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According to Light's criteria (Light, et al. 1972), a pleural effusion is likely exudative if at least one of the following exists: [31] The ratio of pleural fluid protein to serum protein is greater than 0.5; The ratio of pleural fluid LDH and serum LDH is greater than 0.6; Pleural fluid LDH is greater than 0.6 [24] or 2 ⁄ 3 [31] times the ...
The criteria for a complicated parapneumonic effusion include Gram stain–positive or culture-positive pleural fluid, pleural fluid pH <7.20, and pleural fluid LDH that is greater than three times the upper limit of normal of serum LDH. [2] Diagnostic techniques available include plain film chest x-ray, computed tomography (CT), and ultrasound ...
Transudate is extravascular fluid with low protein content and a low specific gravity (< 1.012). It has low nucleated cell counts (less than 500 to 1000 per microliter) and the primary cell types are mononuclear cells: macrophages, lymphocytes and mesothelial cells. For instance, an ultrafiltrate of blood plasma is transudate.
The usual criterion (included in Light's criteria) is that a ratio of pleural LDH to serum LDH greater than 0.6 [33] or 2 ⁄ 3 the upper limit of the normal laboratory value for serum LDH [34] indicates an exudate, while a ratio of less indicates a transudate.
Thoracentesis / ˌ θ ɔː r ə s ɪ n ˈ t iː s ɪ s /, also known as thoracocentesis (from Greek θώραξ (thōrax, GEN thōrakos) ' chest, thorax ' and κέντησις (kentēsis) ' pricking, puncture '), pleural tap, needle thoracostomy, or needle decompression (often used term), is an invasive medical procedure to remove fluid or air from the pleural space for diagnostic or ...
Positive Rivalta test of a FIP-Aspiration. For visualisation the fluid was colored by Methylenic blue. Certain diseases can cause excessive accumulations of fluid in areas of the body such as the abdomen (ascites) or the pleural space around the lungs (pleural effusion) or the pericardial space around the heart.
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A chest X-ray will show fluid in the alveolar walls, Kerley B lines, increased vascular shadowing in a classical batwing peri-hilum pattern, upper lobe diversion (biased blood flow to the superior parts instead of inferior parts of the lung), and possibly pleural effusions. In contrast, patchy alveolar infiltrates are more typically associated ...