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Final Exam
Miscellaneous Body Fluids: Serous Fluid
32
Science
Graduate
04/17/2013

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Term
Two membranes of body cavities
Definition
parietal membrane and visceral membrane
Term
Fluid between membranes
Definition
lubricant permitting the membranes to move freely over each other
Term
Serous fluid
Definition
ultrafiltrate of plasma
Term
transudates
Definition
Effusions that result from a systemic disorder that disrupts the balance in the regulation of fluid filtration and reabsorption
Term
Exudates
Definition
conditions that directly involve the membranes of the particular cavity, including infection or malignancy.
Term
Pleural effusion
Definition
excess fluid that accumulates in the pleural cavity surrounding the lungs.
Term
Significance of Pleural effusion
Definition
can impair breathing by limiting the expansion of the lungs during inhalation
Term
Why does Pleural fluid accumulate
Definition
changes in the hydrostatic pressure, colloidal pressure, permeability and lymphatic drainage.
Term
Causes of Pleural Effusion
Definition
congestive heart failure, hypoalbuminemia, pneumonia, and carcinoma.
Term
CHF and hypoalbuminemia are systemic disorders and produce
Definition
transudate fluid.
Term
Pneumonia and carcinoma are localized and produce
Definition
exudates
Term
pH below 7.2 on Pleural
Definition
need for antibiotics in pneumonia
Term
pH above 7.4 on Pleural
Definition
malignancy
Term
hemothorax
Definition
confirmed when the fluid hematocrit is similar to the patient’s whole blood hematocrit
Term
pericardial effusion
Definition
presence of excessive pericardial fluid and is often confirmed using an echocardiogram.
Term
cardiac tamponade
Definition
life-threatening complication, that puts pressure on the heart preventing the ventricles from filling correctly
Term
Causes of cardiac tamponade
Definition
Large and rapidly accumulating effusions
Term
Pericardiocentesis
Definition
procedure used to remove the pericardial fluid from the pericardial cavity.
Term
Pericardiocentesis usage
Definition
relieve pressure from pericardial effusions or for diagnostic purposes revealing abnormalities such as: Cancer, Cardiac perforation, Cardiac trauma, Congestive Heart Failure, Pericarditis, and rupture of a ventricular aneurysm
Term
Peritoneal fluid
Definition
liquid that is made in the abdominal cavity to lubricate the surface of the tissue that lines the abdominal wall and pelvic cavity and covers most of the organs in the abdomen.
Term
Ascites
Definition
typically caused by liver disease
Term
Normal ascitic fluid
Definition
clear and pale yellow in color.
Term
Turbid ascitic fluid
Definition
indicates infection and greenish tints may be seen when bile is present
Term
Normal RBC count in ascitic fluid
Definition
less than 100,00/uL.
Term
increased RBC count in ascitic fluid
Definition
hemorrhagic trauma
Term
Normal WBC count in ascitic fluid
Definition
less than 300/uL
Term
increased WBC count in ascitic fluid
Definition
infection
Term
Paracentesis
Definition
medical procedure involving needle drainage of fluid from a body cavity, most commonly the abdomen
Term
Paracentesis usage
Definition
to relieve abdominal pressure from ascites
to diagnose spontaneous bacterial peritonitis and other infections (e.g. abdominal TB)
to diagnose metastatic cancer
to diagnose blood in peritoneal space in trauma
Term
Positive CA-125 with negative CEA
Definition
suggests the primary site to be ovarian, fallopian tube, or endometrium.
Term
Chemical examination
Definition
amylase, glucose, and alkaline phosphatase. Creatinine and blood urea
Term
Microbiology studies
Definition
gram stain and cultures for both aerobic and anaerobic organisms.
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