Spleen - Kawamura Flashcards

1
Q

Is the spleen intraperitoneal or retroperitoneal?

A

Retroperitoneal

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2
Q

What ligaments support and stabilize the spleen?

A

Lienorenal, gastrosplenic, and phrenicolic ligaments

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3
Q

What is considered an enlarged spleen?

A

13 cm

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4
Q

What artery does the splenic artery branch off from?

A

Celiac axis

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5
Q

What does an accessory spleen look like on US? Location?

A

Small round mass separated from the spleen usually in the splenic hilum region.
Isoechoic to spleen

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6
Q

You’re having difficulty finding the spleen in the LUQ. You find a structure that looks like in in the LLQ. What is the most likely explanation for this finding?

A

Wandering spleen

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7
Q

A wandering spleen is at an increased risk for ____ and ____

A

torsion; infarction

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8
Q

Red pulp is responsible for erythropoiesis throughout our lives. T/F?

A

False – only in utero. Bone marrow takes over after birth.

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9
Q

Leukocytosis is a typical response to bacterial infection. T/F?

A

True

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10
Q

What is leukopenia?

A

Decreased WBC count

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11
Q

Leukopenia is frequently a side effect of chemotherapy. T/F?

A

True

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12
Q

What is the normal echogenicity of the spleen compared to the liver?

A

Isoechoic or hyperechoic to the liver

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13
Q

What is the most common sonographically visualized abnormality of the spleen?

A

Splenomegaly

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14
Q

What is the most common cause for splenomegaly?

A

Portal hypertension

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15
Q

While scanning the spleen, you notice multiple enlarged tortuous vessels in the splenic hilum. Color Doppler confirms they’re vascular in nature. Dilated vessels are also seen within the splenic parenchyma. What is the most likely cause?

A

Portal hypertension with collateral varices

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16
Q

What is the splenic echogenicity when splenomegaly occurs?

A

Variable echogenicity, doesn’t correlate with cause for enlargement

17
Q

Splenomegaly is included as a focal lesion of the spleen. T/F?

A

False

18
Q

A patient with sickle cell disease presents for an ABD US complaining of LUQ pain. You see a hypoechoic wedge shaped legion in the spleen. What is this typical of?

A

Splenic infarct

19
Q

Splenic calcifications usually results from which disease?

A

Granulomatous

20
Q

Sickle cell anemia can’t cause a small, shrunken spleen. T/F?

A

False

21
Q

What is the most common malignant tumor of the spleen?

A

Lymphoma

22
Q

What is the most common benign vascular lesion of the spleen?

A

Hemangioma