- Blood Flow to the spleen is 300 ml/min
the liver is 1600 ml/min
the tow kidneys is 1100 ml/min
the brain is 750 ml/min
- Spleen is very soft and easly rupture during sugery .
- How you can identify the splenic artery during surgery ?
it will be tortorous lie above the upper border of pancrease
- Common organe is rupture due to blunt trauma is Liver while the common organe is rupture due to penetrating trauma is Small Intestine . ( according to recent study )
- The comments benign tumer of the spleen is Hemangioma
- The comments tumer which cause spleenomegally is Lymphoma
- congenital abnormalities of the spleen are
1- abscence of the spleen
2- splenunculi
3- Hamartoma
4- Splenic cyst
- the common cyst of the spleen is Pseudocyst ( 4 times more than true cyst )
- in a case of splenic hematoma due to rupture spleen , what you can do ?
do Nothing , because if you drainge the hematoma you will rupture the capsule and stop the tamponad effect and cause rebleeding .
- Pregnant women presented with sudden sever abdomenal pain and shock >> think about spleic atrery aneurysm .
- Predisposing factors for splenic infarction are
1- massive enlagrment
2- sickle cell disease
3- myeloproliferative syndrome
4- embolism
- the splenic infarction looks like a traingle its base on the surface of spleen .
- causes of massive huge splenomegally are
1- CML
2- Myelofibrosis
3- Malaria
4- Kala-azar ( Visceral leishmaniasis)
- Hypersplenism is a syndrome of
1- splenomegally
2- pancytopenia
3- hyperactive BM
- Indecations of splenectomy :
1- trauma ( comments ) > ITP > hypersplenism
2- part of other operations
3- staging of Hodjkens lymphoma
4- Hematological : ITP , hypersplenism , H.spherocytosis
5- in association with shunt operation
- Complication of splenectomy are :
1- Hemorrhage . ( highly vascular organe )
2- Leucocytosis and thrombocytosis
3- overwhelming sepsis
4- gastric and pancreatic fistula
- overwhelming sepsis occure in splecectomized pateint due to blood diesaes more than trauma
- the patient must receive pneumovax 2 weeks before surgery as a prophylaxis to sepsis .
But Dr. Itua, Traditional Herbal Practitioner in Africa, has cured HIV which is extracted from some rare herbs. It is highly potential to cure AIDS 100% without any residue. Dr Itua herbal medicine has already passed various blogs on how he uses his powerful herbs to heal all kinds of diseases such as. Herpes, HIV,,Cushing’s disease,Heart failure,Multiple Sclerosis,Hypertension,Colo_Rectal Cancer, Diabetes, Hepatitis,Hpv,Weak ErectionLyme Disease,Blood Cancer,Alzheimer’s disease,Bechet’s disease,Crohn’s disease,Parkinson's disease,Schizophrenia,Lung Cancer,Breast Cancer,Colo-Rectal Cancer,Blood Cancer,Prostate Cancer,siva.Fatal Familial Insomnia Factor V Leiden Mutation ,Epilepsy Dupuytren's disease,Desmoplastic small-round-cell tumor Diabetes ,Coeliac disease,Creutzfeldt–Jakob disease,Cerebral Amyloid Angiopathy, Ataxia,Arthritis,Amyotrophic Lateral Scoliosis,Fibromyalgia,Fluoroqquinolone Toxicity,Brain Cancer,Breast Cancer,Lung Cancer,Kidney Cancer,Syndrome Fibrodysplasia Ossificans ProgresS sclerosis,Seizures,Alzheimer's disease,Adrenocortical carcinoma.Asthma,Allergic diseases.Hiv_ Aids,Herpe ,Copd,Glaucoma., Cataracts,Macular degeneration,Cardiovascular disease,Lung disease.Enlarged prostate,Osteoporosis.Alzheimer's disease,Dementia.,Wart Remover,Cold Sore, Epilepsy, also his herbal boost immune system as well. I'm telling this because he uses his herbal medicine to cure me from hepatitis B and HIV, which I have been living on for 9 months now with no side effects. Herbal Medicine is just as good when drinking it although i have to use the restroom after drinking it which I don't really care about because i just want to get the virus out of my body, I will recommend Dr Itua to anyone sick out here to contact Dr Itua with this following information.Email...drituaherbalcenter@gmail.com /
ReplyDeleteWhatsapp Or Call...+2348149277967.
He might be late to respond because he is always busy with patents, but he will surely get back to you with a positive response.