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68 Possible Causes for Ascites, Hepatojugular Reflux

  • Congestive Heart Failure

    Physical examination revealed S4, bilateral pretibial edema, and moderate amount of ascites.[] reflux · Weight loss 4.5 kg in 5 days in response to treatment Minor criteria: · Bilateral ankle edema · Nocturnal cough · Dyspnea on ordinary exertion · Hepatomegaly · Pleural[] reflux The minor criteria include: Pedal edema Night cough Dyspnea on exertion Hepatomegaly Pleural effusion Tachycardia Vital capacity reduced by at least one third of normal[]

  • Cor Pulmonale

    Chronic presentations are harder to detect and may present with clubbed fingernails, wheezing, crepitations, papilledema, tender hepatomegaly, and ascites.[] Increased right atrial pressures may lead to dependent edema, hepatojugular reflux, and ascites.[] Tender hepatomegaly,Hepatojugular reflux, lower extremity edema, ascites 21. signs 22.[]

  • Chronic Right-Sided Congestive Heart Failure

    Abdominal examination elicited pain during superficial palpation on the right upper quadrant with hepatomegaly identification, with no signs of ascites.[] The fluid status is checked by jugular venous pressure, which usually gets accentuated by the hepatojugular reflux.[] This usually causes swelling or congestion in the legs, ankles and swelling within the abdomen such as the GI tract and liver (causing ascites).[]

  • Cardiac Cirrhosis

    RESULTS: We analyzed 20 samples of ascitic fluid from the patients of cardiac cirrhosis and compared with 48 samples of non-cirrhotic cardiac ascites.[] Further distention of neck veins may be elicited with application of pressure over the right upper quadrant for as long as 1 minute (ie, hepatojugular reflux).[] Heart failure (heart cirrhosis): oedema, dyspnoea, fatigue, anorexia, dilated jugulars (jugular ingurgitation), coughing, hepatojugular reflux, heart murmurs and an enlarged[]

  • Chronic Constrictive Pericarditis

    A serum-ascites albumin gradient 1.1 g/dL and an ascites fluid total protein 2.5 g/dL are typical of CP and other postsinusoidal causes of ascites.[] Hepatojugular reflux may be observed. Fluid (and hence signs) usually develop slowly with cardiac tamponade developing late as a complication.[] Patients present with findings of right-sided heart failure, including peripheral edema, jugular venous distension, hepatojugular reflux, hepatomegaly, and ascites.[]

  • Tricuspid Valve Insufficiency

    The physical examination may also reveal jaundice, peripheral edema, ascites, weak peripheral pulse, pulmonary rales, and an S3 or S4 gallop.[] It is now 2 years since his tricuspid valve replacement and he remains clinically free of ascites and peripheral edema with a normal serum albumin level.[] Ascites with diaphragmatic elevation may be present. Pulmonary arterial and venous hypertension are common.[]

  • Heart Failure

    A 50-year-old female patient presented at the clinic with the complaint of dyspnea and abdominal distention due to ascites.[] reflux · Weight loss 4.5 kg in 5 days in response to treatment Minor criteria: · Bilateral ankle edema · Nocturnal cough · Dyspnea on ordinary exertion · Hepatomegaly · Pleural[] reflux, hepatomegaly Displaced (and broadened) apical movement, presence of a 3rd heart sound Pulmonary rales, which persist after coughing Tachycardia ( heart rate 90-100[]

  • Pericardial Effusion

    We report a case of Morgagni hernia with pericardiodiaphragmatic aplasia, complicated by two-compartment effusions (massive pericardial effusion and mild ascites), diagnosed[] reflux Tachypnea Decreased breath sounds Ewart sign: Dullness to percussion beneath the angle of left scapula Hepatosplenomegaly Weakened peripheral pulses, edema, and cyanosis[] The pathogenesis of the production of ascites and pleural effusion in this syndrome remains unknown.[]

  • Cardiac Tamponade

    Theoretically, as reported in only a single prior case, it can be caused by extrinsic compression from tense ascites.[] During RFA procedure, thermal injury to the adjacent diaphragm and colon was minimized by introducing artificial ascites.[] Heart Failure : Results in pulmonary edema and resultant dyspnea Right Heart Failure : Results in prominent increases in jugular venous pressure along with peripheral edema, ascites[]

  • Central Venous Pressure Increased

    Ascites is typically present in the patient with constrictive pericarditis.[] Enhanced by the hepatojugular reflux (see below).[] Evaluation of JVP Level Waveform Respiratory variation in level and wave pattern Hepatojugular reflux Venous hum Liver size and pulsations Technique of measuring JVP 1) Position[]

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