Spleen Flashcards
1
Q
Tx for wandering spleen?
A
Splenopexy
If spleen is infarcted, splenectomy
2
Q
On peripheral smear you see Howell Jolly bodies; what does this mean?
A
Complete asplenia
Absence of Howell Jolly bodies means there is still some residual splenic tissue present
3
Q
Cause of splenic abscesses?
A
70% due to hematogenous spread
Mostly from infective endocarditis
4
Q
Splenic abscesses tend to be poly or unimicrobial?
A
Mostly poly; staph, strept, mycobacterial
5
Q
What booster is given every 5 years after splenectomy to prevent OPSI?
A
Pneumovax (23)
6
Q
Accessory spleen:
A
Seen in 10% of pop
Usually in hilum or tail or pancreas
Tc-99 scintigraphy is test to identify accessory splenic tissue
