Splenic vein thrombosis physical examination: Difference between revisions
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{{CMG}} ; {{AE}} {{Vbe}} | {{CMG}} ; {{AE}} {{Vbe}} | ||
==Overview== | ==Overview== | ||
Patients with [[splenic vein thrombosis]] usually appear in acute distress. Common [[physical examination]] [[Findings on urinalysis|findings]] of [[splenic vein thrombosis]] include [[abdominal pain]] or distention, [[splenomegaly]] and signs of upper GI bleed. | |||
==Physical examination== | ==Physical examination== | ||
Physical examination of patients with splenic vein thrombosis is | [[Physical examination]] of patients with [[splenic vein thrombosis]] is usually remarkable for [[abdominal pain]] or distention, [[splenomegaly]] and signs of upper GI bleed<ref name="pmid27639911">{{cite journal |vauthors=Bouvier A, Gout M, Audia S, Chalumeau C, Rat P, Deballon O |title=[Routine screening of splenic or portal vein thrombosis after splenectomy] |language=French |journal=Rev Med Interne |volume=38 |issue=1 |pages=3–7 |year=2017 |pmid=27639911 |doi=10.1016/j.revmed.2016.08.003 |url=}}</ref><ref name="pmid26080307">{{cite journal| author=Valla D| title=Splanchnic Vein Thrombosis. | journal=Semin Thromb Hemost | year= 2015 | volume= 41 | issue= 5 | pages= 494-502 | pmid=26080307 | doi=10.1055/s-0035-1550439 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26080307 }}</ref><ref name="pmid29211374">{{cite journal| author=Gouin B, Robert-Ebadi H, Casini A, Beauverd Y, Fontana P, Righini M et al.| title=[Splanchnic vein thrombosis]. | journal=Rev Med Suisse | year= 2017 | volume= 13 | issue= 586 | pages= 2138-2143 | pmid=29211374 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29211374 }}</ref> | ||
===Appearance of the Patient:=== | |||
The [[patients]] appear in distress | |||
=== '''Vitals:''' === | |||
[[Hypotension]] ( in case of upper GI bleed secondary to varices), | |||
[[Tachycardia]] | |||
=== '''HEENT''': === | |||
[[Hematemesis]] | |||
[[Esophageal varices]] | |||
=== '''Abdomen''': === | |||
[[Abdominal pain]] | |||
Distension | |||
[[Hepatomegaly]] | |||
[[Splenomegaly]] | |||
Left upper quadrant tenderness | |||
Neuromuscular: The patient is usually oriented to time, person and place | === '''Neuromuscular''': === | ||
The [[patient]] is usually oriented to time, person and place | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} |
Latest revision as of 16:10, 1 March 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Vindhya BellamKonda, M.B.B.S [2]
Overview
Patients with splenic vein thrombosis usually appear in acute distress. Common physical examination findings of splenic vein thrombosis include abdominal pain or distention, splenomegaly and signs of upper GI bleed.
Physical examination
Physical examination of patients with splenic vein thrombosis is usually remarkable for abdominal pain or distention, splenomegaly and signs of upper GI bleed[1][2][3]
Appearance of the Patient:
The patients appear in distress
Vitals:
Hypotension ( in case of upper GI bleed secondary to varices),
HEENT:
Abdomen:
Distension
Left upper quadrant tenderness
Neuromuscular:
The patient is usually oriented to time, person and place
References
- ↑ Bouvier A, Gout M, Audia S, Chalumeau C, Rat P, Deballon O (2017). "[Routine screening of splenic or portal vein thrombosis after splenectomy]". Rev Med Interne (in French). 38 (1): 3–7. doi:10.1016/j.revmed.2016.08.003. PMID 27639911.
- ↑ Valla D (2015). "Splanchnic Vein Thrombosis". Semin Thromb Hemost. 41 (5): 494–502. doi:10.1055/s-0035-1550439. PMID 26080307.
- ↑ Gouin B, Robert-Ebadi H, Casini A, Beauverd Y, Fontana P, Righini M; et al. (2017). "[Splanchnic vein thrombosis]". Rev Med Suisse. 13 (586): 2138–2143. PMID 29211374.