Presentation
The challenge is to identify a minority of life threatening presentations. We describe young female presenting with diffuse abdominal pain, fever and vomiting. [adc.bmj.com]
No lymphadenopathy was present. [ncbi.nlm.nih.gov]
Small fatty lesion (black arrow) is also present in liver and small exophytic renal angiomyolipoma (white arrow) is present at lower pole of right kidney. [ajronline.org]
It can be easily missed, as it sometimes doesn’t present with specific symptoms. When the symptoms are present, they include: Pain in the upper left part of the abdomen that can spread to the left shoulder. [healthyandnaturalworld.com]
Entire Body System
- Fatigue
Therefore, it is important to test a similar geometry under fatigue loading for understanding the characteristics of AE signals due to fatigue cracking. [mdpi.com]
For some people, their liver or spleen or both may remain enlarged even after their fatigue ends. Most people get better in two to four weeks; however, some people may feel fatigued for several more weeks. [cdc.gov]
People who are anemia fatigue easily since there blood does not have enough oxygen carrying cells. [lifespan.org]
[…] that may include: Jaundice Fatigue Weakness Itching Loss of appetite Easy bruising Ineffective white blood cell function may cause infections more often. [medicinenet.com]
Immune System
- Splenomegaly
Because of its role in the immune system, infections can affect the spleen, causing splenomegaly, or an enlarged spleen. Viral illnesses can cause splenomegaly. [livestrong.com]
But, the underlying conditions that lead to splenomegaly will cause the splenomegaly symptoms. [gleneaglesglobalhospitals.com]
A length of 11 cm to 20 cm indicates splenomegaly, and a length greater than 20 cm is definitive of massive splenomegaly. [ncbi.nlm.nih.gov]
Coronal T1-weighted MR image show massive splenomegaly. Multiple low-signal-intensity lesions are seen within the spleen. [slideshare.net]
- Spleen Disease
Spleen disease NOS, Diseases of spleen, Splenic Diseases [Disease/Finding], disease splenic, disorders spleen, Disease;spleen, disorder spleen, disease spleen, spleen diseases, of spleen disease, diseases of the spleen, diseases of spleen, spleen disease [fpnotebook.com]
Highly specific and sensitive ELISA for the detection of antibodies against Big Liver and Spleen disease. The Big Liver and Spleen disease Antibody test kit measures the amount of antibodies to the Avian Hepatitis E Virus in the serum of chickens. [biochek.com]
I'm sorry you are having to deal with this. http://www.thepoultrysite.com/diseaseinfo/12/big-liver-and-spleen-disease/ [backyardchickens.com]
Marble Spleen Disease in Pheasants Marble spleen disease typically affects pheasants three to eight months of age. Pheasants that have contracted this virus exhibit depression, enlarged mottled spleens, and lung congestion. Infection leads to death. [articles.extension.org]
- Tender Spleen
Fullness in Stomach In mild acute spleen conditions and chronic problems, spleen pain and tenderness are often not present. [healthhype.com]
In HS a crisis can cause yellowing of your skin or the whites of your eyes (jaundice), anaemia and a tender spleen very quickly. They can be triggered by viral infections such as colds and flu. [patient.info]
Gastrointestinal
- Nausea
In moderate to severe cases, the symptoms include the following: Chills Fever Nausea Vomiting Malaise Chest pain Left upper quadrant pain Left shoulder pain [ 7 ] Spleen Rupture Splenic rupture is an emergency condition involving the destruction of the [ihealthblogger.com]
Common symptoms of a primary brain tumor are headaches, seizures, memory problems, personality changes, and nausea and vomiting. Causes and risk factors include age, gender, family history, and exposure to chemicals. [medicinenet.com]
Nausea, pallor, extreme nervousness, or fainting, may also characterize this condition. [news-medical.net]
Radiation (sometimes): spleen pain can radiate to the left middle back or the tip of the left shoulder blade Pain is often the only symptom of a splenic disorder but–depending on the cause–it can be accompanied by localized tenderness, early satiety, nausea [ehealthstar.com]
Abdominal pain and tenderness are common and may be accompanied by left shoulder pain, a distended abdomen and nausea. [livestrong.com]
- Abdominal Pain
In adulthood, wandering spleen most often causes abdominal pain or present as an abdominal mass that does not cause symptoms (asymptomatic). Causes The exact cause of wandering spleen is not known. [rarediseases.org]
We describe young female presenting with diffuse abdominal pain, fever and vomiting. Case presentation A previously well 4 year old female presented with sudden onset of severe central abdominal pain, vomiting and fever. [adc.bmj.com]
pain Acute pancreatitis Stomach ulcer or cancer Rare causes of upper left abdominal pain: Adrenal gland tumor Abdominal adhesions (after surgery or in endometriosis) Broken rib An injury of the long thoracic nerve Shingles (Herpes zoster) Pneumothorax–collapsed [ehealthstar.com]
When the spleen breaks open, blood pours out into the abdominal cavity, causing immense internal bleeding. This also causes severe abdominal pain. [ 8 ] A ruptured spleen can be caused by a trauma or blow in the abdomen. [ihealthblogger.com]
Abdominal pain and back pain can have other causes. If you notice these symptoms see your doctor. [healthline.com]
- Left Upper Quadrant Pain
In moderate to severe cases, the symptoms include the following: Chills Fever Nausea Vomiting Malaise Chest pain Left upper quadrant pain Left shoulder pain [ 7 ] Spleen Rupture Splenic rupture is an emergency condition involving the destruction of the [ihealthblogger.com]
The spleen is an intraperitoneal organ in the left upper quadrant and is supported by the gastrosplenic and splenorenal ligaments. [ajronline.org]
- Abdominal Bloating
[…] left abdominal pain is caused by: Abdominal bloating Trapped gas in the part of the colon near the spleen (splenic flexure syndrome) Side stitch during running (more common on the right side; disappears within minutes of rest) Hard exercise resulting [ehealthstar.com]
Abdominal bloating, distended abdomen, anorexia, and/or early satiety may also occur. Commonly, patients will present with symptoms due to the underlying illness causing splenomegaly. [ncbi.nlm.nih.gov]
- Abdominal Mass
In adulthood, wandering spleen most often causes abdominal pain or present as an abdominal mass that does not cause symptoms (asymptomatic). Causes The exact cause of wandering spleen is not known. [rarediseases.org]
Jaw & Teeth
- Bleeding Gums
These can vary from bleeding gums, petechiae (bruises) that occur spontaneously and easily on the skin, prolonged menstrual periods and heavy on the female, to bleeding, even cerebral. [bendomd.com]
As a result, Gaucher patients’ blood may not clot well, and they may experience excessive bruising, frequent nosebleeds, bleeding gums, and longer, heavier menstrual periods. 3: Low red blood cell count (anemia) Red blood cells are responsible for carrying [cerezyme.com]
Skin
- Blister
More severe cases of esetén can also lead to blistering, severe shedding of skin in the lép-betegség area and skin lesions. Fajták a psoriasis a lábak - The esetén are lép-betegség friendly and helpful. Lép-betegség was called pikkelysömör promptly. [hepoporyjuyimy.cf]
Musculoskeletal
- Left Shoulder Pain
Abdominal pain and tenderness are common and may be accompanied by left shoulder pain, a distended abdomen and nausea. [livestrong.com]
[…] body, such as the shoulders, left side of the chest, back, and umbilicus. [ihealthblogger.com]
Enlarged spleen symptoms can include: indigestion or feeling uncomfortable when eating, especially after a large meal pain and tenderness around the spleen, on the upper left side of the abdomen pain that has spread from the abdomen to the left shoulder [spineboy.com]
Neurologic
- Irritability
Hiccups because of diaphragm irritation. Pain in the upper abdomen that may radiate to the back or shoulder blade. [medicinenet.com]
Pale skin More tired than usual Fever Unusually fussy or irritable Complains of abdominal pain (usually on the left side) In an emergency call 9-1-1. The Following Situations Are Emergencies. [nationwidechildrens.org]
Stage 1: irritation of the ipsilateral parasympathetic fibers overlying the oculomotor nerve → constriction of the ipsilateral pupil Stage 2: Compression of the ipsilateral parasympathetic fibers overlying the oculomotor nerve → dilation of the ipsilateral [amboss.com]
Pain at the tip of the left shoulder on elevating the legs in the supine position: this is due to the presence of blood leaking from the spleen into the peritoneal cavity, pooling in and thereby irritating the left dome of the diaphragm when the patient [news-medical.net]
- Vertigo
If the cholesteatoma passes posteriorly through the aditus ad antrum into the mastoid itself, erosion of the tegmen mastoideum, with exposure of the dura and erosion of the lateral semicircular canal with deafness and vertigo, may result. [radiologyassistant.nl]
Vertigo. Huimaus, heidytys, pyöry, wiemistyö, V-gine afficior. Huimaun, huimerrun. Vesania Heikkomielisyys, houste. Vesica urinaria. Kusitin, kusirakko Vibex. Palko, wannet, mustelma, V. rufa. Werinaarma, werijuoni, sinelmä, sini marja. [doctrinepublishing.com]
Workup
Jaundice Itching Rashes Eczematous rash Icterus Cherry red retinal spots Cloudy corneas Dyspnea Fatigue New murmur Abdominal tenderness Enlarged liver Joint pain Poor bone growth Bone pain Poor vision Uveitis Iritis Loss of developmental milestones Workup [emedicine.medscape.com]
Generally, the workup for CD is the same that for any form of lymphadenopathy. Initial imaging is usually performed with CT, as the affected nodes or the localized mass in cases of CD demonstrate a dense homogeneous enhancement[ 22 ]. [ncbi.nlm.nih.gov]
Serum
- Thrombocytosis
[…] hereditary spherocytosis pyruvate kinase deficiency thrombotic thrombocytopenic purpura (TTP) neoplastic/proliferative/redistribution of hematopoiesis myeloproliferative neoplasms* chronic myeloid leukemia primary myelofibrosis polycythemia vera essential thrombocytosis [radiopaedia.org]
Extramedullary hematopoiesis (production of blood cells in organs outside the bone marrow, such as the spleen and liver) Thrombosis and thrombohemorrhagic complications (blood clotting or bleeding complications) Leukocytosis (too many white blood cells) Thrombocytosis [mpnresearchfoundation.org]
Treatment
Know the causes, symptoms, treatment of Wandering Spleen. View Full Article ... [epainassist.com]
Treatment for spleen disorders Treatment depends on the disorder and its specific cause. [betterhealth.vic.gov.au]
No patient discontinued treatment over the course of the 9-month study because of a treatment-emergent adverse event. [sciencedaily.com]
A splenectomy is recommended as a treatment for some conditions that cause hypersplenism and might be recommended as a treatment for others. Hypersplenism is not a disease itself, but is more of a syndrome, or a collection of symptoms. [my.clevelandclinic.org]
Prognosis
What is the Prognosis for MF? There is no single prognosis for people who suffer from myelofibrosis– the prognosis of MF is different for every patient. [mpnresearchfoundation.org]
Removal of the spleen can decrease the patient’s risk of portal hypertension and ascites, thus improving prognosis. Additionally, in the context of mast cell disease, an infiltrated organ is inflamed, which is in turn activating to mast cells. [mastattack.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]
Differential Diagnosis Malaria Lymphoma Portal hypertension Schistosomiasis Gaucher disease Thalassemia Niemann Pick disease Prognosis The prognosis for patients with splenomegaly depends on the condition causing the enlargement. [ncbi.nlm.nih.gov]
Etiology
Etiology Physiological anisocoria: idiopathic; occurs in up to 20% of individuals Size difference between pupils is typically < 1 mm Degree of anisocoria does not change in response to changes in ambient light Typically intermittent and self-limiting [amboss.com]
Etiology systemic dissemination intraperitoneal spread from a ruptured hepatic hydatid cyst 1 retrograde spread from the liver to the spleen via the hepatic portal and splenic veins in portal hypertension 2 Imaging findings are similar to those of hepatic [radiopaedia.org]
Etiology Many of the mechanisms leading to splenomegaly are exaggerated forms of normal splenic function. [emedicine.medscape.com]
Splenomegaly may be a transient condition due to acute illness or may be due to serious underlying acute or chronic pathology.[1][2][3] Etiology The most common causes of splenomegaly include: Liver disease (cirrhosis, hepatitis) Acute or chronic infection [ncbi.nlm.nih.gov]
Splenic AbscessSplenic Abscess Uncommon, but fatal Erode into adjacent structures Most are secondary in etiology Bacterial endocarditis Intrabdominal infections (pyelo-, etc) Infected splenic hematoma Infected splenic infarctions (embolizations [slideshare.net]
Epidemiology
[…] probabilities are becoming increasingly relevant to our understanding of multi-parasite epidemiology [30,31,32]. [parasitesandvectors.biomedcentral.com]
The epidemiology of malaria in the Wosera area, East Sepik Province, Papua New Guinea, in preparation for vaccine trials. I. Malariometric indices and immunity. Ann Trop Med Parasitol. 1995 Aug. 89(4):359-76. [Medline]. Pitney WR. [emedicine.medscape.com]
Epidemiology Splenomegaly is a rare condition, with an estimated prevalence of approximately 2% of the total United States population. In adults, there has been no reported predominance in prevalence based on ethnicity, gender, or age. [ncbi.nlm.nih.gov]
Pathophysiology
Pathophysiology Anatomy The spleen is the largest lymphoid organ in the body. [emedicine.medscape.com]
Pathophysiology 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, [ncbi.nlm.nih.gov]
Changes in pupil size are governed by pupillary sphincter (parasympathetic) and the pupillary dilator muscle (sympathetic) tone in response to ambient light, adrenergic and cholinergic tone, and local pharmacologic or pathophysiologic conditions. [ajnr.org]
We identified robust multi-parasite associations that were not predicted to vary much across environmental gradients, suggesting these associations represent true biological phenomena that can be used to gain deeper insights into (i) which pathophysiological [parasitesandvectors.biomedcentral.com]
Prevention
Authors' conclusions: Splenectomy, if full, will prevent further sequestration and if partial, may reduce the recurrence of acute splenic sequestration crises. [cochrane.org]
Can an enlarged spleen be prevented? An enlarged spleen is the consequence of an underlying illnesses, many of which may not be anticipated or prevented. [medicinenet.com]
Self-management and prevention If your spleen is enlarged, then you must completely avoid contact sports such as football, hockey, and soccer. Wearing a seat belt would benefit you. It prevents the damage to your spleen if you’re in a car accident. [gleneaglesglobalhospitals.com]
Prevention and Control To prevent the spread of this disease, it is important to maintain effective sanitation and biosecurity. A commercial vaccine is available. [articles.extension.org]