Lesson 16 (Part 1) Flashcards

(34 cards)

1
Q

What quadrant is the spleen located in?

A

LUQ

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2
Q

What region would you find the spleen in?

A

Left hypochondrium

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3
Q

Is the spleen intra or retroperitoneal?

A

Intraperitoneal

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4
Q

What parts of the spleen are in contact with the diaphragm? (3)

A
  1. Superior
  2. Lateral
  3. Posterior
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5
Q

What is the inferior/medial aspect of the spleen in contact with? (4)

A
  1. Stomach
  2. Left kidney
  3. Pancreas
  4. Splenic flexure
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6
Q

Where is the spleen compared to the left kidney?

A

It is superior to it

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7
Q

Where is the spleen compared to the stomach?

A

Posterior to it

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8
Q

Where is the spleen compared to the pancreas?

A

Superior and lateral to the pancreas tail

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9
Q

What is the spleen surrounded by?

A

A fibrous capsule

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10
Q

What is the shape of the spleen?

A

Ovoid shaped

  • convex superior/laterally
  • concave inferior/medially
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11
Q

What is the contour of the spleen?

A

Smooth borders

  • superior, posterior and laterally
  • not at the hilum (medial)
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12
Q

What is the contour of the medial aspect of the spleen?

A

Has gentle indentations

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13
Q

What kind of organ is the spleen?

A

A highly vascular organ

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14
Q

What passes through the hilum of the spleen? (2)

A
  1. Splenic artery

2. Splenic vien

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15
Q

What is the spleen composed of? (2)

A
  1. White pulp

2. Red pulp

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16
Q

What is special about the splenic artery?

A

It is tortuous

17
Q

What are the ligaments of the spleen? (3)

A
  1. Splenorenal ligament
  2. Phrenicocolic ligament
  3. Gastrosplenic ligament
18
Q

When do we see the splenic arteries?

A

If patients have ascites

- not routinely seen

19
Q

What are functions of the spleen? (5)

A
  1. Defence
    - immunity
  2. Tissue repair
  3. Hematopoesis
  4. RBC and platelet destruction
  5. Blood reservoir
20
Q

What do macrophages do in the spleen?

A

Remove microorganisms from the blood

21
Q

What complete development of the blood? (2)

A
  1. Monocytes

2. Lymphocytes

22
Q

What stores blood in the spleen? (2)

A
  1. Pulp

2. Sinus

23
Q

Can a spleen be congenitally absent?

24
Q

Can a spleen be surgically removed?

25
Can you live without your spleen?
Yes
26
Why might we scan the spleen? (3)
1. If they complain of pain 2. Mono - enlarged spleen 3. Rupture/trauma - very sensitive
27
What are some questions you should ask your patient? (3)
1. If they have had any surgery - if its been removed 2. If they have experienced any trauma 3. If they have been sick
28
What is the best way to measure the spleen?
Eyeball it
29
What do you compare the spleen to when eyeballing it?
The left kidney
30
How long should the spleen be?
11-12cm
31
What is still considered normal length for the spleen?
8-13cm
32
What should the width of the spleen be?
Within 5cm
33
What should the AP be for the spleen?
Within 7cm
34
What is the size of the spleen dependant on? (3)
1. Gender 2. Age 3. Body height