Epistemis

Splenomegaly

Specialty: Hematology.

  • large spleen
  • fullness in left hypochondrium

Why it occurs

  • Infections (mononucleosis, malaria)
  • Hepatopathy with portal hypertension
  • Hematological neoplasms
  • Hemolysis

Initial workup

CBC with smear, abdominal ultrasound; serologies/liver function.

red flags

Splenomegaly with constitutional syndrome, lymphadenopathy or cytopenia.

Standard management

  • Treat the cause — according to etiology

Educational guidance for study. It is NOT a prescription recommendation. The actual choice depends on the cause, the patient, and current guidelines.

PreviousPainful erythropathy due to cold Raynaud-like agglutinin
Area
Hematology
Listed causes
4
Treatment options
1
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