Pleural Effusions

Pleural effusions have traditionally been classified as transudative versus exudative and thoracentesis with application of Light’s Criteria used to differentiate the two with 98% sensitivity and 83% specificity for exudative process.

Is it a pleural exudate?

The diagnosis of an exudate is most accurate if cholesterol in the pleural fluid is greater than 55 mg/dL (LR range, 7.1-250), lactate dehydrogenase (LDH) is greater than 200 U/L (LR, 18; 95% CI, 6.8-46), or the ratio of pleural fluid cholesterol to serum cholesterol is greater than 0.3 (LR, 14; 95% CI, 5.5-38). A […]

Emergency Medicine Kenya Foundation

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