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Figurę 3-1. Summary of approach to laboratory investigation ofpleural fluids. LD, lactic dehydrogenase.
Transudate, No further tests necessary
Exudate Gram stain and culture *"Cytology WBC and differential Glucose
pH, Enzymes, amylase Tumormarkers
’ If above ratios are equivocal, consider doing pleural fluid cholesterol and bilirubin ratio.
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