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"The stations you provide are strikingly similar to those I came across during my medical school finals (some even verbatim!), and I have tried many other exam platforms. I'm truly grateful for your priceless support throughout my final couple of years at medical school!"
Raza Q π¬π§
"It has absolutely everything for medical school, so many histories with detailed differential diagnoses, how to approach emergencies, commonly prescribed drugs..every kind go examination youβll ever need in osces"
John R π¬π§
"Thank you SO MUCH for the amazing educational resource. Iβve tried lots of platforms and books with mock OSCE stations and yours is by far and away the best Iβve tried"
Ed M π³πΏ
"Get this right away. So helpful for OSCEs but also general clinical learning and understanding. Wish I had brought it sooner"
Emma W π¬π§
"Without a doubt, your platform outshines all other OSCE resources currently available. In all honesty, I can confidently attribute my success in securing a distinction in my finals to OSCEstop."
Harish K π¬π§
"OSCEstop distinguishes itself from many other platform banks by offering a wealth of questions that mimic the demanding and complex aspects of our finals. This platform played a crucial role in ensuring I was ready for the level of difficulty that awaited me in my final exams."
Blood smear: Presence of Howell-Jolly bodies (nuclear remnants in RBCs) indicates hyposplenism.
Imaging:Ultrasound or CT scan for spleen size and morphology.
Management π₯Ό
Management
Vaccination: Before elective splenectomy, vaccinate against encapsulated organisms (pneumococcal, meningococcal, and H. influenzae type b vaccines).
Consider prophylactic antibiotics post-splenectomy, especially in childrenΒ and for at least 2 years after surgery or lifelong in certain cases.
Education: Advise patients about the risk of infection and to seek immediate medical attention for febrile illnesses.
Prevention
Vaccination is key for preventing severe bacterial infections.
Routine check-ups to monitor for complications.
Prompt treatment of infections with broad-spectrum antibiotics.
Complications
Overwhelming post-splenectomy infection (OPSI): Severe infection due to encapsulated bacteria (e.g., Streptococcus pneumoniae, Haemophilus influenzae, Neisseria meningitidis).
Thromboembolism: Increased risk of portal or mesenteric vein thrombosis.
Atelectasis and pneumonia: Due to restricted diaphragmatic movement post-surgery.
Wound infection.
Key Points
Hyposplenism leads to a diminished immune response.
Multiple aetiologies, such as post-splenectomy.
Investigations include blood smear to detect hyposplenism and imaging of the spleen.
Management involves vaccination, prophylactic antibiotics and patient education, which are crucial to reduce complications, such as OPSI, post-splenectomy.