Notes in Chapter_34:_Spleen

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