Objective: There are contradictory reports about the use of adenosine deaminase (ADA) as a diagnostic marker in tuberculous peritonitis patients. Reports evaluating significance of ADA activity in the diagnosis of tuberculous peritonitis in adults are lacking in Nepal. We thus set out to investigate the ascitic fluid ADA levels in suspected tuberculous peritonitis patients and to determine the ...

Pericardial effusion can develop in patients with acute pericarditis or association a wide variety of systemic diseases and is characterized as transudative, exudative, pyopericardium, hemopericardium. Large effusions are usually related to tuberculous neoplastic effusions. Primary pericardial tumors rare, the vast majority cases resulting from secondary tumors. may be present 7% 53% cancer cor...

Refractory hepatic hydrothorax poses a challenging therapeutic dilemma, as treatment options are limited. Herein, we describe the case of a 48-year-old lady with advanced cirrhosis and recurrent transudative pleural effusion despite a sodium-restricted diet, optimal diuretic therapy and transjugular intrahepatic portosystemic shunt. Given the patient's platelet and coagulation disorders, thorac...

Pleural effusion affects more than 1.5 million people in the United States each year and often complicates the management of heart failure, pneumonia, and malignancy. Pleural effusion occurs when fluid collects between the parietal and visceral pleura. Processes causing a distortion in body fluid mechanics, such as in heart failure or nephrotic syndrome, tend to cause transudative effusions, wh...

from nontuberculous effusions by measuring pleural adenosine deaminase (ADA),4’ lysozyme (LZ),6 and interferon-gamma (IFG)7; these biochemical compounds are elevated in tuberculous effusions depending on the size of the effusion, although there is an overlap in the pleural concentrations of ADA and LZ.3 We reasoned that the pleural alkaline phosphatase concentration would be a useful means of d...

Pleural effusion is one of the common condition encountered in day to practise. A correct diagnosis underlying disease essential rational management. Today there are a number laboratory tests available differentiate exudates and transudates which considered cost effective patients, so this study was designed for measurement pleural fluid cholesterol transudative exudative effusions (sensitivity...