Wallach's Interpretation of Diagnostic Tests: Pathways to Arriving at a Clinical Diagnosis (798 page)

BOOK: Wallach's Interpretation of Diagnostic Tests: Pathways to Arriving at a Clinical Diagnosis
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   WBC count >1 × 10
9
/L with lymphocytes >50%: TB, cancer, lymphoma, CLL
   WBC count >1 × 10
10
/L with approximately 80% neutrophils: effusions associated with bacterial pneumonia
   WBC with eosinophilia: postpneumothorax, trauma, hypersensitivity reactions, CHF, fungal and parasitic infections, SLE, Hodgkin lymphoma
   Pericardial fluid
   Appearance
   Bloody: pericarditis, status postmyocardial infarction, TB, RA, SLE, carcinoma, aspiration of blood from the cardiac cavity
   Cell counts and differential
   WBC count 1 × 10
9
/L with increased lymphocytes: pericardial tuberculosis
   WBC count 1 × 10
9
/L with increased neutrophils: bacterial or viral pericarditis
   Peritoneal fluid
   Appearance
   Cloudy or turbid: appendicitis, pancreatitis, intestinal volvulus, ruptured bowel, sepsis
   Bile-stained: perforated duodenal ulcer, perforated intestine, gallbladder disease or perforation, acute pancreatitis

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