Splenomegaly was found in Select 5-Minute Pediatrics Topics which helps you diagnose, treat, and follow up on over 900 medical conditions seen in everyday practice.
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- A palpable spleen is found in most premature infants and in 30% of term infants. A spleen tip is still palpable in 10% of infants at 1 year of age and in 1% of children 10 years of age.
- Normal spleens are no >6 cm at 3 months, 7 cm at 12 months, 9.5 cm at 6 years, 11.5 cm at 12 years, and no >13 cm for adolescents.
- The clinical significance of splenomegaly found on radiologic study, but not palpable on physical exam, requires other laboratory or clinical data to establish its importance.
- Normal spleens are soft at the midclavicular line and often palpable only on deep inspiration.
- Dullness on percussion beyond the 11th intercostal space suggests splenomegaly.
- A spleen edge palpated >2 cm below the costal margin is always an abnormal finding.
- Splenic tenderness is abnormal.