Step I a pleural effusion question!

[raseny]

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i have an urgent question
which pleural effusion types are associated with high glucose level in pleural fluid???
(except infusothorax and peritoneal dialysis)
and how does the pleural fluid glucose levels change in diabetes?

 

[Bevo]

maybe I'm just an idiot and haven't been exposed to this yet.

but I've never heard of this before....

 

[deleted59964]

i have an urgent question
which pleural effusion types are associated with high glucose level in pleural fluid???
(except infusothorax and peritoneal dialysis)
and how does the pleural fluid glucose levels change in diabetes?

exudative pleural effusion secondary to malignany may have LOW glucose (<3.3mmol/l) if the tumour burden is high ... not sure when it'd be high though

chylothorax you get high TGs...

 

[bigfrank]

maybe I'm just an idiot and haven't been exposed to this yet.

but I've never heard of this before....

or maybe you've been doing too much of what that purple thing in your avatar is doing!

 

[Bevo]

😀

 

[imtiaz]

high glucose pleural effusions are seen in rheumatoid arthritis, if im not mistaken.

 

[bigfrank]

high glucose pleural effusions are seen in rheumatoid arthritis, if im not mistaken.

RA --> VERY low glucose usually. Nothing that I can think of, besides lab. error, causes increased glucose.

(from Up-to-Date...The lowest glucose concentrations are found in rheumatoid pleurisy and empyema, with glucose being undetectable in some cases)

 

[automaton]

when all else fails, choose malingering or factitious disorder. patients are your enemy. radiology is your friend.