A 61-year-old male patient with a history of type 2 diabetes…

A 61-year-old male patient with a history of type 2 diabetes and hypertension presents to the emergency department with increasing abdominal distention and discomfort over the past month. He reports weight loss, nausea, and loss of appetite.  with cirrhosis of the liver presents to the ED complaining of difficulty breathing and rapid weight gain.  Fluid Analysis: A paracentesis was performed.  The fluid analysis is detailed below. Fluid Analysis:Appearance: Clear, pale yellowVolume: 1.5 litersTotal Protein: 1.5 g/dLAlbumin: 1.0 g/dLGlucose: 90 mg/dLLDH (Lactate Dehydrogenase): 80 IU/L Cell Count and Differential:White Blood Cells (WBC): 200 cells/µLNeutrophils: 40%Lymphocytes: 60%Red Blood Cells (RBC): 5 cells/µLCytology: Negative for malignant cells Serum Laboratory Values:Serum Albumin: 3.8 g/dLSerum Total Protein: 6.5 g/dL Based on the laboratory results above, the fluid should be classified as _____________.

A 43-year-old female patient presents to the ED with chest p…

A 43-year-old female patient presents to the ED with chest pain, non-productive cough, and shortness of breath which have all worsened over the past three days. A chest x-ray revealed the presence of a right-sided pleural effusion.   Thoracentesis was performed under ultrasound guidance, yielding 300 mL of dark red, cloudy pleural fluid.  Pleural Fluid Analysis:Appearance: HemorrhagicRBC Count: 1.2 million cells/µLWBC Count: 5,000 cells/µLProtein: 4.2 g/dLLDH: 600 IU/L (serum LDH: 200 IU/L)Glucose: 80 mg/dL (serum glucose: 110 mg/dL)pH: 7.35Differential Cell Count:Neutrophils: 1,250 cells/µL (25%)Lymphocytes: 3,750 cells/µL (75%)Eosinophils: Rare Based on the laboratory results above, the thoracic fluid should be classified as _____________.