https://ideawaza.com/index.php?action=history&feed=atom&title=Archive%3ASpleen_Exam_%28OSCE%29 2026-09-30T14:02:38Z Revision history for this page on the wiki MediaWiki 1.46.0 https://ideawaza.com/index.php?title=Archive:Spleen_Exam_(OSCE)&diff=38394&oldid=prev 2009-06-13T05:48:21Z

<p>moved <a href="/wiki/Spleen_Exam_(OSCE)" class="mw-redirect" title="Spleen Exam (OSCE)">Spleen Exam (OSCE)</a> to <a href="/wiki/Archive:Spleen_Exam_(OSCE)" title="Archive:Spleen Exam (OSCE)">Archive:Spleen Exam (OSCE)</a></p> <table style="background-color: #fff; color: #202122;" data-mw-interface=""> <tr class="diff-title" lang="en"> <td colspan="1" style="background-color: #fff; color: #202122; text-align: center;">← Older revision</td> <td colspan="1" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 05:48, 13 June 2009</td> </tr><tr><td colspan="2" class="diff-notice" lang="en"><div class="mw-diff-empty">(No difference)</div> </td></tr></table>

wikademia>Wikademia https://ideawaza.com/index.php?title=Archive:Spleen_Exam_(OSCE)&diff=38393&oldid=prev 2009-04-11T05:47:39Z

<p>6 revisions</p> <table style="background-color: #fff; color: #202122;" data-mw-interface=""> <tr class="diff-title" lang="en"> <td colspan="1" style="background-color: #fff; color: #202122; text-align: center;">← Older revision</td> <td colspan="1" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 05:47, 11 April 2009</td> </tr><tr><td colspan="2" class="diff-notice" lang="en"><div class="mw-diff-empty">(No difference)</div> </td></tr></table>

wikademia>Wikademia https://ideawaza.com/index.php?title=Archive:Spleen_Exam_(OSCE)&diff=38392&oldid=prev 2008-06-25T01:11:13Z

<p></p> <table style="background-color: #fff; color: #202122;" data-mw-interface=""> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="en"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Older revision</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 01:11, 25 June 2008</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l74">Line 74:</td> <td colspan="2" class="diff-lineno">Line 74:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==Other OSCE modules==</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==Other OSCE modules==</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>{{OSCE}}</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>{{OSCE}}</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>[[Category:<del style="font-weight: bold; text-decoration: none;">Medicine</del>]][[Category:OSCE]]</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>[[Category: <ins style="font-weight: bold; text-decoration: none;">Gastroenterology</ins>]][[Category:OSCE<ins style="font-weight: bold; text-decoration: none;">]][[Category: Clinical Skills</ins>]]</div></td></tr> </table>

wikademia>Donek https://ideawaza.com/index.php?title=Archive:Spleen_Exam_(OSCE)&diff=38391&oldid=prev 2007-05-18T03:16:13Z

<p><span class="autocomment">Kidney vs. Spleen</span></p> <table style="background-color: #fff; color: #202122;" data-mw-interface=""> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="en"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Older revision</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 03:16, 18 May 2007</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l72">Line 72:</td> <td colspan="2" class="diff-lineno">Line 72:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#UPPER EDGE of spleen NOT palpable, upper edge of kidney is</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#UPPER EDGE of spleen NOT palpable, upper edge of kidney is</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#SPLENIC RUB on auscultation (have patient breath in and out)</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#SPLENIC RUB on auscultation (have patient breath in and out)</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div> </div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">==Other OSCE modules==</ins></div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>{{OSCE}}</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>{{OSCE}}</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[Category:Medicine]][[Category:OSCE]]</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[Category:Medicine]][[Category:OSCE]]</div></td></tr> </table>

wikademia>Koppertone https://ideawaza.com/index.php?title=Archive:Spleen_Exam_(OSCE)&diff=38390&oldid=prev 2007-05-18T01:20:08Z

<p><span class="autocomment">KIDNEY VS. SPLEEN</span></p> <table style="background-color: #fff; color: #202122;" data-mw-interface=""> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="en"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Older revision</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 01:20, 18 May 2007</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l64">Line 64:</td> <td colspan="2" class="diff-lineno">Line 64:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#systolic murmur over spleen - massive splenomegaly (dilated, tortuous splenic artery)</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#systolic murmur over spleen - massive splenomegaly (dilated, tortuous splenic artery)</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>==<del style="font-weight: bold; text-decoration: none;">KIDNEY VS</del>. <del style="font-weight: bold; text-decoration: none;">SPLEEN</del>==</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>==<ins style="font-weight: bold; text-decoration: none;">Kidney vs</ins>. <ins style="font-weight: bold; text-decoration: none;">Spleen</ins>==</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#kidney is BLOTTABLE, spleen is NOT</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#kidney is BLOTTABLE, spleen is NOT</div></td></tr> </table>

wikademia>Koppertone https://ideawaza.com/index.php?title=Archive:Spleen_Exam_(OSCE)&diff=38389&oldid=prev 2007-05-18T01:19:43Z

<p><span class="autocomment">KIDNEY VS. SPLEEN</span></p> <table style="background-color: #fff; color: #202122;" data-mw-interface=""> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="en"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Older revision</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 01:19, 18 May 2007</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l67">Line 67:</td> <td colspan="2" class="diff-lineno">Line 67:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#kidney is BLOTTABLE, spleen is NOT</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#kidney is BLOTTABLE, spleen is NOT</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">#</del>#NOTCH ON ANTERIOR BORDER - palpable in spleen, not in kidney</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>#NOTCH ON ANTERIOR BORDER - palpable in spleen, not in kidney</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">##</del>#spleen enlarges diagonally towards RLQ, while the kidney enlarges inferiorly</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>#spleen enlarges diagonally towards RLQ, while the kidney enlarges inferiorly</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">###</del>#kidney can be resonant to percussion (d/t overlying bowel), spleen should be DULL</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>#kidney can be resonant to percussion (d/t overlying bowel), spleen should be DULL</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">####</del>#UPPER EDGE of spleen NOT palpable, upper edge of kidney is</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>#UPPER EDGE of spleen NOT palpable, upper edge of kidney is</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">#####</del>#SPLENIC RUB on auscultation (have patient breath in and out)</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>#SPLENIC RUB on auscultation (have patient breath in and out)</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>{{OSCE}}</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>{{OSCE}}</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[Category:Medicine]][[Category:OSCE]]</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[Category:Medicine]][[Category:OSCE]]</div></td></tr> </table>

wikademia>Koppertone https://ideawaza.com/index.php?title=Archive:Spleen_Exam_(OSCE)&diff=38388&oldid=prev 2007-05-18T01:19:07Z

<p><span class="autocomment">Auscultation</span></p> <table style="background-color: #fff; color: #202122;" data-mw-interface=""> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="en"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Older revision</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 01:19, 18 May 2007</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l61">Line 61:</td> <td colspan="2" class="diff-lineno">Line 61:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#all 4 QUADRANTS for bowel sounds  </div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>#all 4 QUADRANTS for bowel sounds  </div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">#</del>#Friction rub (inflammation, tumor, infarction)</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>#Friction rub (inflammation, tumor, infarction)</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">##</del>#systolic murmur over spleen - massive splenomegaly (dilated, tortuous splenic artery)</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>#systolic murmur over spleen - massive splenomegaly (dilated, tortuous splenic artery)</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==KIDNEY VS. SPLEEN==</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==KIDNEY VS. SPLEEN==</div></td></tr> </table>

wikademia>Koppertone https://ideawaza.com/index.php?title=Archive:Spleen_Exam_(OSCE)&diff=38387&oldid=prev 2007-05-18T01:18:38Z

<p>New page: ==Patient positioning== *knees flexed *expose from nipples to pubis ==Spleen location== *posterior to the midaxillary line (MAL), between 9 to 11th ribs, size of palm ==General== ===Peri...</p> <p><b>New page</b></p><div>==Patient positioning==<br /> *knees flexed<br /> *expose from nipples to pubis<br /> <br /> ==Spleen location==<br /> *posterior to the midaxillary line (MAL), between 9 to 11th ribs, size of palm<br /> <br /> ==General==<br /> ===Peripheral signs of hypersplenism===<br /> *pallor<br /> *brusing<br /> *oval ulcers<br /> *skin infections<br /> *petechiae<br /> <br /> ===Stigmata of diseases associated with splenomegaly===<br /> *hepatomegaly<br /> *lymphadenopathy (CLL, lymphoma, EBV)<br /> *jaundice (hemolytic anemia)<br /> *macroglossia (amyloidosis)<br /> <br /> ==Inspection==<br /> &#039;&#039;&#039;*from the FOOT OF THE BED&#039;&#039;&#039;<br /> <br /> ===Static===<br /> *Skin<br /> **surgical scars<br /> **discoloration<br /> *Contour<br /> **distended<br /> **obese <br /> **umbilical herniation <br /> **bulging flanks<br /> <br /> ===With Deep Inspiration===<br /> *Symmetry - during several deep inspirations<br /> **note that the spleen enlarges toward the RLQ <br /> <br /> ==Percussion==<br /> <br /> ===Traube’s Space===<br /> *6th ICS, lower costal margin, MAL<br /> *tympanic due to the gastric bubble - in splenomegaly, stomach is displaced and region sounds dull (not a specific test)<br /> *False Positives: full stomach, pleural effusion and pneumonia <br /> <br /> ===Castell’s sign===<br /> *lowest intercostal space, L AAL<br /> *ask the patient inhale and exhale slowly and deeply<br /> *splenomegaly → resonant on expiration but dull on inspiration<br /> <br /> ==Palpation==<br /> <br /> 1. With right hand beginning in RLQ, pull the L ribcage forward (give slack for the R hand to feel under the costal margin), palpate superficially toward the LUQ<br /> *assess effect of deep inspiration<br /> **describe: firm/soft, nodular/smooth, tenderness<br /> <br /> 2. &#039;&#039;&#039;Hooking Maneuver&#039;&#039;&#039;<br /> *stand on patient’s left and try hooking hands under left costal margin<br /> <br /> ==Auscultation==<br /> <br /> #all 4 QUADRANTS for bowel sounds <br /> ##Friction rub (inflammation, tumor, infarction)<br /> ###systolic murmur over spleen - massive splenomegaly (dilated, tortuous splenic artery)<br /> <br /> ==KIDNEY VS. SPLEEN==<br /> <br /> #kidney is BLOTTABLE, spleen is NOT<br /> ##NOTCH ON ANTERIOR BORDER - palpable in spleen, not in kidney<br /> ###spleen enlarges diagonally towards RLQ, while the kidney enlarges inferiorly<br /> ####kidney can be resonant to percussion (d/t overlying bowel), spleen should be DULL<br /> #####UPPER EDGE of spleen NOT palpable, upper edge of kidney is<br /> ######SPLENIC RUB on auscultation (have patient breath in and out)<br /> <br /> {{OSCE}}<br /> [[Category:Medicine]][[Category:OSCE]]</div>

wikademia>Koppertone