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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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US Of Abdomino-pelvic Organs Show Mildly Enlarged Spleen, Mild Hepatosplenomegaly. Treatment Suggestion?

this is my problems please solution & treatment. Ultrasound Examination of Abdomino- pelvic organs: Liver: Liver is mildly enlarged in size. However, hepatic parenchymal echotexture and echodensity are uniform. No focal hyper or hypo-echoic lesion is seen in the liver. Intrahepatic portion of IVC is normal. Portal vein is normal. Porta-hepatis is normal. Gall bladder: Normal in size and contour. Wall thickness is within normal limit. No evidence of echogenic structures or biliary sludge is seen within the gall bladder. Intrahepatic biliary radicals and common ducts are not dilated. Internal diameter of CBD (3mm) and that of portal vein (9mm) are within normal limit. Pancreas: Parenchymal echotexture of pancreas is homogeneous. Main pancreatic duct is not dilated. Spleen: is mildly enlarged in size. However, it shows uniform in echopattern. Kidneys: Both kidneys are normal in position and size. Bipolar length of- (a) Right kidney is 09,0cm & (b) Left kidney is 10.2 cm. No mass lesion or calculus is seen on either side. Pelvi-calyceal systems are not dilated. Cortico-medullary differentiation is normal in both kidneys with normal cortical echogenicity. Ureters are not dilated. Adrenal glands : Both adrenal glands appear normal at USG examination. Urinary bladder: Normal in outline. No wall thickening seen. No demonstrable intravesical lesion is seen. Prostate Gland: Prostate is normal in size. It measures about 2.5 cm X 2.7cm X 2.9cm. Its volume equals to 11.142cm3. It shows homogeneous echotexture with smooth and intact capsule. IMPRESSION: Mild hepatosplenomegaly.
Tue, 5 Feb 2013
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General & Family Physician,  's  Response
hi,
Common causes of hepatosplenomegaly are mononucleosis, hepatitis, and Lysosomal Storage Disorders (LSDs). Mononucleosis spreads through saliva and mucus, and may cause a high fever, enlarged lymph nodes, and a severe sore throat.
Other causes of hepatosplenomegaly may include tuberculosis, malaria, and some forms of cancer. Some auto-immune disorders can also lead to this condition, including Systemic Lupus Erythematosis (SLE) and juvenile rheumatoid arthritis. Parasitic infections, chronic alcoholism, and cat scratch fever are also associated with liver and spleen swelling.
The treatment for hepatosplenomegaly largely depends on the underlying cause. Most of the time, when that is treated, the swelling goes down naturally. In those with conditions that can't be cured, treatment focuses on managing the symptoms and improving the liver and spleen's function. This includes things like enzyme replacement therapy, which can help keep the size of the liver and spleen down, and avoiding things that stress the liver, like drinking alcohol or taking aspirin,brufen,diclofenac.
hope have answered your query
get well soon and takecare.
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US Of Abdomino-pelvic Organs Show Mildly Enlarged Spleen, Mild Hepatosplenomegaly. Treatment Suggestion?

hi, Common causes of hepatosplenomegaly are mononucleosis, hepatitis, and Lysosomal Storage Disorders (LSDs). Mononucleosis spreads through saliva and mucus, and may cause a high fever, enlarged lymph nodes, and a severe sore throat. Other causes of hepatosplenomegaly may include tuberculosis, malaria, and some forms of cancer. Some auto-immune disorders can also lead to this condition, including Systemic Lupus Erythematosis (SLE) and juvenile rheumatoid arthritis. Parasitic infections, chronic alcoholism, and cat scratch fever are also associated with liver and spleen swelling. The treatment for hepatosplenomegaly largely depends on the underlying cause. Most of the time, when that is treated, the swelling goes down naturally. In those with conditions that can t be cured, treatment focuses on managing the symptoms and improving the liver and spleen s function. This includes things like enzyme replacement therapy, which can help keep the size of the liver and spleen down, and avoiding things that stress the liver, like drinking alcohol or taking aspirin,brufen,diclofenac. hope have answered your query get well soon and takecare.