NOBLE O. FOWLER JR., M.D.
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During the past few years, we have noted several instances of palpable spleen in patients with chronic cardiac decompensation; no other reason for splenic enlargement was found in these cases.
It has long been a general impression that the spleen does not become palpably enlarged as a result of congestive heart failure alone. As a corollary of this, it has been felt further that if the spleen is palpable in a case of heart failure, some complication should be suspected. This statement was made by Held1 in his discussion on splenomegaly, and the same opinion was voiced by Rolleston.2 Talley
FOWLER NO. SPLENOMEGALY IN CONGESTIVE HEART FAILURE1. Ann Intern Med. ;27:733–737. doi: 10.7326/0003-4819-27-5-733
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Published: Ann Intern Med. 1947;27(5):733-737.
Cardiology, Heart Failure.
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