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Chapter_34:_Spleen
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fillet-oklahoma-green-mirror-angel-island
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Published
07/07/2024
The splenic vein is {{c1::pos}}terior and {{c1::inf}}erior to the splenic artery
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The {{c1::spleen}} is the largest producer of Ig{{c2::M}} in the body
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The spleen is 85% {{c1::red}} pulp
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The red pulp of the spleen has a(n) {{c1::filter}} function
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The white pulp of the spleen has a(n) {{c1::immunologic}} function
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The red pulp of the spleen removes abnormalities in RBC membranes, a process known as {{c1::pitting}}
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Howell-Jolly bodies are remnants of {{c1::nuclei}} in RBCs
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Heinz bodies are remnants of {{c1::hemoglobin}} in RBCs
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The red pulp of the spleen removes less deformable RBCs, a process known as {{c1::culling}}
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An opsonin produced in the spleen that facilitates phagocytosis is {{c1::tuftsin}}
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A protein produced in the spleen that activates the alternate complement pathway is {{c1::properdin}}
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20% of people have an accessory spleen, which is most commonly found at the {{c1::splenic hilum}}
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Splenectomy is more likely to be performed in {{c1::idiopathic}} thrombocytopenic purpura
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Idiopathic thrombocytopenic purpura (ITP) is caused by anti-{{c1::platelet}} antibodies (IgG)
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If ITP fails to respond to steroids, the next best treatment is {{c1::IVIG (gammaglobulin)}}
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ITP in children usually resolves so {{c1::splenectomy}} should be avoided
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After the splenic artery is ligated, the patient should be given {{c1::platelets}}
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Thrombotic thrombocytopenic purpura (TTP) is caused by a loss of platelet inhibition, typically via inactivation of {{c1::ADAMTS13}}
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The primary treatment for TTP is {{c1::plasmapheresis}}
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Death from TTP is most commonly due to {{c2::intracerebral hemorrhage}} or {{c1::acute renal failure}}
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The most common organism that causes post-splenectomy sepsis syndrome (PSSS) is {{c1::Streptococcus pneumoniae}}
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Post-splenectomy sepsis syndrome (PSSS) occurs most in patients with splenectomy due to {{c2::hemolytic disorders}} or {{c1::malignancy}}
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Splenectomy in children is typically deferred until age {{c2::5}} to allow for full {{c1::immunization}}
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Vaccines to encapsulated organisms are typically given {{c1::14}} days {{c2::before::before or after}} {{c3::elective}} splenectomy
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Vaccines to encapsulated organisms are typically given {{c1::14}} days {{c2::after::before or after}} {{c3::emergent}} s…
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Definition of hypersplenism{{c1:::)}}
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The most common congenital hemolytic anemia requiring splenectomy is {{c1::hereditary spherocytosis}}
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The treatment for hereditary spherocytosis is splenectomy and {{c1::cholecystectomy}}
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A disease with a similar pathology to hereditary spherocytosis but is less common is {{c1::hereditary elliptocytosis}}
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The most common congenital hemolytic anemia NOT involving a membrane protein defect that requires splenectomy is {{c1::pyruvate kinase defic…
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Is splenectomy typically required for G6PD deficiency?{{c1::No}}
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Warm-antibody type immune hemolytic anemia is {{c1::more}} common than cold-antibody type
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Is splenectomy indicated for sickle cell disease?{{c1::No}}
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Is splenectomy indicated for beta thalassemia major?{{c1::Yes (if splenomegaly)}}
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Most patients with beta thalassemia major die in their teens secondary to {{c1::hemosiderosis}}
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1 area or 2 contiguous areas on the same side of the diaphragm is Hodgkin's disease stage {{c1::1}}
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2 non-contiguous areas on the same side of the diaphragm is Hodgkin's disease stage {{c1::2}}
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Disease involving both sides of the diaphgram is Hodgkin's disease stage {{c1::3}}
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Disease with liver, bone, lung, or any non-lymphoid tissue involvement is Hodgkin's disease stage {{c1::4}}
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The workup for lymphoma involves:1) {{c1::core needle}} biopsy of lymph node2) {{c2::bone marrow}} biopsy3) {{c3::gallium MRI/PET scan}} of liver and …
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The most common cause of chylous ascites is {{c1::lymphoma}}
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Does Hodgkin's or non-Hodgkin's lymphoma have a better prognosis?{{c1::Hodgkin's}}
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Does hairy cell leukemia require splenectomy?{{c1::Rarely}}
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Spleen tissue breaking off the main organ and implanting at another site is known as {{c1::splenosis}}
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The most common spleen tumor is {{c1::hemangioma}}
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The most common malignant spleen tumor is {{c1::non-Hodgkin's lymphoma}}
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The most common cause of splenomegaly is {{c1::non-Hodgkin's lymphoma}}
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The most common malignant non-blood cell splenic tumor is {{c1::angiosarcoma}}
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Splenic cysts are treated with surgery if they are symptomatic or greater than {{c1::10}} cm in size
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Sarcoidosis of the spleen causes anemia and thrombocytopenia and is treated with {{c1::splenectomy}} if symptomatic
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The treatment for Felty's syndrome is {{c1::methotrexate}}
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Splenic abscesses are most commonly caused by Streptococcus species and are treated with {{c1::splenectomy}}
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Echinococcus usually causes cysts in the liver, but can also cause cysts in the {{c1::spleen}}
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Dermoid cysts of the spleen are treated with {{c1::splenectomy}}
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Pancreatitis occurs {{c1::before}} splenic vein/artery thrombosis(before or after)
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Post-splenectomy changes:RBCs: {{c1::increase}}WBCs: {{c1::increase}}Platelets: {{c1::increase}}(increase or decrease)
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The treatment for platelets greater than 1,000,000 after splenectomy is {{c1::aspirin}}
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Indications for surgical treatment of splenic artery aneurysm is when it is larger than {{c1::2}} cm in diameter
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Abnormal basophilic granules of iron found within RBCs are known as {{c1::Pappenheimer bodies}}
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{{c2::Splenic vein thrombosis}} without fundal variceal bleeding is treating with {{c1::heparin}}
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Overwhelming Post Splenectomy Infections (OPSI) are more common in patients with underlying {{c1::hematologic}} diseases
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