Ruptured Spleen: Difference between revisions
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== Characteristics/Clinical Presentation == | == Characteristics/Clinical Presentation == | ||
(Mayo Clinic) Signs and symptoms of a ruptured spleen include: <br>• Pain (usually severe but not always) in the upper left portion of the stomach (abdomen) or under rib cage<br>• Tenderness when you touch the upper left portion of the stomach (abdomen) <br>• Left shoulder pain-Kehr’s Sign | |||
<u>'''Kehr's sign'''</u> (Hans Kehr (1862–1913), German surgeon] pain in the left shoulder caused by irritation of the undersurface of the diaphragm by blood leaking from a ruptured spleen. The pain impulses are referred along the phrenic nerve supplying the diaphragm C3-C5 nerve distribution. | |||
<br>Internal bleeding due to a ruptured spleen can cause blood pressure to drop (hypotension). This can cause: (webmd)<br>• Blurred vision<br>• Confusion<br>• Light-headedness<br>• Fainting<br>• Signs of shock, including restlessness, anxiety, and paleness | |||
<br>It is strongly advised to seek immediate medical care if an injury is sustained coupled with pain in the left upper stomach (abdomen) region along with any of the above listed signs and symptoms. If severe injuries are untreated a ruptured spleen can be fatal.<br> | |||
== Associated Co-morbidities == | == Associated Co-morbidities == |
Revision as of 17:02, 3 April 2012
Original Editors - Nick Hansen & Ren Peterson from Bellarmine University's Pathophysiology of Complex Patient Problems project.
Lead Editors - Your name will be added here if you are a lead editor on this page. Read more.
Definition/Description[edit | edit source]
The spleen is an organ of the lymphatic system located on the left side of your stomach (abdomen) under the rib cage and diaphragm in a region that is referred to as the left upper quadrant. In humans the spleen is about the size of a fist and its primary roles are filtering the body’s blood and helps to fight infection. It also serves a role in storing and releasing certain types of immune cells that mediate tissue inflammation (encyclopedia brittanica)
Rupturing a spleen describes an emergency situation in which your spleen has developed a break in its surface. This is serious condition that can occur during a direct blow or trauma and without emergency treatment a ruptured spleen can cause life threatening internal bleeding. (mayo clinic)
Prevalence[edit | edit source]
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Characteristics/Clinical Presentation[edit | edit source]
(Mayo Clinic) Signs and symptoms of a ruptured spleen include:
• Pain (usually severe but not always) in the upper left portion of the stomach (abdomen) or under rib cage
• Tenderness when you touch the upper left portion of the stomach (abdomen)
• Left shoulder pain-Kehr’s Sign
Kehr's sign (Hans Kehr (1862–1913), German surgeon] pain in the left shoulder caused by irritation of the undersurface of the diaphragm by blood leaking from a ruptured spleen. The pain impulses are referred along the phrenic nerve supplying the diaphragm C3-C5 nerve distribution.
Internal bleeding due to a ruptured spleen can cause blood pressure to drop (hypotension). This can cause: (webmd)
• Blurred vision
• Confusion
• Light-headedness
• Fainting
• Signs of shock, including restlessness, anxiety, and paleness
It is strongly advised to seek immediate medical care if an injury is sustained coupled with pain in the left upper stomach (abdomen) region along with any of the above listed signs and symptoms. If severe injuries are untreated a ruptured spleen can be fatal.
Associated Co-morbidities[edit | edit source]
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Medications[edit | edit source]
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Diagnostic Tests/Lab Tests/Lab Values[edit | edit source]
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Etiology/Causes[edit | edit source]
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Systemic Involvement[edit | edit source]
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Medical Management (current best evidence)[edit | edit source]
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Physical Therapy Management (current best evidence)[edit | edit source]
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Alternative/Holistic Management (current best evidence)[edit | edit source]
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Differential Diagnosis[edit | edit source]
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References[edit | edit source]
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