Thrombocytopenia with an enlarged spleen is usually associated with a department such as hematology or gastroenterology.
Thrombocytopenia may be caused by splenomegaly or hypersplenism. Normal spleen can not be touched under the rib margin, except for a very few cases due to displacement and prolapse, all those who touch the spleen under the left rib margin are splenomegaly. Bacterial infections, chronic infections, cirrhosis, portal hypertension, thrombosis of the portal system, and blood disorders can all lead to splenomegaly.
Doctors will first give the patient a physical examination to get a preliminary understanding of the patient’s general condition, and then selectively allow the patient to do blood routine, bone marrow examination, liver function tests, X-ray examination, ultrasonography, radionuclide examination, angiography, CT, etc., and may allow the patient to perform splenic puncture and biopsy in order to clarify the cause of the disease if necessary.
Based on the patient’s medical history, symptoms and signs, combined with relevant auxiliary examinations, the diagnosis can be made. Doctors also need to check for malignant lymphoma, hypersplenism, cirrhosis, splenic abscess, hemolytic anemia and other diseases during the diagnostic process.
If you feel unwell, you should go to the hospital in time to avoid delaying your condition.