Normal Spleen Flashcards

1
Q

what system is the spleen a part of?

A

the reticuloendothelial system

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2
Q

what is the reticuloendothelial system?

A

a network of cells found throughout the body that help filter out dead and toxic particles.

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3
Q

what are the major functions of the spleen?

A

filters blood, stores blood and platelets, blood formation in the fetus, and defense in the body

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4
Q

describe the location of the white pulp

A

white pulp is located in tiny islands throughout the spleen.

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5
Q

describe the location of the red pulp

A

the red pulp fills the remaining spaces in the lobules

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6
Q

what is the function of white pulp?

A

blood flows into the spleen and enters the white pulp. Lymphocytes recognize invading bacteria and viruses and attack them, as well as make antibodies that help stop infections.

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7
Q

what is the function of red pulp?

A

The blood also enters the red pulp and has 3 functions:
- phagocytosis
- storage of platelets
- hematopoiesis

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8
Q

where is the spleen located?

A

The left hypochondrium

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9
Q

what is the normal size of the spleen?

A

8-13cm in length
7cm in width
3-4cm in thickness

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10
Q

what supplies the spleen?

A

blood is supplied by the splenic artery that travels horizontally along the superior border of the pancreas.

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11
Q

what drains the spleen?

A

the splenic vein drains the spleen, which leaves the hilum in a horizontal direction to join the smv

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12
Q

where is the diaphragm in relationship to the spleen?

A

superior and posterior

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13
Q

where is the spleen in relationship to the pancreas and stomach?

A

the spleen is located medially to the fundus of the stomach and the tail of the pancreas.

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14
Q

where is the left kidney in relationship to the spleen?

A

the left kidney is inferior and medial to the spleen.

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15
Q

what is the sonographic appearance of the spleen?

A
  • homogenous except for the hilum where vascular structures enter and exit the spleen.
  • slightly hyperechoic to the liver
  • echogenicity increases w/ size
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16
Q

what is wandering spleen?

A

a congenital anomaly where the spleen has migrated from its normal location in the LUQ

17
Q

what is splenic agenesis or asplenia?

A

congenital anomaly where the spleen is completely absent

18
Q

what is polysplenia?

A

congenital anomaly where a patient has multiple spleens. associated with bilateral left-sidedness

19
Q

what is situs solitus?

A

the normal arrangement of asymmetrical body parts

20
Q

what is situs inversus?

A

mirror image condition; everything is switched

21
Q

what is situs ambiguous?

A

when the anatomy falls between situs solitus and situs inversus
(AKA: visceral heterotaxy)

22
Q

what is accessory spleen, splenuculus, or supernumerary spleen?

A

congenital variant where there is an extra spleen in the body.