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KaBoom > Spleen - Part 3 > Flashcards

Spleen - Part 3 Flashcards

1
Q

What is the most common benign splenic neoplam?

A

Cavernous hemangioma

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2
Q

What are the clinical findings for cavernous hemangioma? (2)

A
  1. Asymptomatic

2. LUQ pain

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3
Q

What is the US appearance for cavernous hemangioma? (2)

A
  1. Well-defined hyper echoic splenic mass

2. Homogeneous or complex echo texture

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4
Q

What are 3 differential diagnosis for cavernous hemangioma?

A
  1. Splenic infarction
  2. Hemangiosarcoma
  3. Metastases
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5
Q

Cavernous lymphangioma

A

Malformation of the lymph system

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6
Q

What is a clinical finding of cavernous lymphangioma?

A

Asymptomatic

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7
Q

What is the US appearance of cavernous lymphangioma?

A

Hypo echoic solid splenic mass

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8
Q

What are 2 differential diagnosis of cavernous lymphangioma?

A
  1. Abscess

2. Hematoma

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9
Q

What is a clinical finding of a cyst?

A

Asymptomatic

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10
Q

What is the US appearance of a cyst? (4)

A
  1. Well-defined anechoic mass
  2. Smooth wall margins
  3. Posterior acoustic
    enhancement
  4. May demonstrate
    septations or debris
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11
Q

What are 3 differential diagnosis of a cyst?

A
  1. Hematoma
  2. Abscess
  3. Cystic lymphangiomyomatosis
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12
Q

What causes cystic lymphangiomyomatosis?

A

Proliferation of the smooth muscle cells in the lymph node

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13
Q

What are the clinical findings for cystic lymphangiomyomatosis? (2)

A
  1. Asymptomatic

2. Abdominal mass

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14
Q

What is the US appearance for cystic lymphangiomyomatosis?

A

Diffuse or focal multiloculated cystic mass

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15
Q

What is a differential diagnosis for cystic lymphangiomyomatosis?

A

Splenic cyst

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16
Q

What is hamartoma composed of?

A

Lymphatic

tissue

17
Q

What is a clinical finding for hamartoma?

A

Asymptomatic

18
Q

What is the US appearance for hamartoma? (3)

A
  1. Hyper echoic parenchymal mass
  2. Well-defined borders
  3. Solitary or multiple in number
19
Q

What are 3 differential diagnosis for hamartoma?

A
  1. Cavernous hemangioma
  2. Metastases
  3. Hemangiosarcoma
20
Q

What are the risk factors for a splenic artery aneurysm? (5)

A
  1. Atherosclerosis
  2. Portal hypertension 3. Infection
  3. Trauma
  4. Female prevalence
21
Q

What causes a splenic artery aneurysm?

A

Localized dilatation of the splenic artery

22
Q

What are the clinical findings for splenic artery aneurysm? (4)

A
  1. Asymptomatic
  2. LUQ pain
  3. Nausea/vomiting
  4. Shoulder pain
23
Q

What us the US appearance for splenic artery aneurysm?

A

Anechoic dilatation of the splenic artery

24
Q

What are 2 differential diagnosis for splenic artery aneurysm?

A
  1. Tortuous artery

2. Splenic vein

25
Q

Is a splenic artery aneurysm more common in males or females?

26
Q

What can cause splenic candidiasis?

A

Multiple splenic infections

27
Q

What is splenic candidiasis assocaited with?

A

With patients

with autoimmune disorders

28
Q

What are the clinical features for splenic candidiasis? (2)

A
  1. Fever

2. Splenomegaly

29
Q

What is the US appearance for splenic candidiasis?

A

Target lesion or “wheel within a wheel” appearance

30
Q

What is a differential diagnosis for splenic candidiasis?

A

Metastases

31
Q

What can cause a splenic infarction?

A

Emboli from the heart

32
Q

What is splenic infarction associated with? (5)

A 
1. Subacute
bacterial endocarditis
2. Leukemia
3. Sickle cell anemia
4. Metastasis
5. Pancreatitis
33
Q

What are the clinical findings for splenic infarction? (2)

A
  1. Usually asymptomatic

2. LUQ pain

34
Q

What is the US appearance for splenic infarction in acute stages? (2)

A
  1. Hypo echoic mass 2. Well-defined margins
35
Q

What is the US appearance for splenic infarction in chronic stages? (3)

A
  1. Hyper echoic mass 2. Well-defined
    margins
  2. Splenic atrophy
36
Q

What are 2 differential diagnosis for splenic infarction?

A
  1. Hematoma

2. Cavernous hemangioma

KaBoom (81 decks)

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