PROTEIN NO.

1.0—2.0 3 FIG-1
2.1—3.0 15 PLEURAL FLUID PROTEIN CONCENTRATION
3.1—4.0 0 OF THE 40 CASES OF PLEURAL EFFUSION
4.1—5.0 22

30

22
NUMBER OF CASES

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 FIG-2
0.26—0.50 17 DISTRIBUTION OF PLEURAL FLUID
0.51—0.75 17
0.76—1.00 6
TO SERUM PROTEIN RATIO

18
17 17
NUMBER OF CASES

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 NO.
0—200 16 FIG-3
201—400 3 DISTRIBUTION OF PLEURAL FLUID LDH
401—600 16
601—800 5
18

16 16

12
ASES
 FIG-3
DISTRIBUTION OF PLEURAL FLUID LDH

18

16 16

12
NUMBER OF CASES

5
3

0
0—200
201—400
401—600
601—800

PLEURAL FLUID LDH (U/L)

PF NO.
0.00—0.30 2 FIG-4
0.31—0.60 DISTRIBUTION
11 OF PLEURAL FLUID LDH TO SERUM LDH
0.61—0.90 10
0.91—1.20 6
1.21—1.50 12 11

11 11
10

8
NUMBER OF CASES

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 3 FIG-5
0.61—0.90 SEAG [SERUM–EFFUSION ALBUMIN GRADIENT]
4
0.91—1.20 19
1.21—1.50 10
IN 40 CASES OF PLEURAL EFFUSION
1.51—1.80 3
1.81—2.10 0
2.11—2.40 20 1 19

15
UMBER OF CASES

10
10

5
4
3
 20
19

15
NUMBER OF CASES

10
10

5
4
3
3
0
0.30—0.60
0.91—1.20 1
1.51—1.80 0
2.11—2.40

SEAG
TYPES ETIOLOGICALLY
CASES DIAGNOSED
DIFFERENTIATED
FALSELY CLASSIFIED
BY PLEURAL FLUID PROTEIN
Exudate 26 22 6 FIG-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

30

26
NUMBER OF CASES

22
20
18
14
10

0 4
Exudate
Transudate
TYPES OF PLEURAL FLUID

ETIOLOGICALLY CASES DIFFEREN- FALSELY CLASSIFIED

DIAGNOSED TIATED BY PLEUR-
AL FLUID PROTEIN

TYPES ETIOLOGICALLY
CASES DIAGNOSED
DIFFERENTIATED
FALSELY CLASSIFIED
BY PLEURAL FLUID PROTEIN
Exudate 26 23 5 FIG-7
LEURAL FLUID PROTEIN TO SERUM PROTEIN OF 0.5 IN COMPARISON
Transudate 14 17 3 TO THE ESTABLIS

30

26
23
NUMBER OF CASES

20

17
14
10

5
0
3
Exudate
Transudate

TYPES OF PLEURAL FLUID

ETIOLOGICALLY CASES DIFFEREN- FALSELY CLASSIFIED

DIAGNOSED TIATED BY PLEUR-
AL FLUID PROTEIN
 14

NUMBER
10

5
0
3
Exudate
Transudate

TYPES OF PLEURAL FLUID

ETIOLOGICALLY CASES DIFFEREN- FALSELY CLASSIFIED

DIAGNOSED TIATED BY PLEUR-
AL FLUID PROTEIN

TYPES ETIOLOGICALLY
CASES DIAGNOSED
DIFFERENTIATED
FALSELY CLASSIFIED
BY PLEURAL FLUID PROTEIN
Exudate 26 22 4 FIG-8
OTEIN OF 3g/dl & PLEURAL FLUID TO SERUM PROTEIN RATIO
Transudate 14 18 3 OF 0.5 IN COMPARISON T

30

26
NUMBER OF CASES

22
20

18

14
10

4
0
3
Exudate
Transudate

TYPES OF PLEURAL FLUID

ETIOLOGICALLY CASES DIFFEREN- FALSELY CLASSIFIED

DIAGNOSED TIATED BY PLEUR-
AL FLUID PROTEIN

TYPES ETIOLOGICALLY
CASES DIAGNOSED
DIFFERENTIATED
FALSELY CLASSIFIED
BY PLEURAL FLUID LDH
Exudate 26 24 4 FIG-9
ES & TRANSUDATES
Transudate SEPARATED
14 16 BY PLEURAL
3 FLUID LACTATE DEHYDROGENASE (LDH)

30

26
24
NUMBER OF CASES

20

16
14
10

4
0
3
Exudate
Transudate

TYPES OF PLEURAL FLUID

ETIOLOGICALLY CASES DIFFEREN- FALSELY CLASSIFIED

DIAGNOSED TIATED BY PLEUR-
AL FLUID LDH
 3
Exudate
Transudate

TYPES OF PLEURAL FLUID

ETIOLOGICALLY CASES DIFFEREN- FALSELY CLASSIFIED

DIAGNOSED TIATED BY PLEUR-
AL FLUID LDH

TYPES ETIOLOGICALLY
CASES DIAGNOSED
DIFFERENTIATED
FALSELY CLASSIFIED
BY P.F. LDH/SERUM LDH
Exudate 26 27 3 FIG-10
D BY PLEURAL FLUID LDH
Transudate 14 TO 13SERUM 2LDH OF O.6 IN COMPARISON TO THE ESTABLISHED

30
27
26
NUMBER OF CASES

20

14
13
10

3
0
Exudate 2
Transudate

TYPES OF PLEURAL FLUID

ETIOLOGICALLY CASES DIFFEREN- FALSELY CLASSIFIED

DIAGNOSED TIATED BY P.F.
LDH/SERUM LDH

TYPES ETIOLOGICALLY
CASES DIAGNOSED
DIFFERENTIATED
FALSELY CLASSIFIED
BY P.F. LDH OF 200 U/L & P/S LDH OF 0.6
Exudate 26 28 2 FIG-11
Transudate EXUDATES
14 &
12 TRANSUDATES
2 SEPARATED BY PLEURAL
FLUID LDH OF 200 U/L & PLEURAL FLUID LDH
UM LDH OF 0.6 IN COMPARISON TO THE ESTABLISHED DIAGNOSIS OF EXUDATE & TRA

30
28
26
NUMBER OF CASES

20

14
10 12

0 2
Exudate 2
Transudate
TYPE OF PLEURAL FLUID

ETIOLOGICALLY CASES DIFFERENTI- FALSELY CLASSIFIED

DIAGNOSED ATED BY P.F. LDH OF
200 U/L & P/S LDH OF

TYPES ETIOLOGICALLY
CASES DIAGNOSED
DIFFERENTIATED
FALSELY CLASSIFIED
BY SEAG OF 1.2 g/dl
Exudate 26 26 1 FIG-12
USION ALBUMIN GRADIENT OF 1.2 g/dl IN COMPARISON
Transudate 14 14 1 TO THE ESTABLISHED DIAGNO

30

26 26
CASES

20
 FIG-12
USION ALBUMIN GRADIENT OF 1.2 g/dl IN COMPARISON TO THE ESTABLISHED DIAGNO

30

26 26
NUMBER OF CASES

20

14 14
10

0 1
Exudate
1
Transudate

TYPE OF PLEURAL FLUID

ETIOLOGICALLY CASES DIFFERENTI- FALSELY CLASSIFIED

DIAGNOSED ATED BY SEAG OF 1.2
g/dl

PARAMETER MISCLASSIFICATION RATE

PF Protein [3gm/dl]25.0 FIG-13
P/S Protein [0.5]MISCLASSIFICATION
20.0 RATE OF VARIOUS PARAMETERS
PF Protein + P/S25Protein
17.5
25
PF LDH [2001U/L] 17.5
P/S LDH [0.6] 12.5
MISCLASSIFICATION RATE [%]

PF LDH + P/S LDH10.0 20

20
SEAG of 1.2 gm/dl 5.0
17.5 17.5

15
12.5

10
10

5
5

0
PF Protein P/S Protein [0.5] PF Protein + P/S PF LDH P/S LDH [0.6] PF LDH + P/S SEAG of 1.2
[3gm/dl] Protein [2001U/L] LDH gm/dl

MISCLASSIFIC-
ATION RATE
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 SEAG of 1.2

gm/dl