Pre PACES Podcast #82 Splenomegaly
4 snips
Mar 3, 2024 Dr. Suzy Morton, a Consultant Haematologist, shares her expertise on the complexities of splenomegaly. She explains the challenges in diagnosing this condition and outlines its various causes, from lymphoid to infective. Symptoms like early satiety and infarction pain are discussed, along with examination tips for bedside clues. Dr. Morton also emphasizes the importance of history and appropriate imaging, revealing how massive splenomegaly can signal critical conditions. A must-listen for anyone keen on mastering this intricate topic!
AI Snips
Chapters
Transcript
Episode notes
Functional Categories Explain Causes
- The spleen enlarges mainly from lymphoid proliferation, extramedullary hematopoiesis, congestion, or infiltration.
- Identifying the mechanism helps prioritise likely causes and directs examination and tests.
Ask For Red-Flag Symptoms
- Most splenomegaly is asymptomatic; ask about early satiety and left upper quadrant pain which suggest large or rapidly enlarging spleens.
- Always seek systemic symptoms (fevers, weight loss, night sweats) that point toward haematological malignancy or infection.
Palpate From Low And Use Respiratory Movement
- Start palpation low (right iliac fossa) and use finger-tips while the patient breathes in to feel the spleen move onto your hand.
- Roll or alter position and probe around the left flank if you suspect but don't initially feel it.