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83 Possible Causes for Ascites, Pulsatile Liver

  • Pulmonary Arterial Hypertension

    Venous congestion and ascites-induced increased intra-abdominal pressure are essential regarding recurrent hospitalization, morbidity and mortality.[] Jugular venous distension and hepatomegaly occur with heart failure, sometimes causing a pulsatile liver later in the disease state.[] In untreated patients and patients with worsening decompensated right heart failure, ascites is not uncommonly present. Lung examination findings are usually normal.[]

  • Tricuspid Valve Insufficiency

    The physical examination may also reveal jaundice, peripheral edema, ascites, weak peripheral pulse, pulmonary rales, and an S3 or S4 gallop.[] Right heart failure leads to ascites, hepatosplenomegaly, pulsatile liver, peripheral edema and pleural overflow. In advanced stages patients are cachectic and cyanotic.[] Fatigue, weakness, shortness of breath, jugular vein distension, ascites, hepato-splenomegaly, pulsatile liver, pleural effusions and peripheral oedema may be present.[]

  • Cor Pulmonale

    Chronic presentations are harder to detect and may present with clubbed fingernails, wheezing, crepitations, papilledema, tender hepatomegaly, and ascites.[] liver, a loud pulmonic component of the 2nd heart sound, or evidence of venous thrombosis.[] Increased right atrial pressures may lead to dependent edema, hepatojugular reflux, and ascites.[]

  • 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.[] liver palpable below the right costal margin; abdominal swelling and ascites; and visible elevation of the jugular venous pressure, sometimes with large a or v waves that[] Ascites will be caused in severe cases, which will further lead to liver enlargement and impaired liver functioning. Other symptoms are jaundice and coagulopathy.[]

  • Ascites

    ". [4] Signs and symptoms [ edit ] Mild ascites is hard to notice, but severe ascites leads to abdominal distension .[] Heart failure - distended jugular veins, palpable thrills and murmurs, enlarged & pulsatile liver; constrictive pericarditis - pulsus paradoxus c.[] Cell-free and Concentrated Ascites Reinfusion Therapy (CART) is also applied against refractory ascites. CART comprises three processes.[]

  • Hepatosplenic Amyloidosis

    Ascitic fluid may be tapped and drawn for differential analysis.[] On palpation Smooth hepatomegaly Suggests: hepatitis, chronic heart failure, sarcoid, early alcoholic cirrhosis, tricuspid incompetence with a pulsatile liver.[] We report a case of a 51-year-old woman with giant hepatomegaly, hypertransaminasemia, increase in alkaline phosphatase, and ascites, in whom the findings of dual-phase spiral[]

  • Heart Valve Disease

    liver Prominent V waves and rapid y descents in jugular venous pressure [18] Inspiratory third heart sound at left lower sternal border (LLSB) [18] Blowing holosystolic murmur[] […] the most prominent sign [18] Advanced disease may present with signs of right-sided heart failure such as parasternal heave , jugular venous distension , hepatomegaly , ascites[] […] often with heave [19] Loud, palpable P 2 , [18] heard best when lying on the left side [19] In acute cases, the murmur and tachycardia may be only distinctive signs. [19] Pulsatile[]

  • Hypoventilation

    Ascites may occur but is unusual. The systolic murmur of tricuspid valve regurgitation may be present.[] A pulsatile liver develops if tricuspid regurgitation is severe. Ascites may occur but is unusual. The systolic murmur of tricuspid valve regurgitation may be present.[]

  • Pulmonary Hypertension

    […] breath Difficulty exercising Chest pain Near or complete fainting Right-sided heart failure symptoms, including swelling in ankles and legs (edema) and fluid in the abdomen (ascites[] The signs of right ventricular failure include a high-pitched systolic murmur of tricuspid regurgitation, hepatomegaly, a pulsatile liver, ascites, and peripheral edema.[] Oedema and ascites tend to occur late in the disease. Angina and tachyarrythmias, particularly atrial flutter, may also occur.[]

  • Atrial Myxoma

    Clinical findings Symptoms may be obstructive (right-sided congestion), ascites, constitutional (fever, fatigue, arthralgias, myalgias, weight loss), Raynaud’s phenomenon,[] Hepatomegaly was present, with the pulsatile liver palpated 6 cm below the right coastal margin, there was ascites and bowel sounds were present and normoactive.[] […] dizziness, syncope, neurological signs and symptoms as a result of systemic embolization. 1 , 2 Right-sided atrial myxomas present with easy fatigability, peripheral edema and ascites[]

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