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Spleenic Enlargement Splenomegaly Assignment Help: How to Answer This Question

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This question relates to spleenic enlargement splenomegaly and requires a structured academic response.

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Original Question

Spleenic enlargement, Splenomegaly, can be detected by several techniques. Which of the following is NOT a test for spenomegaly? Splenic percussion sign (Castell sign) is elicited by percussing the lowest intercostal interspace in the left anterior axillary line. This area is usually tympanitic. Then ask the patient to take a deep breath to let the air-filled lungs and diaphragm push the spleen and percuss again. When spleen size is normal, the percussion note usually remains tympanitic despite this downward displacement by the diaphragm. A change in percussion note from tympany to dullness on inspiration is a positive splenic percussion sign, but this sign is only moderately useful for detecting splenomegaly. Auscultate the left upper quadrant listening carefully for a splenic flow murmur. The high blood flow to the spleen will typically produce an audible and distinct sound. Becoming familiar with the normal splenic flow murmur will enable you to identify the more pronounce sound auscultated in the presence of splenomegaly. Percuss the left lower anterior chest wall roughly from the border of cardiac dullness at the sixth rib to the anterior axillary line and down to the costal margin, an area termed Traube (semilunar) space. As you percuss you should note tympany. If tympany is prominent, especially laterally, splenomegaly is unlikely. If percussion dullness is present, palpation correctly detects splenomegaly more than 80% of the time Palpate for the sp

 
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