Pleural Fluid Flashcards
(16 cards)
Indication of pleural tap in hf
U/l
Fever
Pleuritic chest pain
Protein >7
Waldenstorms macroglonulineia
Mm
Debris
Rheumatoid pleurisy
Brown
Yellow green
Long standing bloody effusion
Amoebic liver abcess
Ldh 3times
Empyema
Complicated effusion
Rheumayoid
Paragonimiasis
Ada 1and 2
Ada 1 all but predominant on t lymphocytes
Ada2- monocytes- tb
Ada increased in
Tb Empyema Lymphoma Malignancy Ra Q fever Brucellosis
Tb pleural fluid
Pf ada 70
Lym to neutrophil 0.75
Ada 1 to 2 0.42
Amylase
Adeno ca
Ovary
Lymphoma
Chylothorax
50 unlikely
50-110 lipoprotein electrophoresis.
110 presumptive
Causes of chylothorax
Lymphoma Goiter Sarcoid Lam Sx Radiotherapy
Causes of hemorrhagic
Malignancy
Tb
Asbestos
Post cardiac injury syndrome
Wbc Neutrophila Eosinophil Lympho Mesothelial cells
Most exudative 1000 Acute inflammatory- early tb >10 - air , hemo , asbestosis, drug , parasitic. ,churh strauss Tb/malignant/cabg Abesnt in tb- fibrin deposition
Heffners criteria
Pleural fluid protein 2.9
Ldh 0.45 ul of normal
Eosinophilic
Drug rxn Parasite Churg strauss Hemo Asbestosis Eosinophilic pneumonia
Lymphocytic
Tb
Malignancy
Cabg