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1. 脾腫やその他の脾臓疾患をきたす成人患者へのアプローチapproach to the adult with splenomegaly and other splenic disorders [show details]
… disappear when and if splenic function returns, as in the following circumstances: Splenosis due to the growth of splenic implants resulting from the spillage of cells from the splenic pulp during splenectomy …
2. 成人外傷患者における脾損傷のマネージメントmanagement of splenic injury in the adult trauma patient [show details]
… peritoneal signs are the most common findings indicative of intra-abdominal injury; however, these are not sensitive or specific for splenic injury. Physical findings associated with splenic injury include …
3. 成人外傷患者における脾臓損傷の外科的マネージメントsurgical management of splenic injury in the adult trauma patient [show details]
… hemodynamically stable trauma patient with splenic injury who is being nonoperatively managed (ie, observation with or without splenic embolization) include: Signs of other intra-abdominal injury (eg, free …
4. 脾辺縁帯リンパ腫splenic marginal zone lymphoma [show details]
… following scenarios: The splenic histology and immunophenotypic pattern are consistent with SMZL, as described above. If splenic tissue is not available for histologic review,… with splenomegaly and one or more of the following signs or symptoms : Local symptoms related to splenomegaly (eg,…
5. 脾臓の機能障害がある患者の発熱の臨床的特徴、評価、マネージメントclinical features evaluation and management of fever in patients with impaired splenic function [show details]
…whether splenic impairment is truly a risk factor for infection with these pathogens is not established. Fever in a patient with impaired splenic function should be interpreted as an early sign of sepsis …

English Journal

Percussion and physical diagnosis: separating myth from science.

, M M, S S, S S, .
Disease-a-month : DM. 1995 Oct;41(10)641-92.
There are three percussion sounds, which are easily distinguishable by objective measures: tympany (heard with percussion over the intestines), resonance (heard over the normal lung), and dullness (heard over the liver or thigh). The percussion sound that is produced reflects the ease with which the
PMID 7555568

The bedside assessment of splenic enlargement.

Barkun AN, Camus M, Green L, Meagher T, Coupal L, De Stempel J, Grover SA.
The American journal of medicine. 1991 Nov;91(5)512-8.
To evaluate the clinical assessment of splenic enlargement using specific bedside maneuvers including Traube's space percussion, the splenic percussion sign, Middleton's maneuver, supine palpation, and right lateral decubitus palpation. Quasi-experimental prospective study of cases and controls sele
PMID 1951414

Splenic enlargement and Traube's space: how useful is percussion?

Barkun AN, Camus M, Meagher T, Green L, Coupal L, De Stempel J, Grover SA.
The American journal of medicine. 1989 Nov;87(5)562-6.
The utility of Traube's space percussion in the bedside assessment of splenic enlargement was evaluated. The influence of meals and obesity on this sign were also assessed, because both are believed to interfere with the results of abdominal percussion. The inpatient population of a tertiary care ho
PMID 2683766