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Exam questionKROK 2Medicine ยท 2016

A 46-year-old patient with temporarily undetermined diagnosis was prescribed pleurocentesis based on the results of the X-ray. The puncture yielded 1000 ml of a liquid with the following properties: clear, specific gravity -1,010, protein content -1%, Rivalta's test is negative, erythrocytes - 2-3 in the field of vision. What disorder are these pathologic changes characteristic of?

Answer options

  1. Pleural mesothelioma
  2. Pulmonary cancer
  3. Pulmonary tuberculosis
  4. Pleuropneumonia
  5. Cardiac failure
Correct answer

Cardiac failure

Explanation

A Pleuronectes, also known as thoracentesis or pleural effusion treatment, is a procedure used to remove excess fluid from the pleural space (the space between the lungs and the wall of the chest) for diagnostic or therapeutic purposes. The Rivalta Test is a simple test to differentiate a transudate from an exudate. A test-negative test indicates a transudate and a positive test indicates an exudate. Transudate is fluid buildup caused by systemic conditions (in this case cardiac failure) that alter the pressure in blood vessels, causing fluid to leave the vascular system. Exudate is fluid buildup caused by tissue leakage due to inflammation or local cellular damage.

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