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56 Possible Causes for Ascites, Pulsatile Liver

  • Tricuspid Valve Insufficiency

    The physical examination may also reveal jaundice, peripheral edema, ascites, weak peripheral pulse, pulmonary rales, and an S3 or S4 gallop.[symptoma.com] There may be giant C-V waves in the jugular pulse and a palpably (and sometimes visibly) pulsatile liver on abdominal exam.[en.wikipedia.org] The liver may be large and pulsatile. There is usually a single first heart sound that may be increased in intensity.[patient.info]

  • Cor Pulmonale

    Chronic presentations are harder to detect and may present with clubbed fingernails, wheezing, crepitations, papilledema, tender hepatomegaly, and ascites.[visualdx.com] Hepatojugular reflux and pulsatile liver are signs of RV failure with systemic venous congestion. In severe disease, ascites can also be present.[emedicine.medscape.com] Increased right atrial pressures may lead to dependent edema, hepatojugular reflux, and ascites.[javed-abbas.tripod.com]

  • Pulmonary Arterial Hypertension

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

  • 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.[austinpublishinggroup.com] Ascites will be caused in severe cases, which will further lead to liver enlargement and impaired liver functioning. Other symptoms are jaundice and coagulopathy.[newhealthadvisor.com] This usually causes swelling or congestion in the legs, ankles and swelling within the abdomen such as the GI tract and liver (causing ascites).[heart.org]

  • Presinusoidal Portal Hypertension

    […] stage characterized by ascites, together with increasing jaundice and anemia.[annals.org] This is particularly seen in tricuspid valve incompetence, when the liver is pulsatile.[somalidoc.com] Hepatomegaly may also be seen, but the liver parenchyma is of normal echo texture.[saudijgastro.com]

  • Portal Hypertension

    The serum-ascites albumin gradient value of 1.9 g/dL and the total protein level in the ascites of 3.1 g/dL indicated the ascites to have been caused by portal hypertension[ncbi.nlm.nih.gov] Physical examination revealed a soft abdomen, with no abdominal bruit, no pulsatile abdominal mass, and no stigmata of chronic liver disease.[ncbi.nlm.nih.gov] Patients with right-sided cardiac dysfunction with pulsatile portal venous flow invariably have abnormal liver function.[emedicine.com]

  • Hepatic Veno-Occlusive Disease

    KEY POINTS: • Ultrasonography with Doppler can help predict progression to VOD. • Gallbladder wall oedema and ascites are the independent predictors of progression to VOD.[ncbi.nlm.nih.gov] […] portal venous flow elevated hepatic artery resistive index ( 0.8) loss of triphasic hepatic venous flow gallbladder wall thickening ( 6-8 mm) ascites CT hepatomegaly nutmeg liver[radiopaedia.org] This procedure resulted in marked improvement in the patient's ascites, coagulation status and urinary output.[ncbi.nlm.nih.gov]

  • Portal Cirrhosis

    Hi there, My mom has been diagnosed with Cirrhosis and I've narrowed it down to being stage 4 based off of her having Portal Hypertension, Ascites.[healthunlocked.com] Non-pulsatile hepatic and portal vein waveforms in patients with liver cirrhosis: concordant and discordant relationships. Br J Radiol 2004;77:547–550. 27.[e-ultrasonography.org] […] with ascites Liver cirrhosis: Liver cirrhosis with ascites and splenomegaly Liver cirrhosis: Liver cirrhosis with an irregular liver contour and ascites Liver cirrhosis:[ultrasoundcases.info]

  • Liver Cirrhosis

    The serum-ascites albumin gradient value of 1.9 g/dL and the total protein level in the ascites of 3.1 g/dL indicated the ascites to have been caused by portal hypertension[ncbi.nlm.nih.gov] Non-pulsatile hepatic and portal vein waveforms in patients with liver cirrhosis: concordant and discordant relationships. Br J Radiol 2004;77:547–550. 27.[dx.doi.org] […] with cirrhosis and ascites.[ncbi.nlm.nih.gov]

  • Hepatosplenic Amyloidosis

    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[link.springer.com] On palpation Smooth hepatomegaly Suggests: hepatitis, chronic heart failure, sarcoid, early alcoholic cirrhosis, tricuspid incompetence with a pulsatile liver.[patient.info] However, if patient has gross ascites, you might want to ask him whether it is comfortable for him to lie flat as he might have difficulty breathing if lying flat.[mrcpch.paediatrics.co.uk]

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