background: accumulation of pleural and peritoneal fluid is seen in some diseases. in order to diagnose the disease and start the treatment, one of the most important actions will be to differentiate between exudates and transudates. the objective of this study was to determine the diagnostic value of measuring the specific gravity of the fluid through refractometer and strip in differentiation...

INTRODUCTION Forward deployed military medical units can provide sophisticated medical care with limited resources. Point-of-Care Testing (POCT) may facilitate care and expedite diagnosis. This study assessed the accuracy of results for POCT for non-serum samples (pleural, peritoneal, and cerebrospinal fluid) using iSTAT and Piccolo hand-held devices compared with results obtained using a hospi...

Two patients with end-stage-renal-disease on continuous ambulatory peritoneal dialysis (CAPD) presented with pleural effusions. The aspirated fluid was categorised as transudate, based on alkaline pH, low protein and lactic dehydrogenase level. A striking feature of the pleural fluid was, its very high glucose content that resulted from translocation of dextrose containing peritoneal dialysate ...

Large symptomatic pleural effusions can be seen in cirrhotic patients with ascites. In this report, two cirrhotic patients with ascites and large pleural effusions were evaluated. To determine the cause of pleural effusion and to understand whether there was a communication of fluid between peritoneal and pleural cavities, 99mTc sulfur colloid peritoneal scintigraphy was used. According to the ...

A 25 year old man with known chronic right sided heart failure and ascites due to a congenital heart defect presented with dyspnoea and a massive pleural effusion. Thoracoscopy revealed two diaphragmatic blebs. Changes in peritoneal and thoracic pressure during respiration resulted in periodic squirting of a ruptured bleb, illustrating preferential flow of peritoneal fluid into the thorax. The ...

BACKGROUND Ultrasound is being used increasingly to diagnose pathological free fluid accumulation at the bedside. In addition to the detection of peritoneal and pericardial fluid, point-of-care ultrasound allows rapid bedside diagnosis of pleural fluid. FINDINGS In this short report, we describe the sonographic observation of the vertebral or 'V-line' to help confirm the presence of pleural f...

A Pleural fluid accumulates when pleural fluid formation exceeds pleural fluid absorption. Normally, fluid enters the pleural space from the capillaries in the parietal pleura and is removed via the lymphatics situated in the parietal pleura 1 . Fluid can also enter the pleural space from the interstitial spaces of the lung via the visceral pleura or from the peritoneal cavity via small holes i...

Background: Accumulation of pleural and peritoneal fluid is seen in some diseases. In order to diagnose the disease and start the treatment, one of the most important actions will be to differentiate between exudates and transudates. The objective of this study was to determine the diagnostic value of measuring the specific gravity of the fluid through...

INTRODUCTION Hydrothorax is a rare complication of continuous ambulatory peritoneal dialysis (CAPD) which can progress quickly to cause acute respiratory distress. CASE PRESENTATION We present a 76 year-old female with a past medical history significant for end-stage renal disease (ESRD) on daily home peritoneal dialysis for 2 years presented to the hospital from home with shortness of breath...

three-year-old boy came to emergency room of soraya medical center with abdominal pain, nausea, vomiting and distended abdomen for a period of three days. x-ray showed fluid in the peritoneal cavity and at pleural space, mild elevation of the hemi diaphragm, and thick left diaphragm. surgery showed sub diaphragmatic abscess under in the hemi diaphragm and peritonitis. the autopsy showed several...