Question

What to Do If a Three-Year-Old Girl Has an Enlarged Spleen?

Answer

Enlarged spleens can be categorized into infectious and non-infectious types. There are many causes of spleen enlargement, and the mechanisms by which each disease leads to spleen enlargement are also different. Sometimes, the mechanism of spleen enlargement caused by one cause may be the result of the combined effects of multiple factors. Normally, a child’s liver upper border is generally at the 4th rib space on the right midclavicular line, and the lower border is generally 1 to 2 cm below the right rib margin. Below the xiphoid process, it is easier to feel, about 2 cm. The spleen cannot be felt below the left midclavicular line at the rib margin or does not exceed 1 cm, and it is soft in texture and located relatively shallow.