What symptom is simple splenomegaly
summary
In life, there are many friends will appear simple splenomegaly, must be treated in time. Splenomegaly mainly depends on palpation. If the diagnosis can not be made by palpation, percussion can be used to check whether the boundary of splenic dullness is enlarged. The normal splenic voiced boundary is between the 9th and 11th ribs of the left axillary midline, 4-7 cm wide, and the front does not exceed the axillary front. If necessary, ultrasonography, X-ray and CT can be used to determine the size and shape of spleen. When splenomegaly is found by palpation, attention should be paid to the degree and quality of splenomegaly, as well as other accompanying signs. Let's share some experience.
What symptom is simple splenomegaly
The first is mild splenomegaly, which is defined as mild splenomegaly when the inferior edge of the spleen is 2-3cm below the costal edge during deep inspiration. It can be seen in some viral infection, bacterial infection, Rickettsia infection, early schistosomiasis, congestive heart failure, cirrhosis, portal hypertension, Hodgkin's disease, juvenile rheumatoid arthritis, systemic lupus erythematosus, tropical eosinophilia, idiopathic thrombocytopenic Pura, etc.
Second: moderate splenomegaly: the inferior margin is 3cm below the costal margin to the umbilicus. It can be seen in acute myeloid leukemia, acute lymphocytic leukemia, chronic hemolytic anemia, infectious mononucleosis, vitamin D deficiency, splenic amyloidosis, malignant lymphoma, Niemann Pick disease, etc.
Third: extreme splenomegaly: the lower edge beyond the umbilical level below the extreme splenomegaly or splenomegaly. It can be seen in chronic myeloid leukemia, chronic malaria, advanced schistosomiasis, maculopathy, bone marrow fibrosis, polycythemia vera, thalassemia, Gaucher's disease, etc.
matters needing attention
Splenomegaly may be caused by different etiology. Generally, splenomegaly caused by acute infection is soft; splenomegaly caused by chronic infection, leukemic cell and tumor cell infiltration is hard with uneven surface; splenomegaly caused by cirrhosis is medium hard; splenomegaly caused by congestion varies with congestion degree and congestion time, short time, light congestion, soft quality, long time or heavy congestion, hard quality, but generally full. Cystic swelling with cystic sensation and uneven surface. It must be pointed out that the degree and quality of splenomegaly are different not only because of different diseases, but also because of different course of disease, treatment conditions and individual responsiveness.
