29 results
Etiology of Splenic Infarction:
 • Hypercoagulability: Factor V Leiden, Antiphospholipid syndrome, Malignancy
 • Embolic disease: Atrial
Etiology of Splenic ... cell disease • Splenic ... artery aneurysm, Splenic ... compression • Splenic ... differential #diagnosis #causes
Causes of Splenic Infarcts - Differential Diagnosis
 • Myeloid disorders: Myeloproliferative neoplasms (myelofibrosis, polycythemia vera, essential
Causes of Splenic ... Trauma • Wandering spleen ... Infection: Infective endocarditis ... Cytomegalovirus, Malaria #Splenic ... Differential #Diagnosis #spleen
Causes of Splenomegaly - Differential Diagnosis Algorithm
Infectious
 • Bacterial
 • Viral (EBV)
 • Parasitic
 • Fungal
Congestive
Causes of Splenomegaly ... Hepatic, Portal, Splenic ... Spherocytosis • Acquired causes ... #Splenomegaly #Spleen ... Diagnosis #Algorithm #Causes
Endocarditis with Septic Emboli to the Spleen on POCUS
Aortic valve endocarditis (subxiphoid view) with emboli to
Endocarditis with ... Emboli to the Spleen ... emboli to the spleen ... Septic #Emboli #Spleen ... #Splenic #POCUS
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... spine, joints, spleen ... • Aggressive management ... septic arthritis, splenic ... criticalcare #diagnosis #management
Capnocytophaga
Pathogen: Capnocytophaga
 • 9 species, C. canimorsus responsible for the majority of infections
 • Gram-negative rod,
Asplenia (greatest ... 13%), Pneumonia, Endocarditis ... Prophylaxis (Dog bite in asplenic ... infectiousdiseases #diagnosis #management
Splenic Abscess on POCUS

Older male with IVDU presents with fever, abdominal pain and hypotension.  During
Splenic Abscess ... Answer: Splenic ... Had Aortic valve endocarditis ... RJonesSonoEM #Splenic ... #Abscess #Spleen
Causes of Thrombocytopenia - Differential Diagnosis Framework
Decreased Production:
 - Drugs (chemo, yang, sulfa, acetaminophen, NSAIDs, quinine,
Causes of Thrombocytopenia ... valve replacement, endocarditis ... Splenic sequestration
Causes of Bone/Joint Pain in Sickle Cell Disease
Vaso-occlusive pain:
 • Mechanism: ischemic pain
 • Can present
Causes of Bone/Joint ... • XR, MRI to ... difficult to see on XR ... Common d/t impaired splenic ... differential #diagnosis #causes
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
positive in 90% of IE cases ... emboli: Cerebral > Splenic ... Septic Emboli Cause ... Treat underlying cause ... #diagnosis #management