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SEROUS FLUIDS
- The closed cavities of the body mammal; the pleural, pericardial, and peritoneal cavities are each liner by two membranes referred to as the serous membranes.
SEROUS FLUIDS
- One membrane lines the cavity wall (parietal membrane), and the other covers the organs within the cavity (visceral membrane).
- The fluid between the membranes which provides lubrication as the surfaces move against each other, is called serous fluid.
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SEROUS FLUIDS
Formation
- Serous fluids are formed as ultrafiltrates of
plasma, with no additional material contributed by the membrane cells. - Production and reabsorption are subject to hydrostatic and colloidal (oncotic) pressures from the capillaries serving the cavities under normal conditions.
Formation
Formation
- Fluids for laboratory examination are collected by
needle aspiration from the respective cavities.
- These aspiration procedures are referred to as: thoracentesis (pleural) pericardiocentesis(pericardial). paracentesis (peritoneal).
Formation
- Abundant fluid is usually collected; therefore, suitable specimens are available for each section of the laboratory.
- An anti-coagulated specimen is needed for cell counts, a sterile tube for culture. - Large volumes of fluid should be prepared prior to microbiologic and cytologic examinations
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- Traditionally, specific gravity and protein were considered to be the most valuable criteria for classification.
- In recent years, the lactic dehydrogenase has replaced the specific gravity.
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Transudate Exudate
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Appearance Clear Cloudy Specific gravity < 1.015 > 1.015 Total protein < 3.0 g/dl > 3.0 g/dl Lactic dehydrogenase < 200 IU > 200 IU Cell count < 1000/l > 1000/l Spontaneous clotting No Possible _______________________________________________
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