Spleen Abd Wall review Flashcards
ligament between the spleen and kidney that helps support the greater curvature of the stomach
splenoral ligament
ligament between the spleen and the splenic flexure of the colon
phrenicocolic ligament
spleen that has migrated from its normal space in the LUQ
wandering spleen
chronic condition of unknown origin involving bone marrow elements: charaterized by an increase in red blood cells and hemoglobin concentration
polycythemia vera
spleen is part of what system
reticuloendothelia
patients with a right side heart failure and elevated systemic venous pressure may develope
marked dilation of the intrahepatic veins
the normal sonographic texture of the spleen is
isoechoic but more echogenic than the liver
the spleen is
the center for hematopoietic activity
all of the following are functions of the spleen EXCEPT
metabolism for carbs and fats
when accessory spleens are present, they usually are located
near the splenic hilum
the major focal defects in the spleen may be caused by all of the following EXCEPT
an accessory spleen
the most common benign neoplasm’s in the spleen include all of the following EXCEPT
hemangiosarcoma’s
primary tumors that may metastasize to the spleen include all of the following EXCEPT
brain
with splenomegaly the left kidney may be displaced
anteriorly
other areas that should be examined when ruling out a splenic rupture include all of the following EXCEPT
pericardium
what sonographic signs are present in the spleen of a patient with histoplasmosis
calcification in the spleen
the major function of the adult spleen
to fight infectoin
in the adult, splenomegaly is diagnosed when the length of the spleen exceeds
13 cm
a _________hematoma of the spleen, the spleen capsule remains intact
subcapsular
which lobe of the liver is a lesser sac structure
caudate lobe
inflammatory or malignant ascites present with all of the following characteristics EXCEPT
anechoic patterns around the bowel and smooth borders
differential diagnoses of a lesser-sac abcess should include all of the follwing EXCEPT
pancreatic carcinoma
which of the following statements is false A. subphrenic abcess collections may be easily differentiated from ascites B. perinephric abcess is usually the result of a perforated renal abcess that leaks purulent material into the tissues adjacent to the kidney C. a renal carbuncle is an abcess that forms inside the renal praenchyma D. the poresence of a right subhepatic abcess generally implies previous contamination of the right subhepatic space
A. subphrenic abcess collections may be easily differentiated from ascites
what hangs over the intestines like an apron
the greater omentum
a cystic mass between the umbilicus and the bladder is termed a
urachal cyst
an extrahepatic loculated collection of bile that may develop due to trauman or spontaneous rupture of the billiary tree
biloma
space anterior to the right kidney and posterior to the inferior border of the liver where ascites may accumulate or an abcess my develop
morrisons pouch
most dependent areas in the flanks of the abdomen and pelvis where fluid collections may accumulate
gutters
a urinoma is most likely to develop in which of the following regions
perinephric space
a smooth membrane that lines the entire abdominal cavity and is reflected over the contained organs is the
peritoneum
a spread of infection from it initial site to teh blood stream defines
sepsis
a lymphocele may be defined as
lymph-filled spaces without a distinct epitheial lining
the general peritoneal cavity is known as the ______sac of the peritoneum
greater
a caivty formed by necrosis within solid tissue or a circumscribed collection of purulent material is a
abcess
a complex cyst that results from the parasitic infestation of the spleen by a tapeworm is the
echinococcus cyst
a 25 yr old female presents to the US dept for a complete abdominal. She complains of RLQ pain and nausea. The RUQ abdomen appears normal. A small mass is noted in teh area of the splenic hilum. What does this mass most likely represent?
accessory spleen
a 48 yr old male with history of severe sudden onset LUQ pain with trauma presents to the US dept for an ultrasound of the spleen. You visualize a wedge-shaped, hypoechoic area within the spleen. This most likely represents a
splenic infarct
a 35 yr old male presents to the US dept for an abdominal ultrasound with a history of abd pain and histoplasmosis. what are you more likely to identify within the spleen
calcifications with in the spleen
typically a hematoma appears: A. hyperechoic B. hypoechoic C. complex D. all of any depending on its age
D. all or any depending on its age
inflammatoin of the peritoneum is termed
peritonitis
below the diaphragm
subphrenic
ascites is defined as accumulation of the fluid in the
peritoneal cavity
the visceral peritoneum refers to the surface that is in contact with the
abdominal organs
when longitudinal scans of the spleen are performed with a subcostal approach the patient is asked to take in a deep breath. This technique displaces the spleen
inferiorly
all of the following are clinical findings of a splenic trauma EXCEPT
lower extremity edema
the primary malignant tumor of the spleen is a
angiosarcoma
what is the most common cause of splenomegaly
portal hypertension
massive splenomegaly can lead to spontaneous rupture of the spleen
true
