Hepato splenomegaly
normal size : 5-9cm depending on age
Lweek of 4.5 -5cm
age:
6-6-5 boys 7- 8cm
12 years :
girls
Causes: I -
Inflammation
of Hepaeo Excessive
-
2- storage
meagerly 3- Infiltration
4- Congestion
5- Obstruction
* Not all palpable lovers =
hepatomegaly Emphysema, pushes
liver down , sub phrenic abscess as well , spinal deformity ,
abdominal
Tumors
splenomegaly: usually systemic diseases
normal spleen I -2cm below left costal margin in pedii ,
causes: infection compx splenic injury / rupture
:
autoimmune
Hemolysis
Hepa-10 splenomegaly
- causes: 1- infection
2- Hematological
3- Vascular congestion
G- Storage disorder
5- Tumors & Infiltration
G- Miscellaneous causes
, Infections : Acute : Protozoal : Malaria , toxoplasmosis , Kala -
azar
Bacterial :
Typhoid ,
Sepsis
Spiro Chaeta :
Leptospirosis
Viral : Infection mononucleosis , CMV
chronic : mycobacterial Disseminated : TB
protozoal : same as acute
spirochete) :
congenial syphilis
viral : HIV , Rubella , Herpes , CMV
Bacterial : Brucellosis
fungal : Histoplasmosis
Hematological : IDA
Hemolytic disorders : Thalassemia , Hereditary spherocyeosrs
Sickle cell anemia , Autoimmune Hemolytic
anemia , 12h ABO incompatibility (Iso immunization]
-
Vascular congestion :
congestive Heart failure
constructive pericarditis
Cirrhosis : Hepatitis Biliary ,
atresia ,
Wilson's dz
cystic fibrosis , Galactosemia , Hemasiderosis
Alpha Laner trypsin -
deficiency
Tumor & Infiltration : leukemia , lymphoma , metastatic dz , Histroeyeosis
l t
acute lympho -
Hotdgkrn Neuroblastoma
cyeic leukemia non -
Hodgkrn
Storage disorder :
lipid storage dz , mucopdysaceharardosrs
Glycogen sewage dz , Amyloidosis
miscellaneous : Serum sickness , CTD ,
Sarcoidosis
→ SLE
C
JuvenileRA
normal size : 5-9cm depending on age
Lweek of 4.5 -5cm
age:
6-6-5 boys 7- 8cm
12 years :
girls
Causes: I -
Inflammation
of Hepaeo Excessive
-
2- storage
meagerly 3- Infiltration
4- Congestion
5- Obstruction
* Not all palpable lovers =
hepatomegaly Emphysema, pushes
liver down , sub phrenic abscess as well , spinal deformity ,
abdominal
Tumors
splenomegaly: usually systemic diseases
normal spleen I -2cm below left costal margin in pedii ,
causes: infection compx splenic injury / rupture
:
autoimmune
Hemolysis
Hepa-10 splenomegaly
- causes: 1- infection
2- Hematological
3- Vascular congestion
G- Storage disorder
5- Tumors & Infiltration
G- Miscellaneous causes
, Infections : Acute : Protozoal : Malaria , toxoplasmosis , Kala -
azar
Bacterial :
Typhoid ,
Sepsis
Spiro Chaeta :
Leptospirosis
Viral : Infection mononucleosis , CMV
chronic : mycobacterial Disseminated : TB
protozoal : same as acute
spirochete) :
congenial syphilis
viral : HIV , Rubella , Herpes , CMV
Bacterial : Brucellosis
fungal : Histoplasmosis
Hematological : IDA
Hemolytic disorders : Thalassemia , Hereditary spherocyeosrs
Sickle cell anemia , Autoimmune Hemolytic
anemia , 12h ABO incompatibility (Iso immunization]
-
Vascular congestion :
congestive Heart failure
constructive pericarditis
Cirrhosis : Hepatitis Biliary ,
atresia ,
Wilson's dz
cystic fibrosis , Galactosemia , Hemasiderosis
Alpha Laner trypsin -
deficiency
Tumor & Infiltration : leukemia , lymphoma , metastatic dz , Histroeyeosis
l t
acute lympho -
Hotdgkrn Neuroblastoma
cyeic leukemia non -
Hodgkrn
Storage disorder :
lipid storage dz , mucopdysaceharardosrs
Glycogen sewage dz , Amyloidosis
miscellaneous : Serum sickness , CTD ,
Sarcoidosis
→ SLE
C
JuvenileRA
