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Splenectomy

 

  • Patients who undergo splenectomy are at increased risk of infections secondary to encapsulated organisms: H Influenzae, Streptococcus pneumoniae & Neisseria meningitidis. 
  • Vaccinations against these organisms are highly recommended in patients who have undergone splenectomy. 
  • Careful attention must be paid to post-splenectomy patients presenting with febrile illnesses as they may require more aggressive, empiric antibiotic therapy.
  • Palpation of spleen ---see below


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