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Fluid Analysis – part 7 – Pericardial fluid Analysis

Fluid Analysis – part 7 – Pericardial fluid Analysis
September 18, 2020Fluid analysisLab Tests

Sample

  • Pericardial fluid is aspirated and is tested.

Pathophysiology

  1. Normally there is 10 to 50 mL pericardial fluid between the pericardial serous membrane.
  2. This pericardial fluid formation is due to change in the permeability of the membrane which may be because of infection (pericarditis), malignancy, injury, and metabolic disorders like uremia.
The pericardial fluid Clinical significance
Appearance
Clear and pale Normal
Grossly bloody Cardiac puncture, and anticoagulant medications
Blood tinged Infection and malignancy
Milky Chylous and pseudonymous
Microscopic examination
Neutrophils Increased in bacterial infection (>1000/cmm)
Lymphocytes Chronic infection
Gram stain Bacterial endocarditis
AFB stain Tuberculous infection
Malignant cells Metastatic carcinoma (lung, breast)
Chemicals test
CEA Metastatic carcinoma
Adenosine deaminase Tuberculous infection

Possible References Used
Go Back to Fluid analysis

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