Serous Fluid Flashcards

(55 cards)

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

25
ANTICOAGULANTS:
EDTA - cell count Heparin - micro and cyto Plain tubes- chem
26
Fluid in the lung cavity
Pleural fluid
27
Color of pleural fluid
clear or pale yellow fluid.
28
The fluid surrounding the heart
Pericardial fluid
29
Color of pericardial fluid
clear and pale yellow
30
Causes of Pericardial Effusion
Cardiac tamponade Uremic Pericarditis
31
Fluid in the abdominal cavity
Peritoneal fluid
32
Color of peritoneal fluid
Clear or pale yellow
33
Access in peritoneal fluid is a condition called
Ascites
34
Done in cases blunt abdominal injury to detect intra- abdominal bleeding.
Peritonial lavage
35
Peritonial Lavage Done in cases blunt abdominal injury to detect
Intra-abdominal bleeding
36
Lab test peritoneal: GIT malignancy
CEA
37
Lab test peritoneal: Decreased in tubular
Glucose
38
Lab test peritoneal: High in pancreatitis, GIT perforation
Amylase
39
Lab test peritoneal: ovarian malignancy
CA125
40
Lab test peritoneal: breast cancer
CA 153
41
Lab test peritoneal: pancreatic malignancy
CA 19-9
42
Lab test peritoneal: GIT PERFORATION
Alkaline phosphate
43
Lab test peritoneal: ruptures bladder
BUN & creatinine
44
Transudate peritoneal
• Hepatic cirrhosis (no albumin) • Hyponatremia (renal or hepatic) • Congestive Heart Failure
45
Exudate peritoneal
• Peritonitis • Appendicitis (ruptured) • Rupture viscus (hollow organ) • Malignancy
46
Chylous effusion: cause
Thoracic duct leakage
47
Chylous effusion: appereance
Milky/ white
48
Chylous effusion: leukocytes
predominantly leukocytes
49
Chylous effusion: cholesterol
Absent
50
Chylous effusion sudan 3
Strongly positive
51
Pseudochylous effusion: cause
Chronic inflammation
52
Pseudochylous effusion: appearance
Milky/green tinge
53
Pseudochylous effusion: leukocyte
Mixed cells
54
Pseudochylous effusion: cholesterol
Present
55
Pseudochylous effusion: sudan 3
Negatively/weakly positive