

-causes of ascitic transudates:

hepatic disorders (cirrhosis)

38

-causes of ascitic exudates:

bacterial infections (peritonitis)

39

– introduced to peritoneal cavity as lavage to detect abdominal injuries that have not yet resulted in fluid accumulation

Normal saline

40

– sensitive test to detect intra-abdominal bleeding in blunt trauma cases

Peritoneal lavage

41

RBC count in blunt trauma injuries

> 100 000/mL

42

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

Serum-ascites albumin gradient (SAAG)

43

Other tests to detect peritoneal transudates of hepatic origin

fluid:serum total protein and LD ratios

44

gradient of a peritoneal transudate effusion of hepatic origin

> 1.1

45

lower gradients
what type of peritoneal effusion

exudative

46

normal WBC count in peritoneal fluid

47

increased WBC count in peritoneal fluid associated with

bacterial peritonitis, cirrhosis

48

to differentiate bacterial peritonitis and cirrhosis, what test is performed

absolute neutrophil count

49

increased lymphocytes in peritoneal fluid associated with

TB

50

substance in peritoneal fluid: with concentric striations of collagen-like material
- seen in benign conditions, ovarian and thyroid malignancies

Psammoma bodies

51

what chemical test/s is/are elevated in GIT perforations

AMS/ALP

52

What test performed when: a ruptured bladder or accidental puncture of the bladder during the paracentesis is of concern

BUN and Creatinine

53

What test performed when: when leakage of bile into the peritoneum is suspected following trauma or surgery

Bilirubin/Total Bilirubin

54

AMS/ALP elevated in

GIT perforations

55

what test to determine whether the pancreatitis or damage to the pancreas is accounting for the accumulation of these pancreatic enzymes in the ascitic fluid

Amylase or Lipase

56

serologic tests use to identify the primary source of tumors producing ascitic exudates

CEA and CA 125

57

(+) CA 125 and (-) CEA: source of tumor is (3)

ovaries, fallopian tubes, or endometrium

58

(+) __
(-) __
Source of tumor: ovaries, fallopian tubes, or endometrium

(+) CA 125 and (-) CEA

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