THE USEFULNESS OF PLEURAL FLUID URIC ACIDAND ITS RATIO TO SERUM URIC ACID LEVELS IN CLASSIFYING PLEURAL EFFUSIONS AS EXUDATES AND TRANSUDATES AND ITS CORRELATION WITH LIGHT'S CRITERIA

Dr. P. Sudha, Dr. P. karuppasamy

Abstract


INTRODUCTION
Pleural effusion is a very common clinical presentation of diseases. A correct diagnosis of the underlying disease is
essential for the management of pleural effusion. Many criteria have been used to distinguish them, but none of them have been found to be
satisfactory. Light's criteria is the most commonly used method.
AIMS AND OBJECTIVES
To evaluate the advantages of Total Pleural uid Uric acid and its ratio to Serum Uric acid levels in classifying Pleural Effusions as Exudates or
Transudates.
MATERIALS & METHOD
This study is to be conducted among 60 patients with pleural Effusion, attending the Department of Medicine & Department of Thoracic
Medicine in Govt. Rajaji Hospital, Madurai.
RESULT
By applying Pleural uid Uric acid in patients with transudativee pleural effusion classied clinically, 96.3 % of the cases were correctly
diagnosed as transudativee pleural effusion.
CONCLUSION
From our study we came to known that there was statistically signicant criteria [p value<0.001] in classifying pleural effusion as exudates and
transudates by using pleural uid uric acid and pleural uid/serum uric acid ratio.


Keywords


Pleural Fluid Uric acid, Exudates, Transudates

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References


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