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Chronic Congestive Splenomegaly


Presentation

  • Improve your interpretation of presenting symptoms with 38 new topics and 40 new images in the Differential Diagnosis section, and optimize patient care with more than 250 new figures and tables.[books.google.de]
  • Enlargement of spleen, ascites, jaundice, and the result of destruction of various blood cells by spleen – anemia, leukopenia, thrombocytopenia, gastrointestinal bleeding – may constitute the presenting symptoms.[en.wikipedia.org]
  • Improve your interpretation of presenting symptoms with 39 new topics in the Differential Diagnosis section, and optimize patient care with 12 new tables in the Clinical Practice Guidelines section.[books.google.com]
  • Correlation coefficient between liver and spleen is r -0.41 presenting slight reverse correlation. Regression line quotent spleen to liver and liver to spleen is χ 658.23-0.21y, and y 1074.87-0.30y respectively. 5.[jpatholtm.org]
  • It is our ambition to present a complete survey of all medical phenomena named for a person, with a biography of that person. Disclaimer: Whonamedit? does not give medical advice.[whonamedit.com]
Pathologist
  • Banti's syndrome [ban′tēz] Etymology: Guido Banti, Italian pathologist, 1852-1925 a chronic, progressive disorder involving several organ systems, characterized by portal hypertension, splenomegaly, anemia, leukopenia, GI tract bleeding, and cirrhosis[medical-dictionary.thefreedictionary.com]
  • - A dictionary of medical eponyms Related eponyms Banti's disease Korovnikov's syndrome Italian physician and pathologist, born June 8, 1852, Montebicchieri; died January 8, 1925, Florence.[whonamedit.com]
  • […] medical societies: American Association for the Advancement of Science, American Association of Blood Banks, American Clinical and Climatological Association, American Society for Clinical Pathology, American Society of Hematology, College of American Pathologists[emedicine.medscape.com]
Splenomegaly
  • From Wikidata Jump to navigation Jump to search chronic congestive enlargement of the spleen[2] resulting in premature destruction of the red blood cells by the spleen. chronic congestive splenomegaly (disorder) edit English chronic congestive splenomegaly[wikidata.org]
  • [spleno- G. megas ( megal- ), large] splenomegaly /sple·no·meg·a·ly/ ( -meg ah-le ) enlargement of the spleen. congestive splenomegaly Banti's disease; splenomegaly secondary to portal hypertension. hemolytic splenomegaly that associated with any disorder[medical-dictionary.thefreedictionary.com]
  • Senile spleen with ordinary hematoxylin-Eosin (H-E) stain showed no much difference from mild degree of splenomegaly.[jpatholtm.org]
  • ICD-10 from 2011 - 2016 D73.2 is a billable ICD code used to specify a diagnosis of chronic congestive splenomegaly. A 'billable code' is detailed enough to be used to specify a medical diagnosis.[icd.codes]
Massive Splenomegaly
  • Rupture of spleen and hematoma I Massive Splenomegaly: 1. Malaria, kala-azar 2. Chronic myeloid leukemia 3. Extrahepatic portal hypertension 4. Myelofibrosis II Moderate Splenomegaly: 1. All the above as in I 2.[medcaretips.com]
  • Causes of massive splenomegaly Chronic myeloid leukaemia. Myelofibrosis, malaria (hyper-reactive malarial splenomegaly). Leishmaniasis. 'Tropical splenomegaly' (idiopathic; Africa, Southeast Asia).[patient.info]
  • Physical examination revealed massive splenomegaly and complete blood counts showed thrombocytopenia. Splenectomy was recommended but the patient declined.[nature.com]
  • "Human immunodeficiency virus-associated hemophagocytosis with iron-deficiency anemia and massive splenomegaly". Clin Infect Dis. 37 (11): e170–3. doi : 10.1086/379613. PMID 14614691. Friedman, AD.; Daniel, GK.; Qureshi, WA. (Jun 1997).[en.wikipedia.org]
  • A spleen weight of 400-500 g indicates splenomegaly, while a weight of more than 1000 g is labelled massive splenomegaly.[emedicine.medscape.com]
Spleen Disease
  • .: Splenectomy in “Big Spleen Disease.” Br. Med. J. 3 :823, 1967 Google Scholar 35. Pryor, D.S.: Splenectomy in tropical splenomegaly. Br. Med. J. 3 :825, 1967 Google Scholar 36.[link.springer.com]
Left Upper Quadrant Pain
  • Presentation of splenomegaly with left-upper quadrant pain and splenic tenderness suggests infarction, subcapsular hematoma, or rupture due to trauma or infection (infectious mononucleosis, typhoid fever, and malaria are known to cause splenic rupture[faculty.washington.edu]
Failure to Thrive
  • Fred Ferri’s popular "5 books in 1" format provides quick guidance on menorrhagia, Failure to Thrive (FTT), Cogan’s syndrome, and much more.[books.google.com]
Suggestibility
  • Access full-color images and more than 90 online-only topics at Expert Consult, as well as EBMs, Suggested Reading, Patient Teaching Guides, and additional algorithms.[books.google.de]
  • Access full-color images and 65 online-only topics at Expert Consult, as well as online-only contents including EBMs, Suggested Reading, Patient Teaching Guides, and additional algorithms.[books.google.com]
  • Excessive basophils, eosinophils, or nucleated or teardrop RBCs suggest myeloproliferative disorders. Cytopenias suggest hypersplenism. Spherocytosis suggests hypersplenism or hereditary spherocytosis.[msdmanuals.com]
  • Fever accompanying splenomegaly points to an infectious etiology; fever, rash, and arthralgias, however, suggest autoimmune disease. III.[faculty.washington.edu]
  • These investigators believed that the histological changes in the spleens of these cases could be explained by prolonged passive congestion and suggested the possibility that the clinical picture might be caused by portal vein stenosis.[annals.org]
Meningism
  • Ferri’s popular "5 books in 1" format provides quick guidance on short QT syndrome, microscopic polyangiitis, fungal meningitis, and much more. This medical reference makes the answers you need even easier to find - anytime, anywhere.[books.google.de]
  • Fever, vomiting, diarrhea Red rash followed by desquamation WATERHOUSE-FRIEDRICHSON SYNDROME: Meningeococcal Meningitis ------ DIC, hemorrhagic infarct of adrenal glands ------ fulminant adrenal failure. Vomiting, diarrhea.[kumc.edu]

Workup

  • S acoustic shadows n Splenomegaly: A complete workup may require laboratory tests, lymph node histology, bone marrow histology, and liver histology. n Small spleen: laboratory parameters, Howell-Jolly bodies in stained blood, 99mTc colloid scintigraphy[flandershealth.us]
  • However, the underlying cause of the hypersplenism will most likely remain; consequently, a thorough diagnostic workup is still indicated, as, leukemia, lymphoma and other serious disorders can cause hypersplenism and splenomegaly.[en.wikipedia.org]
Enlargement of the Spleen
  • From Wikidata Jump to navigation Jump to search chronic congestive enlargement of the spleen[2] resulting in premature destruction of the red blood cells by the spleen. chronic congestive splenomegaly (disorder) edit English chronic congestive splenomegaly[wikidata.org]
  • ), Enlargement of the spleen.[medical-dictionary.thefreedictionary.com]
  • ., is a chronic congestive enlargement of the spleen resulting in premature destruction of the red blood cells by the spleen.[en.wikipedia.org]
Enlargement of the Spleen
  • From Wikidata Jump to navigation Jump to search chronic congestive enlargement of the spleen[2] resulting in premature destruction of the red blood cells by the spleen. chronic congestive splenomegaly (disorder) edit English chronic congestive splenomegaly[wikidata.org]
  • ), Enlargement of the spleen.[medical-dictionary.thefreedictionary.com]
  • ., is a chronic congestive enlargement of the spleen resulting in premature destruction of the red blood cells by the spleen.[en.wikipedia.org]
Hepatocellular Carcinoma
  • Hepatocellular carcinoma, multifocal form cirrhosis F-46. Hepatocellular carcinoma, unifocal form F-33. Hepatic metastases causing hydrops of gallbladder F-17. Fragmented cholesterol gallstone TGI-59. Cholesterol gallstone obstructing cystic duct.[anatpat.unicamp.br]

Treatment

  • It's important to seek treatment for the cause of your enlarged spleen. Left untreated, an enlarged spleen can lead to serious complications. In most cases, treatment of the underlying cause of the enlarged spleen can prevent removal of the spleen.[webmd.com]
  • Since the syndrome is often a complication of alcoholic cirrhosis of the liver, medical treatment includes prescribing improved nutrition, vitamins, abstinence from alcohol, and rest. Also called Banti's disease.[medical-dictionary.thefreedictionary.com]
  • Enlarged Spleen Self-Care at Home Enlarged spleen is generally caused by another medical condition that will require medical treatment. Enlarged Spleen Medical Treatment The treatment of splenomegaly essentially depends on the cause of it.[emedicinehealth.com]
  • What is the treatment for an enlarged spleen? Are there natural treatments? Because splenomegaly is due to an underlying illness, treatment will depend upon the primary cause.[medicinenet.com]
  • Symptomatic splenomegaly RT schedule: Week 1 - 0.5 Gy x2 fx, Week 2 - 0.75 Gy x2 fx, Week 3 - 1 Gy x2 fx Outcome: 22/25 treatments resulted in decreased pain and symptoms. 5 patients retreated, 1 patient 5 treatments Conclusion: Effective palliation.[en.wikibooks.org]

Prognosis

  • […] metastases, sarcoma, hemangioma storage disorders: Gaucher disease other: primary splenic hyperplasia, hyperthyroidism, wandering spleen splenic rupture splenic volvulus hemorrhagic and infectious complications due to the pancytopenia Treatment and prognosis[radiopaedia.org]
  • Prognosis - Banti's syndrome Not supplied. Treatment - Banti's syndrome Resources - Banti's syndrome[checkorphan.org]
  • From What is the prognosis for an enlarged spleen? Can you live without it? Often, the prognosis for an enlarged spleen depends entirely upon the underlying illness.[medicinenet.com]
  • In addition to being an indicator of advanced disease and poor prognosis, it frequently prevents crucial interventions.[dovepress.com]
  • Enlarged Spleen Prognosis Depending upon the cause, the enlarged spleen may return to normal size and function when the underlying disease is treated or resolved.[emedicinehealth.com]

Etiology

  • Etiology There is an almost overwhelming list, some more common causes are given below 1,3,4 : congestive splenomegaly: cirrhosis, Budd-Chiari syndrome, portal vein obstruction infections: viral, malaria, tuberculosis inflammation: sarcoidosis, SLE chronic[radiopaedia.org]
  • Splenomegaly Etiological classification 1. Infections: There is enlargement of the spleen in acute pyogenic infection. In septicemia, the spleen is enlarged and called septic spleen.[labpedia.net]
  • Fever accompanying splenomegaly points to an infectious etiology; fever, rash, and arthralgias, however, suggest autoimmune disease. III.[faculty.washington.edu]
  • Etiology Many of the mechanisms leading to splenomegaly are exaggerated forms of normal splenic function.[emedicine.medscape.com]
  • […] congestive expansion (increase in red pulp), increased blood pool, increased macrophage activity, proliferative cellular infiltration, extramedullary hematopoiesis, storage diseases, cysts, solid tumors (primary rare, solitary met from colorectal, ovarian) Etiology[en.wikibooks.org]

Epidemiology

  • Chiu BC and Weisenburger DD (2003) An update of the epidemiology of non-Hodgkin's lymphoma . Clin Lymphoma 4 : 161–168. 6. Dogan A and Isaacson PG (2003) Splenic marginal zone lymphoma . Semin Diagn Pathol 20 : 121–127 7.[nature.com]
  • Infection and high-altitude exposure are known precipitating factors for ASSC. [6] Epidemiology In the United States, one large series reported a palpable spleen in 2% of patients and another in 5.6% of patients. [7] Tropical splenomegaly syndrome occurs[emedicine.medscape.com]
Sex distribution
Age distribution

Pathophysiology

  • An in-depth understanding of the complex pathophysiology of the thrombocytopenia of CLD is crucial when considering treatment strategies. This review outlines the recent advances in our understanding of thrombocytopenia in cirrhosis and CLD.[dovepress.com]
  • [ edit ] Splenomegaly can be classified based on its pathophysiologic mechanism: Congestive, by pooled blood (e.g., portal hypertension ) Infiltrative, by invasion by cells foreign to the splenic environment (e.g., metastases, myeloid neoplasms, lipid[en.wikipedia.org]
  • The following article will discuss: normal platelet production and circulation; ITP pathophysiology; and diagnosis and treatment options for ITP.[jhoonline.biomedcentral.com]

Prevention

  • - 0% Emergent - ED Care Needed - Preventable/Avoidable - 0% Emergent - ED Care Needed - Not Preventable/Avoidable - 0% Primary diagnosis of injury 0% Primary diagnosis of mental health problems 0% Primary diagnosis of substance abuse 0% Primary diagnosis[medicbind.com]
  • Rapidly find the answers you need with separate sections on diseases and disorders, differential diagnosis, clinical algorithms, laboratory results, and clinical preventive services, plus an at-a-glance format that uses cross-references, outlines, bullets[books.google.com]
  • What they found adds to... [ Read Full Story ] May 10, 2019 If your provider is ordering nebulizers and the drugs used in them for their patients here are things in the documentation that will help prevent a resubmission to Medicare and ease medical coding[coder.aapc.com]
  • So vaccines or other medications are needed to prevent infection.[webmd.com]

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