Light S Criteria For Pleural Effusion Pdf

Time to reconsider light s criteria for pleural effusion pierre alexis lepine.
Light s criteria for pleural effusion pdf. Light s criteria are 99 5 sensitive for diagnosing exudative effusion. This is an unprecedented time. No related items previous abstract next abstract 25 broadway. Light s criteria is used to classify pleural effusion as a transudate or exudate 1 pleural effusion is the accumulation of fluid in between the parietal and visceral pleura called pleural cavity 2 pleural effusion can occur by itself or can be the result of surrounding parenchymal disease like infection malignancy or inflammatory conditions.
A study of light s criteria and possible modifications for distinguishing exudative from transudative pleural effusions. Pleural fluid ldh serum ldh 0 6. An exudative effusion is diagnosed if the patient meets light s criteria. The above criteria misidentify approximately 25 of transudates as exudates.
Search for articles by this author. Light s criteria two test rule three test rule pleural protein serum protein 0 5 pleural cholesterol 45 pleural fluid protein 2 9 pleural ldh serum ldh 0 6 pleural ldh 0 45 upper limit pleural cholesterol 45 pleural ldh 2 3 upper limit pleural ldh 0 45 upper limit some basic cutoffs tuberculous effusion protein is 4 0. Effusion and are used to assess for light s cri teria figure 1. It is the dedication of healthcare workers that will lead us through this crisis.
New york ny 10004 212 315 8600. And differentiate exudative from transuda. Pleural fluid ldh more than two thirds normal upper limit for serum. He also has aching chest pain on the right side tha.
Search for articles by this author sébastien nguyen. If a pleural effusion is likely to be a transu date initial laboratory tests can be limited to levels of protein cholesterol and lactate dehy drogenase in the pleural fluid table 4 14 15 these tests could be an alternative to all the measurements required by light s criteria. If the effusion is exudative further studies. The serum to pleural fluid protein or albumin gradients may help better categorize the.
If one or more of the exudative criteria are met and the patient is clinically thought to have a condition producing a transudative effusion the difference.