Differentiation between an ascitic fluid transudate and exudate is most accurately made using the:
A) Fluid-to-serum bilirubin ratio
B) Serum-ascites albumin gradient
C) Absolute neutrophil count
D) Fluid-to-serum albumin ratio

Question

Quizplus · Accepted Answer

The serum-ascites albumin gradient is the most accurate means of differentiating between an ascitic fluid transudate and exudate. A gradient of less than 1.1 g/dL suggests a transudate, while a gradient of 1.1 g/dL or greater suggests an exudate. The other options, fluid-to-serum bilirubin ratio, absolute neutrophil count, and fluid-to-serum albumin ratio, may also be helpful in making a diagnosis, but they are not as reliable as the serum-ascites albumin gradient.

Differentiation Between an Ascitic Fluid Transudate and Exudate Is Most