PLEURAL FLUID ANALYSIS

Pleural fluid ANALYSIS Chief Complaints 19 year male c/o chest pain ,difficulty breathing History No significant past history Vitals 124/80 mmhg BP,92/min PR ,spo2 97% and decreased air entry in right lung. Physical Examination GC below average..decreased air entry in right lung. Investigations The patient was advised USG Thorax ,Chest Xray,CBC .pleural tapping was done and around 1.0 litre of straw colour fluid tapped. Pleural fluid ANALYSIS, ADA and CBNAAT were advised. USG and chest xray show right side pleural effusion.Total protein 7.36,glucose 109.0 and ADA was 19.90 Diagnosis The smears were made and Field stained..The smears show predominant population of lymphoid cells ,mostly are small mature lymphocytes, some neutrophils and rbcs.Exudate inflammatory fluid../Mononuclear cells rich inflammatory fluid. Management The patient was referred to DOTS for ATT

3 Likes

LikeAnswersShare

CXR PLEUROCENTESIS ADA +VE WAIT FOR CBNAAT SEND TO DOT FOR ATT CULTURE AND SENSITIVITY FOR DRUGS

TUBERCULOSIS START ATT AND ALONG WITH OUR AYURVEDIC MEDICINE START SUVARNA VAST MALTI, SITOPALADI, TANKAN BHASMA, ABHRAK BHASMA(S.P.), VASA, TALISADI. TRILOKYA CHINTAMANI RAS.

Look exudative fluid Lymphocytes rich Look for TB Adv: CBNAAT , Pyogenic culture ? LPD

Pleural fluid ADA value is low and it strongly goes against diagnosis of tuberculosis It could be synpneumonic pleural effusion, heart failure causing effusion Adv HRCT chest

Rt basal collapse consolidation with synpneumonic effusion seen. Possibly tubercular in nature.

Inflammatory fluid.. lymphocyte rich. Dd. Mycobacterial origin. LPD.. Sug. Cbnaat Search for lymphadenopathy if any.

Thank you doctor
0

Rt sided pleural effusion Pleural effusion fluid sent for H p E Ref to Dots for ATT Fluid should exclude Malignancy

Thank you doctor
0

Rt sided pleural effusion seen and analysis indicate tuberculosis. Referred pt to DOT FOR ATT.

Thanks Dr Kute Ankush
0

CXR..STUDY.. RT..SIDE PLURAL EFFUSION.. PLURAL FLUID.. STUDY.. REFERRED TO DOTS .. ATT ..

Tnx Dr Ashok Leel sir
0

View 1 other reply

What about the fluid apperance and coagulum. If coagulum present then make an AFB stain slide of it.

Load more answers

Diseases Related to Discussion