Splenomegaly: Difference between revisions

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==Clinical presentation==
==Clinical presentation==


[[Medical sign|Sign]]s of splenomegaly may include a palpable left upper quadrant [[abdominal mass]] or splenic rub. It can be detected on [[physical examination]] by using [[Castell's sign]] or [[Traube's space]], but an [[ultrasound]] can be used to confirm diagnosis.<ref name="pmid8411607">{{cite journal |author=Grover SA, Barkun AN, Sackett DL |title=The rational clinical examination. Does this patient have splenomegaly? |journal=JAMA |volume=270 |issue=18 |pages=2218-21 |year=1993 |pmid=8411607 |doi=}} [http://gateway.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=8411607.ui Ovid full text]</ref>





Revision as of 20:15, 29 August 2012

Splenomegaly
Massively enlarged spleen, the result of extramedullary hematopoiesis, is outlined above. This patient's left upper quadrant appears more full than the corresponding area on the right.
Image courtesy of Charlie Goldberg, M.D., UCSD School of Medicine and VA Medical Center, San Diego, California
ICD-10 Q89.0, R16.1
ICD-9 759.0, 789.2
DiseasesDB 12375
MedlinePlus 003276
MeSH D013163

Template:Splenomegaly Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Gichoya Judy Wawira [2], Moi University School of Medicine

Clinical presentation

Treatment

If the splenomegaly underlies hypersplenism, a splenectomy is indicated and will correct the problem. After splenectomy, however, patients have an increased risk for infectious diseases.

After splenectomy, patients should be vaccinated against Haemophilus influenzae and Streptococcus pneumoniae. They should receive annual influenza vaccinations. Long-term prophylactic antibiotics should be given.

Related chapters

Resources

References

Template:Phakomatoses and other congenital malformations not elsewhere classified

Template:Skin and subcutaneous tissue symptoms and signs Template:Nervous and musculoskeletal system symptoms and signs Template:Urinary system symptoms and signs Template:Cognition, perception, emotional state and behaviour symptoms and signs Template:Speech and voice symptoms and signs Template:General symptoms and signs

de:Splenomegalie it:Splenomegalia


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