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Flashcards in Other Body Fluids Deck (25):
1

when is a paracentesis performed?

unexplained ascites
excessive volume to relieve abdominal pressure
evaluate post trauma injuries

2

prefix for "not enough"

oligo-

3

what is the purpose of the diagnostic paracentesis?

differentiate between transudative (< 3g of protein) and exudative (>3 g of protein)
determines the cause of the effusion (what kind of fluid is it?)

4

what is a transudative fluid?

from another organ
(SAAG >1.1, but otherwise normal values)

5

what is the exudative fluid?

pus or secretion, infectious process
(high protein SAAG <1.1, high WBC, low glucose, high LD, cloudy)

6

what is the serum ascitic albumin gradient?

SAAG
Albumin Conc of serum - albumin conc of ascitic fluid = SAAG

7

SAAG >1.1 g/dL is

transudative

8

SAAG <1.1 g/dL is

exudative

9

what are causes of transudative

hepatic cirrhosis
alcoholic cirrhosis
heart failure
portal vein thrombosis

10

what are causes of exudative

carcinomatosis
inflammation of pancreas
lymphoma
peritonitis/TB
ischemic or obstructed bowel

11

high ammonia and alkaline phosphotase indicates

strangulated bowel

12

spontaneous bacterial peritonitis

infection of ascitic fluid only
usually in patients with chronic liver disease due to translocation of enteric bacteria

13

absolute contraindication

do not do it, not matter what
-acute abdomen requiring surgery

14

relative contraindication

may or may not want to do the procedure depending on pt situation

15

pericardiocentesis

performed to determine the cause of an unexplained pericardial effusion
also to relieve intrapericardial pressure

16

when would you perform sweat analysis?

cystic fibrosis

17

what is a potential complication of a pericardialcenthesis

pneumomediastinum

18

how would you diagnose spontaneous bacterial peritonitis?

>50% of PMNs in fluid

19

what is an absolute contraindicatino for pericardiocentesis?

none if hemodynamically unstable

20

what is the sweat analysis test called?

quantitative pilocarpine iontophoresis test (QPIT)

21

what is the gradient for the sweat test results?

0-40 normal
40-60 borderline
>60 = diagnosis

22

what is the newborn screening test for CF?

immunoreactive trypsinogen

23

what is normal sperm count?

>20 million

24

what is normal semen volume?

2-5mL

25

what range of Kruger criteria will require IVF?

0-4%

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