This article will outline the causes, symptoms, diagnosis, treatment and the ICD 10 CM code for Splenomegaly
Splenomegaly ICD 10 Causes
A number of infections and diseases can cause a Splenomegaly ICD 10 (enlarged spleen). These include:
- viral infections such as syphilis
- bacterial infections such as syphilis
- infections of the inner lining of the heart (endocarditis)
- parasitic infections (such as malaria and cirrhosis)
- other liver diseases (various types of hemolytic anemia
- a disease characterized by the early destruction of red blood cells)
- blood cancers such as leukemia myeloproliferative neoplasms (lymphomas)
Splenomegaly ICD 10 Symptoms
People are usually found with a Splenomegaly ICD 10 during a physical examination. Most people don’t know they have it, and symptoms are rare. The most common signs of an enlarged spleen are the inability to eat large meals, the feeling of discomfort or fullness or pain on the upper left side of the abdomen and the pain that spreads to the left shoulder.
If you have an enlarged spleen, you may develop other signs and symptoms. This can include signs or symptoms such as fatigue, weight loss, frequent infections, mild bleeding, jaundice or anemia. Some of these symptoms may be related to the underlying disease. If you have severe or worsening pain, take a deep breath and see a doctor.
Splenomegaly ICD 10 Diagnosis
Your doctor will ask you questions during a physical exam to diagnose a Splenomegaly ICD 10.
This involves feeling, examining and touching the spleen. A clinical examination is performed to diagnose splenomegaly ICD 10. In some cases, further testing may be required. You may need diagnostic tests to confirm the cause of a swollen liver. Diagnostic tests include blood tests, ultrasound and computed tomography (CT).
Different methods of palpation are described: bimanual palpation, ballottement and examination of the left side of the patient. These methods aim to detect outbreaks of enlarged spleen in the lower left rib cage after expiration.
On the other hand, some of these methods cannot detect splenomegaly ICD 10 in obese patients because the chest is too narrow and the diaphragm is too high. Percussion can be helpful in this examination, including the Nixon-Castell technique, in which the percussion space shifts to the right side of the enlarged spleen. False positive findings can occur when the diphragma is fixed or flattened, as is the case with chronic lung disease, or when the spleen moves larger than normal in the respiratory area.
Radiology is involved in the diagnosis. Simple X-rays are used when showing spleen and background gases from the fundus, stomach, spleen and colon. In some cases they may also show the presence of an enlarged spleen. Ultrasound can also be used.
Ultrasound scans are reliable, safe, fast, non-invasive and enable detection of abnormal spleen with a high sensitivity and specificity coefficient. Nuclear scintigraphy is a technique based on the use of nuclear isotopes to produce accurate pictures of the spleen, provided the vascular supply to the spleen capsule is intact. The advantage of nuclear scintography is the detection of an abnormal ectopic spleen. However, it is costly, time-consuming and cumbersome, and facilities are required.
This method provides a sharp and clear picture of the spleen, the omental fat and provides a separation plane between the blood vessels, the hilum and the spleen capsule. It is not limited to the presence of rib gases in the intestine. This method is costly and requires the patient to be transported to the scan module and lie immobile for the necessary time. It also exposes the patient directly to ionizing radiation.
Once the diagnosis of splenomegaly ICD 10 is established, further investigations are required to identify the etiology. This includes several types of blood tests. A complete blood count and peripheral swabs show the number and type of blood cells and abnormalities that have formed. An etiological diagnosis is also helpful.
The test of the fragility of red cells can detect the presence of disorders such as hereditary spherocytosis and other hemolytic anemia. Blood culture is also necessary to rule out typhoid. The liver function test can show the presence of portal hypertension. Cytopenia, hypersplenism, high white cell count, leukemia and the presence of blood parasites (malaria, Kala-Azar) may be helpful in determining the cause of enlargement of the spleen. Another indication is the presence of disturbances of the red and white cells.
Splenomegaly ICD 10 Treatment
For treatment of Splenomegaly ICD 10, a physician will first order tests. Further tests, such as serum protein electrophoresis, depend on the specific results of physical examination, imaging and blood tests. Lymphoproliferative disorders may require lymph node excision or biopsy, and hematogenic disorders may require bone marrow aspiration or bone marrow biopsy.
In cases where the cause of the enlargement has not been identified and the patient is symptom-free, it is wise to call the patient back every six months for re-evaluation. Other conditions tend to cause splenomegaly ICD 10 before treatment can begin to address the underlying condition. For example, a person with splenomesgaly associated with sickle cell anemia may require a blood transfusion or blood exchange transfusion. In other cases, after histopathological examination a partial resection of the spleen can be performed to rule out lymphoma of the spleen. In cases such as ruptured cancer, a surgeon can remove the spleen in a procedure known as a splenectomy.
Unlike the gallbladder and appendix, a person lives with the spleen. Trauma to an enlarged spleen can cause the spleen to rupture, leading to life-threatening bleeding. The spleen may contain too much blood for this type of operation and there is a high risk of excessive bleeding, which is worrying. During the treatment of an underlying disease, the person should take care not to suffer abdominal injuries. For example, they should avoid contact sports if they have splenomegaly ICD 10 to reduce their risk of injury.
ICD 10 Code For Splenomegaly
ICD 10 CM R16.1 Splenomegaly not elsewhere classified