Formula for manual cell calculation?
Cells = (Cells counted × Dilution) ÷ (Squares counted × 0.1)
Why analyze serous fluids?
Sepsis
• Malignancy
• Systemic diseases
Low glucose in pleural fluid indicates?
Tuberculosis, rheumatoid arthritis, malignancy
Low pH indicates in pleural fluid ?
TB, malignancy, esophageal rupture
High amylase in pleural fluid indicates?
Pancreatitis
High CEA indicates?
Malignancy
Turbid pericardial fluid indicates?
Infection and malignancy
Bloody pericardial fluid indicates?
TB, tumor, cardiac puncture
Neutrophils ↑ indicate?
Bacterial endocarditis
PERITONEAL FLUID (ASCITES)
Q: Neutrophils ↑ indicate?
Peritonitis
High amylase indicates?
Pancreatitis or GI perforation
High alkaline phosphatase indicates?
Intestinal perforation
High urea/creatinine indicates?
Ruptured bladder
BENIGN vs MALIGNANT CELLS (إضافة)
Q: Nuclear molding seen in?
Malignant cells
Cells within cells indicates?
Malignancy (cannibalism)
How to report suspicious cells?
Atypical cells suspicious for malignancy → refer to cytology
What is serous fluid source ..???
Ultrafiltrate of plasma
Function of serous fluid
Fills organ cavities
Appearance of serous fluid ؟
Normal, clear, pale yellow
Source of pleural fluid
Thoracic cavity (around lungs)
Appearance of pleural fluid
Turbid → WBCs, bacteria
• Bloody → trauma, malignancy
• Milky → chylous fluid
Pleural fluid lab findings and meanings?
1-↑ RBCs
2-↑ Neutrophils
3- ↑ Lymphocytes
4- • ↓ Glucose
5-↓ pH
6- ↑ Amylase
7-↑ CEA
• ↑ RBCs: trauma, malignancy
• ↑ Neutrophils: bacterial infection
• ↑ Lymphocytes: TB, malignancy
• ↓ Glucose: TB, rheumatoid inflammation, malignancy
• ↓ pH: TB, malignancy, esophageal rupture
• ↑ Amylase: pancreatitis
• ↑ CEA: malignancy
Source pericardial fluid.¿
Source: Pericardial cavity (around heart)
If appearance of precardial fluid is turbid is indicate ¿
infection, malignancy