Describtion.
There is mass on left upper quandrat or left hypocondrium.
It is firm and non tender.
It ovule in shape, well define edge and smooth surface. there is a notch felt on the medial border of the mass. The size is 10 cm.
The mass decends inferiomedially with respiration.
i cannot get above it but can get below it. Not bellotable, non pursatile.
dull on percussion,trob space is dull and no bruit.
so my inference is spellenomegally.
Causes of splenomegally: (CHINA)
- Congestion- portal hypertension, congestive heart failure
- Hemolytic anaemia - thalessemia and hereditary spherocytosis
- Infection :- bacteria (thypoid, typhus, infective endocarditis), Viral (CMV, Infective mononucleosis), paracitic (malaria), fungal
- Neoplasia (myelo/lymphoproliferative disorder)
- Autoimmune - Connective tissue disease.
Causes of splenomegally
- cirhhosis with portal hypertenion
- infection: infective mononucleosis, acute viral hepatitis
- hematological disorder : lymp/myeloproliferative disease
- connective tissue disease :SLE
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