The Spleen, Functions, Diseases, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
By Kenneth Kee
()
About this ebook
This book describes Spleen, Functions, Diseases, Diagnosis and Treatment and Related Diseases
You're right, a spleen is a strange thing-we technically don't need one, but maybe spleens are kept in our bodies in case we mutate or evolve, and if we grow wings or tentacles we need to have the spleen in place in order for them to work.”
-Douglas Coupland
The Spleen is an organ in the body which has been used by writers as an organ of anger and revenge.
The spleen is actually the largest unit of lymphoid tissue in the body.
It consists of a soft friable purple organ about the size of a fist located at the left hypochondrium below the diaphragm.
Its main function is the destruction of aged red blood cells in a process self induced death called apostasy.
It is shaped like a segment of the orange.
Its convex surface is the diaphragmatic surface while its concave surface lies on the fundus of the stomach.
The posterior end reaches the adrenal gland of the left kidney while the anterior end lies in contact with the splenic flexure of the colon.
The superior border is notched and can only be felt when enlarged.
Along the concave side, the blood vessels and nerve enter through a long hilum.
The two ligaments supporting the spleen are the nephrosplenic ligament and the gastrosplenic ligaments.
In spite of the ligaments the spleen moves freely with respiration.
The ninth to eleventh ribs on the left thorax covers and protect the spleen from injury.
The spleen varies in size in different people.
It increased in size during digestion and decreased in size with starvation.
The average size is 5in length, 3in breadth and 1in thickness
The normal weight is 7 pounds.
In certain diseases like malaria the spleen can increase to 20 pounds.
The internal framework of the spleen contains splenic pulp composed of lymphatic tissue permeated with sinusoids and flooded with blood (the red pulp).
The lymphatic tissue is made up of lymphatic nodules which appeared as white dots (the white pulp).
In the red pulp are macrophages from the blood which act to destroy aged red blood cells to liberate the heme and protein.
These are then carried by the portal vein to the liver and biliary system for degrading.
The splenic artery runs together with the nerve into the hilum and break up into 6 or more branches.
The splenic vein ends in the portal vein.
The lymph vessels are from the capsule and trabeculae and pass into the pancreatic and splenic lymph nodes.
Without a spleen the person can still live a normal life.
His resistance to infectious diseases is reduced.
There are also increases in circulating white blood cells and platelets.
The Functions of the Spleen are:
1. Blood Formation
In fetal life from the 5th month the spleen forms all the blood cells for the body until at birth when the function passes on to the bone marrow.
2. Storage of blood.
The storage of additional blood may be kept in the spleen up to 3% of the blood volume.
3. Blood destruction
RBCs are destroyed in the spleen and their iron and protein reused in the liver.
4. Iron Storage
Iron is extracted from RBCs and temporarily stored in the spleen
5. Bilirubin product
Bilirubin product is the result of breakdown of the hemoglobin released from the red blood cells broken down in the spleen.
6. Fight against bacteria
The lymphatic cells in the spleen act against toxins and other micro-organisms in the body.
7. Antibodies Formation and Immune Action
The spleen is a source of antibodies
Spleen enlargement causes concerns because of increased infections
The spleen enlargement occurs in:
a.Infectious mononucleosis,
b.Malaria
c.Liver cirrhosis,
d.Lymphoma,
e.Leukemia,
f.Polycythemia vera
TABLE OF CONTENT
Introduction
Chapter 1 Spleen and Function
Chapter 2 Enlarged Splee
Kenneth Kee
Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
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The Spleen, Functions, Diseases, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee
The Spleen, Functions,
Diseases,
A
Simple
Guide
To
The Condition,
Diagnosis,
Treatment
And
Related Conditions
By
Dr Kenneth Kee
M.B.,B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2018 Smashwords Edition
Published by Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
To my wife Dorothy
And my children
Carolyn, Grace
And Kelvin
This book describes Spleen, Functions, Diseases, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.
(What You Need to Treat Spleen, Functions, Diseases)
This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.
Thank you for respecting the hard work of this author.
Introduction
I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.
My purpose in writing these simple guides was for the health education of my patients.
Health Education was also my dissertation for my Ph.D (Healthcare Administration).
I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog: http://afamilydoctorstale.blogspot.com.
This autobiolographical account A Family Doctor’s Tale
was combined with my early A Simple Guide to Medical Disorders
into a new Wordpress Blog A Family Doctor’s Tale
on http://kenkee481.wordpress.com.
From which many free articles from the blog was taken and put together into 800 eBooks.
Some people have complained that the simple guides are too simple.
For their information they are made simple in order to educate the patients.
The later books go into more details of medical disorders.
The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.
Since 2013, I have tried to improve my spelling and writing.
As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.
Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.
I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.
I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.
I apologize if these repetitions are irritating to some readers.
Chapter 1
The Spleen
You're right, a spleen is a strange thing-we technically don't need one, but maybe spleens are kept in our bodies in case we mutate or evolve, and if we grow wings or tentacles we need to have the spleen in place in order for them to work."
-Douglas Coupland
The Spleen is an organ in the body which has been used by writers as an organ of anger and revenge.
The spleen is actually the largest unit of lymphoid tissue in the body.
It consists of a soft friable purple organ about the size of a fist located at the left hypochondrium below the diaphragm.
Its main function is the destruction of aged red blood cells in a process self induced death called apostasy.
It is shaped like a segment of the orange.
Its convex surface is the diaphragmatic surface while its concave surface lies on the fundus of the stomach.
The posterior end reaches the adrenal gland of the left kidney while the anterior end lies in contact with the splenic flexure of the colon.
The superior border is notched and can only be felt when enlarged.
Along the concave side, the blood vessels and nerve enter through a long hilum.
The two ligaments supporting the spleen are the nephrosplenic ligament and the gastrosplenic ligaments.
In spite of the ligaments the spleen moves freely with respiration.
It is not palpable unless enlarged.
The ninth to eleventh ribs on the left thorax covers and protect the spleen from injury.
The spleen varies in size in different people.
The spleen increased in size during digestion and decreased in size with starvation.
The average size is 5in length, 3in breadth and 1in thickness
The normal weight is 7 pounds.
In certain diseases like malaria the spleen can increase to 20 pounds.
Interior of the Spleen:
The internal framework of the spleen contains splenic pulp composed of lymphatic tissue permeated with sinusoids and flooded with blood.
This part is called the red pulp.
The lymphatic tissue is made up of lymphatic nodules which appeared as white dots and are called the white pulp.
In the red pulp are macrophages from the blood which act to destroyed aged red blood cells to liberate the heme and protein.
These are then carried by the portal vein to the liver and biliary system for further degrading.
The splenic artery runs together with the nerve into the hilum