spleen
Terms
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-
spleen arterial supply
spleen venous drainage -
1.short gastric a.
2.splenic a.
1.splenic v. --> portal v. - delayed splenic rupture time frame
- 2 wks post-trauma
- ruptured spleen signs/sx
-
1.hemoperitoneum
2.Kehr's sign,
3.LUQ abd pain
4.Ballance's sign - Kehr's sign
- L) shoulder pain due to splenic rupture
- Ballance's sign
- LUQ dullness to percussion
- spleen injury dx
-
CT abd (if stable)
DPL/FAST (if unstable) - OPSS bugs
-
overwhelming postsplenectomy sepsis
encapsulated bugs - best time to immunize splenectomy pts
- pre-op
- lab abnormalities post-splenectomy
-
1.elevated WBC
2.thrombocytosis
3.abnl RBC smear - thrombocytosis Tx
- if > 1M platelets, give ASA
- most common cause of splenic vein thrombosis
- pancreatitis
- gastric varices due to splenic vein thrombosis Tx?
- splenectomy
- hyposplenism seen in...
- UC
- splenectomy pts need which vaccines?
-
1.pneumo
2.meningo
3.hib - most common cause of failure to correct thrombocyotpenia after splenectomy for ITP?
- accessory spleen
- TTP Tx
- plasmapheresis
- most common physical finding in portal HTN
- splenomegaly