miscellaneous

Question 1

What signs can indicate hyposplenism?

Answer 1

• history of splenectomy
• sickle cell disease
• coeliac disease (also common in IgA deficiency).

Question 2

How can we Ix for hyposplenism?

Answer 2

FBC: thrombocytosis, Howell-Jolly bodies.

Abdominal ultrasound: absence of or small spleen.