Splenic vein thrombosis physical examination
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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:
Hematemesis, esophageal varices
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.