Splenomegaly physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
===Abdomen=== | ===Abdomen=== | ||
In young patients, splenomegaly can be assessed by turning the patient on the right side in order to have the | |||
spleen falling downwards. In this position, the spleen should not be palpable under normal conditions. A palpable | |||
spleen indicates that its size is increased by at least two-fold. In adolescent and adult patients, mild splenomegaly may only be detected by abdominal imaging such as ultrasound.<ref name="Patterson-2012">{{Cite journal | last1 = Patterson | first1 = MC. | last2 = Hendriksz | first2 = CJ. | last3 = Walterfang | first3 = M. | last4 = Sedel | first4 = F. | last5 = Vanier | first5 = MT. | last6 = Wijburg | first6 = F. | last7 = Baumgartner | first7 = M. | last8 = Bembi | first8 = B. | last9 = Bonnot | first9 = C. | title = Recommendations for the diagnosis and management of Niemann-Pick disease type C: an update. | journal = Mol Genet Metab | volume = 106 | issue = 3 | pages = 330-44 | month = Jul | year = 2012 | doi = 10.1016/j.ymgme.2012.03.012 | PMID = 22572546 }}</ref> | |||
* Palpable left upper quadrant [[abdominal mass]] | * Palpable left upper quadrant [[abdominal mass]] | ||
* Splenic rub | * Splenic rub | ||
Revision as of 16:36, 23 October 2013
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Physical Examination
Abdomen
In young patients, splenomegaly can be assessed by turning the patient on the right side in order to have the spleen falling downwards. In this position, the spleen should not be palpable under normal conditions. A palpable spleen indicates that its size is increased by at least two-fold. In adolescent and adult patients, mild splenomegaly may only be detected by abdominal imaging such as ultrasound.[1]
- Palpable left upper quadrant abdominal mass
- Splenic rub
- Castell's sign[2]
References
- ↑ Patterson, MC.; Hendriksz, CJ.; Walterfang, M.; Sedel, F.; Vanier, MT.; Wijburg, F.; Baumgartner, M.; Bembi, B.; Bonnot, C. (2012). "Recommendations for the diagnosis and management of Niemann-Pick disease type C: an update". Mol Genet Metab. 106 (3): 330–44. doi:10.1016/j.ymgme.2012.03.012. PMID 22572546. Unknown parameter
|month=ignored (help) - ↑ Grover SA, Barkun AN, Sackett DL (1993). "The rational clinical examination. Does this patient have splenomegaly?". JAMA. 270 (18): 2218–21. PMID 8411607. Ovid full text