A 64-year-old right-sided pleural effusion on CXR. She has thoracentesis and pleural fluid analysis reveals pleural fluid to serum protein ratio of 0.38, lactate dehydrogenase LDH of 110 IU and pleural fluid to serum LDH ratio of 0.46. Which of the following disorders is most likely in this patient?
سؤال مجاني 1 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: A. Congestive heart failure
By Light's criteria the fluid is a transudate: protein ratio 0.38 (≤0.5), LDH ratio 0.46 (≤0.6) and LDH 110 IU (<200). The commonest cause of a transudative effusion is congestive heart failure. Parapneumonic effusion, sarcoidosis and SLE produce exudates.
ليش كل خيار صح أو غلط
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A
ليش صح
CHF is the first-listed cause of transudative effusion, matching this low-protein, low-LDH fluid (protein ratio 0.38, LDH ratio 0.46).
✓ Pleural effusion.pdf · p. 2 -
B
ليش غلط
Parapneumonic effusion is listed among exudative effusions (infection), whereas this fluid is a transudate.
✓ Pleural effusion.pdf · p. 2 -
C
ليش غلط
Sarcoidosis is listed with the exudative (autoimmune) causes, whereas this fluid is a transudate.
✓ Pleural effusion.pdf · p. 3 -
D
ليش غلط
SLE is listed with the exudative (autoimmune) causes, whereas this fluid is a transudate.
✓ Pleural effusion.pdf · p. 3
- المصدر
- Pleural effusion.pdf · p. 4
Pleural effusion.pdf · p. 2 - المحاضرة
- Heart Failure · Cardiology · Module B
- ظهر في
- Cardio bank · Respi bank