Lesson 5A (Part 4)

Question 1

What is the most common cause of splenic cysts in endemic areas of the world?

Answer 1

Hydatid cyst

Question 2

What kind of disease is hydatid cyst?

Answer 2

Echinococcal disease

Question 3

What is the appearance of a hydatid cyst? (3)

Answer 3

1. Complex with multiple septations
2. Daughter cysts
3. Waterlily sign

Question 4

What are the most common causes of splenic abscesses? (4)

Answer 4

1. Endocarditis
2. Septicemia
3. Trauma
4. Candidiasis

Question 5

What indicates an infectious disease?

Answer 5

Presence of gas within the cyst

Question 6

What is the treatment for splenic abscesses?

Answer 6

Percutaneous drainage

Question 7

What are symptoms of a splenic abscess? (4)

Answer 7

1. Leukemia
2. Fever
3. Splenomegaly
4. Multiple focal lesions

Question 8

Granulomatous spleen

Answer 8

Appears as one to several small echogenic shadowing calcifications throughout splenic parenchyma

Question 9

What kind of patient history do patients with granulomatous spleen have?

Answer 9

Sarcoidosis

Question 10

What is the 3rd most common abdominal aneurysm?

Answer 10

Splenic artery aneurysm

Question 11

What are risk factors for Splenic artery aneurysm? (3)

Answer 11

1. Pregnancy
2. Smoking
3. Hypertension

Question 12

Sickle cell disease

Answer 12

Is a common inherited blood disorder such as anemia that affects the red blood cells hemoglobin and almost always affects the spleen

Question 13

What are complications with Sickle cell disease? (5)

Answer 13

1. Autosplenectomy
2. Acute sequestration
3. Hypersplenism
4. Massive infarction
5. Abscess

Question 14

Autosplenectomy

Answer 14

Becomes shrunken and nonfunctional

Question 15

Acute sequestration

Answer 15

Obstruction of sinusoids

Question 16

Gaucher’s disease

Answer 16

Rare inherited disorder that causes too much
glucercerebroside build up
in the spleen, liver, lungs and bones

Question 17

What does Gaucher’s disease always cause?

Answer 17

Splenomegaly

Question 18

How does Gaucher’s disease appear? (4)

Answer 18

1. Multiple splenic nodules
2. Variable echogenicity
3. Fibrosis
4. Infarction

Question 19

What does portal hypertension cause?

Answer 19

Splenomegaly

Question 20

What do patients with portal hypertension present with? (2)

Answer 20

1. Liver disease

2. Portal venous collaterals