PROTEIN NO. 1.0—2.0 2.1—3.0 3.1—4.0 4.1—5.0
3 15 PLEURAL 0 OF THE 22
FIG-1 FLUID PROTEIN CONCENTRATION 40 CASES OF PLEURAL EFFUSION
NUMBER OF CASES
30
22
20
15 10
3 0 1.0—2.0
2.1—3.0
0 3.1—4.0
4.1—5.0
PROTEIN CONCENTRATION IN PLEURAL FLUID (gm/dl)
PF NO. 0.01—0.25 0.26—0.50 0.51—0.75 0.76—1.00
0 17 17 6
FIG-2 DISTRIBUTION OF PLEURAL FLUID TO SERUM PROTEIN RATIO
18
NUMBER OF CASES
17
17
12
6 6
0 0 0.01—0.25
0.26—0.50
0.51—0.75
0.76—1.00
PLEURAL FLUID TO SERUM PROTEIN RATIO PF 0—200 201—400 401—600 601—800
NO. 16 3 16 5
FIG-3 DISTRIBUTION OF PLEURAL FLUID LDH
18
ASES
16
12
16
FIG-3 DISTRIBUTION OF PLEURAL FLUID LDH 18
NUMBER OF CASES
16
16
12
6 5
3 0
0—200
201—400
401—600
601—800
PLEURAL FLUID LDH (U/L) PF NO. 0.00—0.30 2 0.31—0.60 11 DISTRIBUTION 0.61—0.90 10 0.91—1.20 6 1.21—1.50 12 11
FIG-4 OF PLEURAL FLUID LDH TO SERUM LDH
11
11
NUMBER OF CASES
10 8
6 4
2 0 0.00—0.30
0.31—0.60
0.61—0.90
0.91—1.20
1.21—1.50
PLEURAL FLUID LDH/SERUM LDH SEAG NO. 0.30—0.60 0.61—0.90 0.91—1.20 1.21—1.50 1.51—1.80 1.81—2.10 2.11—2.40 20
FIG-5 3 4 SEAG [SERUM–EFFUSION ALBUMIN GRADIENT] 19 IN 40 CASES OF PLEURAL EFFUSION 10 3 0 1 19
UMBER OF CASES
15
10
10
5 3
4
19
NUMBER OF CASES
15
10
10
5 3
4 3
0 0.30—0.60
0.91—1.20
1 0 2.11—2.40
1.51—1.80
SEAG TYPES ETIOLOGICALLY CASES DIAGNOSED DIFFERENTIATED FALSELY CLASSIFIED BY PLEURAL FLUID PROTEIN FIG-6 Exudate 26 22 6 Transudate EXUDATES 14 & 18 TRANSUDATES 4 SEPARATED BY
PLEURAL FLUID PROTEIN OF 3 gms/dl IN COMPARISON TO THE ESTABLISHED DIAGNOSIS OF TRANSUDATES & EXUDATES
NUMBER OF CASES
30 26 22
20
18 14 10 6 0
4
Exudate Transudate
TYPES OF PLEURAL FLUID ETIOLOGICALLY DIAGNOSED
CASES DIFFERENTIATED BY PLEURAL FLUID PROTEIN
FALSELY CLASSIFIED
TYPES ETIOLOGICALLY CASES DIAGNOSED DIFFERENTIATED FALSELY CLASSIFIED BY PLEURAL FLUID PROTEIN FIG-7 Exudate 26 23 5 Transudate 14 17 3 FLUID PROTEIN TO SERUM PROTEIN OF 0.5 IN COMPARISON
30 26
NUMBER OF CASES
LEURAL
20
23 20 17 14 10
5 0
3
Exudate Transudate
TYPES OF PLEURAL FLUID ETIOLOGICALLY DIAGNOSED
CASES DIFFERENTIATED BY PLEURAL FLUID PROTEIN
FALSELY CLASSIFIED
TO THE ESTABLIS
NUMBER
5 0
3
Exudate Transudate
TYPES OF PLEURAL FLUID ETIOLOGICALLY DIAGNOSED
OTEIN
CASES DIFFERENTIATED BY PLEURAL FLUID PROTEIN
FALSELY CLASSIFIED
TYPES ETIOLOGICALLY CASES DIAGNOSED DIFFERENTIATED FALSELY CLASSIFIED BY PLEURAL FLUID PROTEIN FIG-8 Exudate 26 22 4 Transudate 14 18 3 OF 3g/dl & PLEURAL FLUID TO SERUM PROTEIN RATIO
OF 0.5 IN COMPARISON T
30
NUMBER OF CASES
26 22
20
18 14 10
4 0
3
Exudate Transudate
TYPES OF PLEURAL FLUID ETIOLOGICALLY DIAGNOSED
CASES DIFFERENTIATED BY PLEURAL FLUID PROTEIN
FALSELY CLASSIFIED
TYPES ETIOLOGICALLY CASES DIAGNOSED DIFFERENTIATED FALSELY CLASSIFIED BY PLEURAL FLUID LDH FIG-9 Exudate 26 24 4 Transudate 14 16 3 TRANSUDATES SEPARATED BY PLEURAL FLUID LACTATE
DEHYDROGENASE (LDH)
30 26 24
NUMBER OF CASES
ES &
14 10
20 16
14 10
4 0
3
Exudate Transudate
TYPES OF PLEURAL FLUID ETIOLOGICALLY DIAGNOSED
CASES DIFFERENTIATED BY PLEURAL FLUID LDH
FALSELY CLASSIFIED
Transudate
TYPES OF PLEURAL FLUID ETIOLOGICALLY DIAGNOSED
CASES DIFFERENTIATED BY PLEURAL FLUID LDH
FALSELY CLASSIFIED
TYPES ETIOLOGICALLY CASES DIAGNOSED DIFFERENTIATED FALSELY CLASSIFIED BY P.F. LDH/SERUM LDH FIG-10 Exudate 26 27 3 Transudate 14 PLEURAL FLUID LDH TO 13SERUM 2LDH OF O.6 IN COMPARISON
TO THE ESTABLISHED
30 26
NUMBER OF CASES
D BY
3
Exudate
27
20
14
13
10
3
0
Exudate
2 Transudate
TYPES OF PLEURAL FLUID ETIOLOGICALLY DIAGNOSED
CASES DIFFERENTIATED BY P.F. LDH/SERUM LDH
FALSELY CLASSIFIED
TYPES ETIOLOGICALLY CASES DIAGNOSED DIFFERENTIATED FALSELY CLASSIFIED BY P.F. LDH OF 200 U/L & P/S LDH OF 0.6 FIG-11 Exudate 26 28 2 & SEPARATED BY PLEURAL Transudate EXUDATES 14 12 TRANSUDATES 2
FLUID LDH OF 200 U/L & PLEURAL FLUID LDH UM LDH OF 0.6 IN COMPARISON TO THE ESTABLISHED DIAGNOSIS OF EXUDATE & TRA
NUMBER OF CASES
26
28
20 14
10
0
Exudate
12
2
2
Transudate
TYPE OF PLEURAL FLUID ETIOLOGICALLY DIAGNOSED
CASES DIFFERENTIATED BY P.F. LDH OF 200 U/L & P/S LDH OF
FALSELY CLASSIFIED
TYPES ETIOLOGICALLY CASES DIAGNOSED DIFFERENTIATED FALSELY CLASSIFIED BY SEAG OF 1.2 g/dl FIG-12 Exudate 26 26 1 Transudate 14 14 1 ALBUMIN GRADIENT OF 1.2 g/dl IN COMPARISON
30 26
CASES
USION
30
20
26
TO THE ESTABLISHED DIAGNO
FIG-12 USION ALBUMIN GRADIENT OF 1.2 g/dl IN COMPARISON TO THE ESTABLISHED DIAGNO 30
NUMBER OF CASES
26
26
20
14
14
10
0
Exudate
1 1
Transudate
TYPE OF PLEURAL FLUID ETIOLOGICALLY DIAGNOSED
CASES DIFFERENTIATED BY SEAG OF 1.2 g/dl
MISCLASSIFICATION RATE [%]
PARAMETER MISCLASSIFICATION RATE PF Protein [3gm/dl]25.0 P/S Protein [0.5]MISCLASSIFICATION 20.0 PF Protein + P/S25Protein 17.5 25 PF LDH [2001U/L] 17.5 P/S LDH [0.6] 12.5 PF LDH + P/S LDH10.0 20 20 SEAG of 1.2 gm/dl 5.0
FALSELY CLASSIFIED
FIG-13 RATE OF VARIOUS PARAMETERS
17.5
17.5
15 12.5 10
10
5
5
0 PF Protein [3gm/dl]
P/S Protein [0.5]
PF Protein + P/S Protein
PF LDH [2001U/L]
MISCLASSIFICATION RATE
P/S LDH [0.6]
PF LDH + P/S LDH
SEAG of 1.2 gm/dl
M LDH
T]
URAL O THE UDATES
IED
ON TO THE ESTABLISHED DIAGNOSIS OF EXUDATES &TRANSUDATES
FIED
FIED
0.5 IN COMPARISON TO THE ESTABLISHED DIAGNOSIS OF EXUDATES & TRANSUDATE
IED
HYDROGENASE (LDH) OF 200 U/L
FIED
FIED
TO THE ESTABLISHED DIAGNOSIS OF EXUDATES & TRANSUDATES
FIED
EURAL H S OF EXUDATE & TRANSUDATE
FIED
ESTABLISHED DIAGNOSIS OF EXUDATES & TRANSUDATES
ESTABLISHED DIAGNOSIS OF EXUDATES & TRANSUDATES
FIED
TERS
10
DH + P/S
5
SEAG of 1.2 gm/dl