But at the same time one can confidently diagnose varices if there is
splenomegaly in cirrhotic patients (high sensitivity).
Out of 100 cases (100%) who presented with fever, 60 cases were with headache, 60 cases with vomiting, 33 cases with abnormal behaviour, 36 cases with convulsions, 28 cases with unconsciousness, 24 cases with diminished urine output, 18 cases with dark coloured urine, 42 cases with anaemia, 46 cases with jaundice, 3 cases with pulmonary oedema/ ARDS, 48 cases with hepatomegaly and 86 cases with
splenomegaly [Table 4].
Medical and Surgical History Felty's syndrome
Splenomegaly Back pain Chronic obstructive pulmonary disease Diabetes mellitus type 2 Diabetic neuropathy Fibromyalgia Gastroesophageal reflux disease Hypertension Inflammatory neuropathy Leukocytosis Obesity Osteomyelitis Pancytopenia Plantar fasciitis Seizures Rheumatoid arthritis History of pneumonia Methicilin-resistant Staphylococcus aureus Carpel tunnel syndrome Bilateral knee arthroplasty Amputation of toes Splenectomy
Abdominal examination revealed hepatomegaly with liver span of 23cm, smooth contour, regular margins, no thrill or bruit; and
splenomegaly, 4 finger breadth below left hypochondrium, with no thrill or bruit.
7%) of whom had massive
splenomegaly (defined as >4 standard deviations above the local mean for splenic size, adjusted for height, based on the World Health Organization ultrasonography protocol) (1); 135 (93%) patients had normal liver architecture; and eight (5.
Hypersplenism, abdominal discomfort due to massive
splenomegaly and splenic injury are other indications of splenectomy in thalassemia patients.
There were significant differences in the proportions of patients with
splenomegaly in the three groups, with more patients with biliary atresia presenting with
splenomegaly compared with the other two groups.
This led to a clinical diagnosis of
splenomegaly with a splenic mass lesion, suggestive of malignancy.
Some birds showed infraorbital sinusitis with serous or fibrinous exudates and catarrhal tracheitis, whereas others presented with serofibrinous airsacculitis and
splenomegaly.
Ultrasonography and computed tomography showed a tumor mass at the pancreatic tail causing a splenic vein obstruction, engorged vessels near the fundus of the stomach, and
splenomegaly.
Hyperreactive malarious
splenomegaly (HMS), known as Tropical
Splenomegaly Syndrome, (1) despite being common in malaria-endemic regions and in travelers from non-endemic areas, (2) has low prevalence in Brazil.
13,15] Patients usually present with features of SIRS (including pyrexia of unknown origin, tachycardia and leucopenia) and disseminated intravascular coagulation (DIC), organomegaly (specifically
splenomegaly with or without hepatomegaly), and may additionally exhibit hepatic dysfunction, neurological deficits or septic features.
