...
Is there jaundice? Hepatomegaly with jaundice may make one think of hemolytic anemias; toxic or infectious hepatitis; bile duct obstruction due to stones, carcinoma of the ... DIAGNOSTIC WORKUP
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
Is there fever? The presence of fever should suggest infectious mononucleosis, infectious hepatitis, leptospirosis, acute leukemia, lymphoma, malaria, ... DIAGNOSTIC WORKUP
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
Is it massive? Massive splenomegaly is characteristic of Gaucher's disease, chronic myeloid leukemia, kala azar, and agnogenic myeloid metaplasia.
Is there ... DIAGNOSTIC WORKUP
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
Hepatomegaly, or enlargement of the liver, usually refers to a liver span of larger than 12 cm at the right midclavicular line or a palpable left lobe in the epigastrium. However, liver size on physical exam is only an approximation and... Differential Diagnosis ... Workup and Diagnosis ... Treatment
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
The spleen is the largest lymphatic organ of the body. Splenomegaly, or enlargement of the spleen, occurs when the spleen exceeds 12 cm in length, 7 cm in width, or 150 g in mass. Although a... Differential Diagnosis ... Workup and Diagnosis ... Treatment
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
Many disease processes, including malignancies, infections, and bowel obstruction, present with abdominal masses. The most serious and dramatic etiology is an abdominal aortic aneurysm, which is... Differential Diagnosis ... Workup and Diagnosis ... Treatment
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
Hepatomegaly represents the clinical appearance of liver enlargement and can occur via five mechanisms, including inflammation, excessive storage, infiltration, congestion, and obstruction. The presence of a palpable liver does not... Differential Diagnosis ... Workup and Diagnosis ... Treatment
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
The spleen is the largest lymphoid organ in the body. One of its primary functions is to filter defective and/or foreign cells. Splenomegaly is usually caused by systemic disease and not by... Differential Diagnosis ... Workup and Diagnosis ... Treatment
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
Abdominal masses are common presenting signs of malignant solid tumors in children and should be presumed to be such. They require urgent evaluation to rule out compression of internal organs, hemorrhage, and/or malignancy.... Differential Diagnosis ... Workup and Diagnosis ... Treatment
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Two key words to think of here are histology and obstruction. The analysis of the differential diagnosis of hepatomegaly is best begun with a histologic breakdown
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... The patient is lying on the table and has a palpable mass in the LUQ. The mass has a hard, smooth surface with a notch on the edge and descends on inspiration. The patient has an enlarged spleen.
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... As the physician examines the abdomen, how can he or she recall all of the causes of a mass or swelling? The physician should consider the possibilities for the mass’s composition. It
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Commonly detected on routine physical examination, an abdominal mass is a localized swelling in one abdominal quadrant. Typically, this sign develops insidiously and may represent an enlarged... Emergency interventions ... History and physical examination ... Medical causes ... Special considerations ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Hepatomegaly, an enlarged liver, indicates potentially reversible primary or secondary liver disease This sign may stem from diverse pathophysiologic mechanisms, including dilated hepatic... History and physical examination ... Medical causes ... Special considerations ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Because it occurs with various disorders and in up to 5% of normal adults, splenomegaly — an enlarged spleen — isn’t a diagnostic sign by itself. Usually, however, it points to infection, trauma, or a hepatic,... Emergency interventions ... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Palpable Liver without Hepatic Pathology
Normal variant
Thin or flaccid abdominal wall
Depressed right
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Infection
Bacterial
Viral
Rickettsial
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Commonly detected on routine physical examination, an abdominal mass is a localized swelling in one abdominal quadrant. Typically, this sign develops insidiously and may... Emergency interventions ... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Hepatomegaly, an enlarged liver, indicates potentially reversible primary or secondary liver disease. This sign may stem from diverse pathophysiologic mechanisms, including dilated hepatic sinusoids (in heart failure),... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Because it occurs with various disorders and in up to 5% of normal adults, splenomegaly—an enlarged spleen—isn’t a diagnostic sign by itself. Usually, however, it points to... Emergency interventions ... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
Hepatomegaly
(The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter)
READ MEDICAL BOOK EXCERPTS ONLINE (free access, no registration)
... Darryl G. White and Bruce A. Leibert
Approach Hepatomegaly is a physical sign noted on abdominal examination that is present in hepatobiliary disease but is not specific or sensitive to one cause.... History ... Physical examination ... Testing ... Diagnostic assessment ... Summary ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
Splenomegaly
(The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter)
READ MEDICAL BOOK EXCERPTS ONLINE (free access, no registration)
... Audrey Paulman
The spleen is an encapsulated reticuloendothelial organ in the left upper quadrant of the abdomen with two basic functions: (a) the white pulp... Approach ... History ... Physical examination ... Testing ... Diagnostic assessment
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Differential Overview
❑ Acute hepatitis
❑ Chronic hepatitis
❑ Cirrhosis
&... Diagnostic Approach ... Clinical Findings ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Differential Overview
Abdominal Mass
❑ Liver enlargement
❑ Spleen enlargement
❑ Fecal mass ... Diagnostic Approach ... Clinical Findings
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Differential Overview
Infection
❑ Infectious mononucleosis
❑ Viral hepatitis ... Diagnostic Approach ... Clinical Findings ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
Splenomegaly
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
READ MEDICAL BOOK EXCERPTS ONLINE (free access, no registration)
... Because it occurs with various disorders and in up to 5% of normal adults, splenomegaly — an enlarged spleen — isn’t a diagnostic sign by itself. Usually,... Assessment ... History ... Physical examination ... Pediatric pointers ... Medical causes ... Nursing considerations ... Patient teaching ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Commonly detected on routine physical examination, an abdominal mass is a localized swelling in one abdominal quadrant. Typically, this sign develops insidiously and may represent an enlarged organ, a... Emergency Actions ... History ... Physical assessment ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Hepatomegaly (an enlarged liver) indicates potentially reversible primary or secondary liver disease. This sign may stem from diverse pathophysiologic mechanisms, including dilated hepatic sinusoids (in heart failure... History ... Physical assessment ... Medical causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Because it occurs with various disorders and in up to 5% of normal adults, splenomegaly — an enlarged spleen — isn’t a diagnostic sign by itself. Usually, however, it points to infection,... Emergency Actions ... History ... Physical assessment ... Medical causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
Hepatomegaly
(The Diagnostic Approach to Symptoms and Signs in Pediatrics)
READ MEDICAL BOOK EXCERPTS ONLINE (free access, no registration)
... Liver sizemay be estimated by degree of extension of liver edge below costalmargin or by span of liver dullness to percussion. In children liver edge may be normallypalpable... Principal Causes of Hepatomegaly ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
Splenomegaly
(The Diagnostic Approach to Symptoms and Signs in Pediatrics)
READ MEDICAL BOOK EXCERPTS ONLINE (free access, no registration)
... Normal spleenmay be palpable 1–2 cm below left costal margin in infantsand children. Pathologically enlarged spleen oftenhas abnormal surface or consistency and is generally associatedwith other... Principal Causes of Splenomegaly ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...Although vomiting, abdominal pain, GI bleeding,hematuria, and fever accompany some types of abdominal mass lesions,other types occur without any associated signs and symptoms. Thus,it is especially important to... Principal Causes of Abdominal Masses ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Commonly detected on routine physical examination, an abdominal mass is a localized swelling in one abdominal quadrant. Typically, this sign develops insidiously and may represent an enlarged organ, a neoplasm, an abscess, a ... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Hepatomegaly, an enlarged liver, indicates potentially reversible primary or secondary liver disease. This sign may stem from diverse pathophysiologic mechanisms, including dilated... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Because it occurs with various disorders and in up to 5% of normal adults, splenomegaly—an enlarged spleen—isn't a diagnostic sign by itself. Usually, however, it points to infection, trauma,... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
Two key words to think of here are histology and
obstruction. The analysis of the differential diagnosis of hepatomegaly is
best begun with a histologic... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
As the physician examines the abdomen, how can he or she recall all of
the causes of a mass or swelling? The physician should consider the
possibilities for the mass’s composition. It may be air, in... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
The patient is lying on the table and has a palpable mass in the left
upper quadrant. The mass has a hard, smooth surface with a notch on the edge
and descends on inspiration. The... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Matthew J. Ryan, MD Splenomegaly - BASICS Splenomegaly - description A palpable spleen is found in most premature infants and in 30% of term ... Splenomegaly - DIAGNOSIS ... Splenomegaly - FOLLOW UP ... Splenomegaly - bibliography ... Splenomegaly - CODES ... Splenomegaly - FAQ
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
