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what system is the spleen part of?
reticuloendothelial system
what is the primary function of the spleen?
filter peripheral blood
what is the spleen active in during fetal development?
hematopoiesis
is the spleen retroperitoneal or peritoneal?
peritoneal
peritoneal, contains splenic vessels, pancreas tail, between hilum and anterior left kidney
splenorenal ligaement
composed of double peritoneal layer, connects fundus to hilum
gastrosplenic ligaement
pushes spleen inferior due to subclavian abscess, splenic cyst, or pleural effusion
caudal displacement
pushes spleen superior due to volume loss in left lung, left lobe pneumonia, paralysis of left hemidiaphragm, large intraabdominal mass
cephalic displacement
spleen shapes
orange segment, tetrahedral, triangular
spleen length measurement
8-13 cm
spleen width measurement
7 cm
spleen thickness measurement
3-4 cm
where is the convex section of the spleen?
superior
where is the concave section of the spleen?
inferior
what holds the spleen in place?
lienorenal, gastrosplenic, phrenocolic ligaments
spleen anomalies
agenesis, situs solitus, situs inversus, accessory
tissues within lobules of spleen
pulp
splenic nodules, many lymphocytes contained within
white pulp
small nodular masses of lymphoid tissue attached to smaller arterial branches
malpighian corpuscles
fills remaining space of lobules, surrounds venous sinuses, contains large numbers of RBCs, some lymphocytes and macrophages
red pulp
what does red pulp consist of?
splenic sinuses, splenic cords
what does splenomegaly cause?
increased reservoir of RBCs
removes nuclei from RBCs
pitting
process by which spleen removes abnormal RBCs
culling
low reading indicates hemorrhage or internal bleeding
hematocrit
sepsis indicates bacteria in bloodstream
bacteremia
increases with infection, rises after surgery, malignancies, or in leukemia
leukocytosis
decrease in WBCs
leukopenia
decrease in platelets, may be due to internal hemorrhage
thrombocytopenia
what is the most common reason for the spleen to be removed?
trauma
where is the spleen in relation to the tail of the pancreas?
lateral