Serous Fluid Flashcards

1
Q

All body cavities are lined by a thin membrane which has 2 parts:

A

Visceral membrane
Partial membrane

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2
Q

Is an ultra filtrate of plasma derived from the capillary network of the membrane.

A

Serous fluid

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3
Q

Formed under the influence of:

A
  1. Hydrostatic pressure
  2. Oncotic pressure
  3. Capillary permeability.
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4
Q

Any alteration in the rate of formation or removal can cause _______ (accumulation of fluid in the cavity)

A

Effusion

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5
Q

Causes of Effusion:

A

Increase hydrostatic pressure
Decreased oncotic pressure (low protein)
Lymphatic obstruction (filariasis, tumors)

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6
Q

MECHANISM:
•Disruption of fluid filtration & absorption
•No direct involvement of the membrane

A

Transudate

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7
Q

Cause of transudate

A

Congestive heart failure
Hyponatremia

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8
Q

MECHANISM:
•Direct involvement and injury to the membrane

A

Exudate

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9
Q

Cause of exudate

A

Infection and malignancy in membrane

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10
Q

Type of cells of transudate

A

Lymphocyte

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11
Q

Type of cells exudate

A

Segmenters

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12
Q

Color of transudate

A

Light yellow to straw

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13
Q

Color of exudate

A

Darker, sometimes orange red

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14
Q

Specific gravity of transudate

A

Less than 1.018

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15
Q

Specific gravity of exudate

A

More than 1.018

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16
Q

Orgin of transudate

A

Noninflammatory

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17
Q

Origin of exudate

A

Inflammatory

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18
Q

LDH of transudate

A

Less than 550 unit

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19
Q

LDH pf exudate

A

More than 550 unit

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20
Q

Appearance of transudate

A

Clear

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21
Q

Appearance of exudate

A

Cloudy

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22
Q

SPECIMEN COLLECTION used in pleural

A

Thoracentesis

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23
Q

SPECIMEN COLLECTION: pericardial

A

Pericardiocentesis

24
Q

SPECIMEN COLLECTION used in peritoneal

A

Paracentesis

25
Q

ANTICOAGULANTS:

A

EDTA - cell count
Heparin - micro and cyto
Plain tubes- chem

26
Q

Fluid in the lung cavity

A

Pleural fluid

27
Q

Color of pleural fluid

A

clear or pale yellow fluid.

28
Q

The fluid surrounding the heart

A

Pericardial fluid

29
Q

Color of pericardial fluid

A

clear and pale yellow

30
Q

Causes of Pericardial Effusion

A

Cardiac tamponade
Uremic
Pericarditis

31
Q

Fluid in the abdominal cavity

A

Peritoneal fluid

32
Q

Color of peritoneal fluid

A

Clear or pale yellow

33
Q

Access in peritoneal fluid is a condition called

A

Ascites

34
Q

Done in cases blunt abdominal injury to detect intra- abdominal bleeding.

A

Peritonial lavage

35
Q

Peritonial Lavage Done in cases blunt abdominal injury to detect

A

Intra-abdominal bleeding

36
Q

Lab test peritoneal: GIT malignancy

A

CEA

37
Q

Lab test peritoneal: Decreased in tubular

A

Glucose

38
Q

Lab test peritoneal: High in pancreatitis, GIT perforation

A

Amylase

39
Q

Lab test peritoneal: ovarian malignancy

A

CA125

40
Q

Lab test peritoneal: breast cancer

A

CA 153

41
Q

Lab test peritoneal: pancreatic malignancy

A

CA 19-9

42
Q

Lab test peritoneal: GIT PERFORATION

A

Alkaline phosphate

43
Q

Lab test peritoneal: ruptures bladder

A

BUN & creatinine

44
Q

Transudate peritoneal

A

• Hepatic cirrhosis (no albumin)
• Hyponatremia (renal or hepatic)
• Congestive Heart Failure

45
Q

Exudate peritoneal

A

• Peritonitis
• Appendicitis (ruptured)
• Rupture viscus (hollow organ)
• Malignancy

46
Q

Chylous effusion: cause

A

Thoracic duct leakage

47
Q

Chylous effusion: appereance

A

Milky/ white

48
Q

Chylous effusion: leukocytes

A

predominantly leukocytes

49
Q

Chylous effusion: cholesterol

A

Absent

50
Q

Chylous effusion sudan 3

A

Strongly positive

51
Q

Pseudochylous effusion: cause

A

Chronic inflammation

52
Q

Pseudochylous effusion: appearance

A

Milky/green tinge

53
Q

Pseudochylous effusion: leukocyte

A

Mixed cells

54
Q

Pseudochylous effusion: cholesterol

A

Present

55
Q

Pseudochylous effusion: sudan 3

A

Negatively/weakly positive