Splenomegaly - Case Study

This man presents with tiredness and lethargy. Please examine his abdominal system and discuss your
diagnosis.

Clinical signs To Look For: 

General

• Anaemia
• Lymphadenopathy (axillae, cervical and inguinal areas)
• Purpura

Abdominal
• Left upper quadrant mass that moves inferomedially with respiration, has a notch, is dull to percussion and you cannot get above nor ballot
• Estimate size
• Check for hepatomegaly

Underlying cause

• Lymphadenopathy
• Haematological and Infective
• Stigmata of chronic liver disease 
• Cirrhosis with portal hypertension
• Splinter haemorrhages, murmur, etc. 
• Bacterial endocarditis
• Rheumatoid hands 
• Felty’s syndrome

Discussion

Causes Of Splenomegaly

Examining For Ascites

Examination Of The Upper Limbs Motor Function

Examination Of The Motor System Of The Lower Limbs

Examination Of Spleen - Clinical Skills

Examination Of the Abdomen

Diabetic Foot Examination

Cranial Nerve Examiantion