Hepatic Hydrothorax
• Presents as right sided in 85% of cases
• Fluid studies:
- Pleural fluid/serum total protein ratio <0.5
- Pleural fluid/serum LDH ratio < 0.6
- Serum-to-pleural fluid albumin gradient > 1.1 g/dL
- Protein <2.5 g/dL
- pH > 7.4
• Spontaneous bacterial pleural empyema may develop
• Management: Diuresis Thoracentesis → ? TIPS, Liver transplant
- BWH Medicine Chiefs @BrighamChiefs
#Hepatic #Hydrothorax #diagnosis #hepatology #pulmonary
