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19 Possible Causes for Chest Pain Worse when Lying Down, Hepatomegaly

  • Pericarditis

    He had leg oedema, hepatomegaly, jugular venous distension, and bilateral pleural effusion on chest radiography.[doi.org] It can be made worse when lying down, coughing, or swallowing and may be relieved by sitting forward. Low-grade fever. Increased heart rate.[webmd.com] […] also, such as: Pulmonary effusion – dyspnoea, cough, orthopnoea Reduced cardiac output – hypotension, fatigue, reflex tachycardia Pulmonary venous congestion – ascites, hepatomegaly[almostadoctor.co.uk]

  • Constrictive Pericarditis

    Examination revealed raised jugular venous pressure (JVP), pitting pedal oedema, muffled heart sounds, bilateral pleural effusion and hepatomegaly.[ncbi.nlm.nih.gov] It can be made worse when lying down, coughing, or swallowing and may be relieved by sitting forward. Low-grade fever. Increased heart rate.[webmd.com] Conversely, preoperative hepatomegaly and concomitant valvular operation were associated with significantly higher mortality on both univariate and multivariate analysis.[ncbi.nlm.nih.gov]

  • Acute Pericarditis

    On physical examination, she had tachycardia, hepatomegaly, and muffled heart sounds.[ncbi.nlm.nih.gov] It is usually worse when coughing, eating and lying down. Sitting up or leaning forward will usually help relieve the pain.[your.md] Hepatomegaly, a pulsatile liver, clinical ascites, and bilateral lower extremity edema? Does the patient have a pericardial friction rub?[clinicaladvisor.com]

  • Radiation Pericarditis

    This includes a pericardial knock Pericardial rub (heard best while leaning forwards) and distant heart sounds Abdomen Hepatomegaly Ascites Extremities Ankle edema Electrocardiogram[wikidoc.org] pain. [1] The pain may also be felt in the shoulders, neck, or back. [1] It is typically better sitting up and worse when lying down or breathing deeply. [1] Other symptoms[en.wikipedia.org] Jugular veins are prominent, hepatomegaly, ascites and edema are noted.[brown.edu]

  • Rheumatoid Arthritis

    Liver: mild hepatomegaly and abnormal transaminases are common. Other: thyroid disorders, osteoporosis, depression, splenomegaly.[patient.info] Heart: inflammation of the tissue surrounding the heart (pericarditis) can cause chest pain, which tends to be worse when lying down.[onhealth.com] Lungs: inflammation of the lung lining (pleuritis) or the lungs themselves can cause shortness of breath and chest pain.[onhealth.com]

  • Aortic Valve Stenosis

    Rarely, right ventricular failure with systemic venous congestion, hepatomegaly, and edema precede LV failure.[emedicine.medscape.com] If heart failure, loss of consciousness, or heart related chest pain occurs due to AS the outcomes are worse.[en.wikipedia.org] […] an S3 or S4 gallop, the irregular rhythm of atrial fibrillation, an enlarged and laterally displaced point of maximal impulse, pulmonary rales, jugular venous distention, hepatomegaly[doi.org]

  • Pancreatitis

    Other signs are frequently reported in PLHIV; diarrhea, hepatomegaly, fever, leukopenia, anemia or hypoalbuminemia and this in relation to their state of immunosuppression[omicsonline.org] Symptoms Acute disease: moderate to severe abdominal pain that may spread to the chest, back, and sides (and is often worse when lying down); nausea and vomiting; abdominal[healthcentral.com] Chronic: constant or episodic abdominal pain; weight loss; bulky, floating stools.[healthcentral.com]

  • Suppurative Pericarditis

    Early complaints of constrictive pericarditis are shortness of breath on exertion, recurrent chest pain and or symptoms of right-sided heart failure with venous congestion, hepatomegaly[biomedsearch.com] pain. [1] The pain may also be felt in the shoulders, neck, or back. [1] It is typically better sitting up and worse when lying down or breathing deeply. [1] Other symptoms[en.wikipedia.org] […] jugular vein engorgement; audible, rhythmic and tachycardic heart sounds; no pericardial rub, rhonchi and crepitus in both lungs; subcostal and suprasternal retractions; no hepatomegaly[revistas.unal.edu.co]

  • Acute Pleuropericarditis

    […] effusion Constrictive pericarditis Symptoms of fluid overload ( backward failure ) Jugular vein distention , jugular venous pressure Kussmaul sign Hepatic vein congestion hepatomegaly[amboss.com] It can be made worse when lying down, coughing , or swallowing and may be relieved by sitting forward. Low-grade fever. Increased heart rate .[webmd.com] […] pericarditis Any form of pericarditis may end in constrictive pericarditis, presenting with chronic fatigue, dyspnoea, jugular distension, proto-diastolic pericardial knock, hepatomegaly[textbookofcardiology.org]

  • Toxic Myocarditis

    All patients presented with tachypnoea, tachycardia, sweating, gallop rhythm, pulmonary wheezing, rales and hepatomegaly.[bestbets.org] The unique presentation of substernal pain that is worse during inspiration or when the patient is lying down and is relieved by leaning forward is helpful in making the diagnosis[atsu.edu] Physical findings: Pulmonary congestion: tachypnea, grunting, nasal flaring, rales Low cardiac output: tachycardia, poor perfusion, hypotension Muffled heart sounds Hepatomegaly[clinicaladvisor.com]

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