Chylous Effusion

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  • Opaque, milky
  • Specific gravity > 1.017
  • Total protein > 30g/L (variable)
  • Nucleated cells 1.5 - 20 x 10e9/L
  • Small lymphocytes, mature neutrophils, variable macrophages)
  • Chyle
    • Triglycerides in fluid > in serum
    • Cholesterol in fluid < in serum
    • Formation of "cream top" (chylomicrons) if refrigerated
    • Does not deparate on centrifugation
    • Sudan III staining lipid droplets