Palpable Spleens in College Freshmen

Article1 February 1967Palpable Spleens in College FreshmenO. ROSS MCINTYRE, M.D., FRANKLIN G. EBAUGH JR., M.D., F.A.C.P.O. ROSS MCINTYRE, M.D., FRANKLIN G. EBAUGH JR., M.D., F.A.C.P.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-66-2-301 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe spleen is an organ that often throws the physical examination of the abdomen into a state of confusion. One has only to note the frequent appearance of the statement, "A spleen was felt by one examiner," in medical case reports in order to confirm this fact. It is reassuring to learn that no examiner felt the spleen or that all examiners located a definite spleen tip a given number of centimeters below the costal margin. When everyone agrees that the spleen is palpable, this finding is usually interpreted as definite evidence of some pathologic process. For this reason, when...References1. DAVIDSOHN I: The blood, in Clinical Diagnosis by Laboratory Methods. W. B. Saunders Co., Philadelphia, 1962, p. 218. Google Scholar2. Statist. Bull. Metrop. Life Insur. Co. 40: 1, 1959. Google Scholar3. RIEMENSCHNEIDERWHALEN PAJP: The relative accuracy of estimation of enlargement of the liver and spleen by radiologic and clinical methods. Amer. J. Roentgen. 94: 462, 1965. Google Scholar4. DELLKLINEFELTER JMHF: Roentgen studies of the spleen. Amer. J. Med. Sci. 211: 437, 1946. CrossrefMedlineGoogle Scholar5. BLACKBURN CR: On the clinical detection of enlargement of the spleen. Aust. Ann. Med. 2: 78, 1953. MedlineGoogle Scholar6. ROSENBAUMLIEBERHANSONPELLEGRINO HDADJED: A routine survey roentgenogram of the abdomen on 500 consecutive patients over 40 years of age. Amer. J. Roentgen. 91: 903, 1964. Google Scholar7. MCCORMICKKASHGARIAN WFM: The weight of the adult human spleen. Amer. J. Clin. Path. 43: 332, 1965. CrossrefMedlineGoogle Scholar8. JACOBMACDONALDJANDL HSRAJH: Regulation of spleen growth and sequestering function. J. Clin. Invest. 42: 1476, 1963. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: O. ROSS MCINTYRE, M.D.; FRANKLIN G. EBAUGHJR., M.D., F.A.C.P.Affiliations: Hanover, New HampshireFrom the Department of Medicine, Dartmouth Medical School, Hanover, N. H.This study was supported in part by grants T1 AM 5174 and CA 04326, the National Institutes of Health, Bethesda, Md.During part of this study Dr. McIntyre was a Trainee in Hematology, Dartmouth Medical School.Requests for reprints should be addressed to O. Ross McIntyre, M.D., Hematology Research Laboratory, 2 Maynard St., Hanover, N. H. 03755. 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