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Light's Criteria Calculator for Pleural Effusion

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Helps differentiate between transudative and exudative pleural effusions based on fluid analysis.

Use this Light's Criteria calculator to compare pleural fluid and serum protein and LDH values against the common exudative effusion thresholds. It is designed for fast clinical education and scenario review when the lab values are already known. The result highlights whether any Light's Criteria threshold is met, then points you to adjacent medical and lab calculators for related fluid, kidney, protein, and osmolarity questions.

How To Use

How to use this calculator

Start with your values, or try a preset.

Step 1

Enter pleural fluid protein and serum protein in g/dL.

Step 2

Enter pleural fluid LDH and serum LDH in U/L.

Step 3

Review the protein ratio, LDH ratio, and final criteria result.

Step 4

Use related medical calculators when the broader clinical question involves renal function, protein concentration, or lab solution values.

Worked Examples

Example calculations

See the inputs and their calculated results.

Typical Exudate

Pleural Fluid Protein (g/dL): 4.5 g/dL; Serum Protein (g/dL): 6.5 g/dL; Pleural Fluid LDH (U/L): 250 U/L; Serum LDH (U/L): 200 U/L

LDH Ratio (Pleural Fluid / Serum): 1.25; Protein Ratio (Pleural Fluid / Serum): 0.6923076923; Light's Criteria Met: Yes, the effusion is likely exudative.; Is Exudative?: Yes

Typical Transudate

Pleural Fluid Protein (g/dL): 2.5 g/dL; Serum Protein (g/dL): 7 g/dL; Pleural Fluid LDH (U/L): 100 U/L; Serum LDH (U/L): 300 U/L

LDH Ratio (Pleural Fluid / Serum): 0.3333333333; Protein Ratio (Pleural Fluid / Serum): 0.3571428571; Light's Criteria Met: No, the effusion is likely transudative.; Is Exudative?: No

Borderline Case

Pleural Fluid Protein (g/dL): 3 g/dL; Serum Protein (g/dL): 6 g/dL; Pleural Fluid LDH (U/L): 150 U/L; Serum LDH (U/L): 250 U/L

LDH Ratio (Pleural Fluid / Serum): 0.6; Protein Ratio (Pleural Fluid / Serum): 0.5; Light's Criteria Met: Yes, the effusion is likely exudative.; Is Exudative?: Yes

Frequently Asked Questions

Common questions

A little more context for your results.

What does Light's Criteria identify?

Light's Criteria helps distinguish exudative from transudative pleural effusions using pleural fluid protein, serum protein, pleural fluid LDH, and serum LDH relationships.

Does meeting one criterion mean exudative?

Yes. In the usual rule, an effusion is considered likely exudative when at least one of the protein ratio, LDH ratio, or LDH threshold criteria is met.

Can this replace clinical interpretation?

No. It is an educational calculator for known lab values. Clinical context, imaging, diagnosis, and treatment decisions require a qualified clinician.

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Important

This calculator is for educational use only and does not replace clinical judgment or medical advice.