Chapter 17- Spleen Flashcards

(44 cards)

1
Q

At what week of embryonic life does hematopoesis begin?

A

11

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2
Q

What does the spleen produce during embryonic life

A

red and white blood cells

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3
Q

What blood cells does the spleen produce after birth?

A

White blood cells

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4
Q

The spleen is considered an intraperitoneal organ. Why?

A

It’s completely covered by peritoneum except for the hilum

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5
Q

The length of the spleen varies, but about how long is it?

A

8-13 cm

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6
Q

What is the normal AP measurement of the spleen?

A

7-8 cm

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7
Q

What is the minumum length of a spleen with splenomegaly

A

13cm

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8
Q

The spleen is the largest organ in the ______ system

A

lymphatic

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9
Q

is the spleen required for life

A

no

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10
Q

The splenic vein joins the SMV to form what structure

A

Main Portal Vein

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11
Q

Where does the splenic artery come from

A

the left branch of the celiac axis

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12
Q

describe the echogenicity AND echotexture of the spleen

A

isoechoic/hypoechoic to the liver. homogeneous and smooth texture

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13
Q

The spleen is part of which body system that is responsbile for phagocytosis?

A

the reticuloendothelial system

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14
Q

The spleen has a true capsule. What does this mean

A

it is a fragile organ

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15
Q

What is phagocytosis

A

engulfing and destroying damaged and old cells and pathogens.

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16
Q

What are the 4 functions of the spleen

A

defense, hematopoiesis, blood cell and platelet distruction, blood reservor

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17
Q

when might a post-birth spleen produce red blood cells

A

in a case of severe hemolytic anemia

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18
Q

what is white pulp

A

it produces the white blood cells which ingest harmful pathogens that enter the bloodstream as an immune response

19
Q

white pulp contains Malphigian corpuscles. what do these do?

A

they perform the lymphatic functions. lymph destroys bacteria and pathogens

20
Q

Where is the white pulp located

A

it surrounds the smaller splenic arteries

21
Q

when does red pulp form

22
Q

what does red pulp do

A

destroys red blood cells through phagocytosis

23
Q

red pulp is looser and more vascular. what is it made of?

A

splenic sinuses and splenic cords

24
Q

What is a splenic sinus?

A

a long chennel that occupies the space that is not filled by white pulp

25
The spleen inspects red blood cells. why?
so it can destroy the abnormal cells.
26
to get through the splenic sinus, where must the blood pass through
the red pulp that acts as a filter for phagocytosis
27
The spleen's phagocyte cells perform phagocytosis. what are the two parts of phagocytosis
pitting and culling
28
What is pitting
the removal of nuclei from old red blood cells without damaging the cell
29
what is culling
the removal of abnormal red blood cells
30
how does the spleen act as a blood reservoir
the red pulp can store red blood cells in the sinuses. this blood can quickly be released into the circulatory system when needed.
31
what is splenomegaly
an enlarged spleen
32
what is a common cause of splenomegaly
portal hypertension due to cirrosis of the liver causing a backup of blood into the spleen
33
what is the most common cause of splenomegaly in children
viral infections
34
how do you tell longitudinal and transverse sonograms of the spleen apart?
The long is an L shape and transverse is backward L
35
what complications may occur with asplenia
it may be associated with congenital heart defect. asplenia alone does not cause complications
36
what percent of people have an accessory spleen
10%
37
what is an accessory spleen
a globe shaped mass usually found around the hilum
38
define hematocrit
percentage of red blood cells in the blood
39
define bacteremia
percentage of bacteria within the blood
40
define leukocytosis
increase in the number of leukocytes
41
define leukopenia
abnormally low number of leukocytes in the blood
42
define thrombocytopenia
an abnormal decrease in platelets
43
the spleen is posteriolateral to what organs?
body and fundus of stomach, tail of pancreas
44
the spleen lies between the stomach and what other organ
the diaphragm