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46 Possible Causes for Diastolic Murmur, Pulsatile Liver

  • Aortic Valve Insufficiency

    An Austin Flint murmur is a mid-diastolic to late-diastolic rumble, which is best heard at the apex.[emedicine.medscape.com] liver) Gerhardt's sign (enlarged spleen) Duroziez's sign (systolic and diastolic murmurs heard over the femoral artery when it is gradually compressed) Hill's sign (A 20[doctorslounge.com] Diastolic murmurs heard in other diseases besides AR differ in their characteristics. The murmur of mitral stenosis is distinct from the murmur of AR.[clinicaladvisor.com]

  • Eisenmenger Syndrome

    murmur pulmonary insufficiency jugular venous distension loud pulmonary component of S2 sound clubbing of extremities peripheral edema Imaging Radiography indication performed[medbullets.com] A third heart sound as well as hepatosplenomegaly or a pulsatile liver occur with right heart failure. 4.2.[ncbi.nlm.nih.gov] Graham Steell murmur: a diastolic murmur audible along the left sternal border due to functional incompetence of the pulmonary valve in patients with pulmonary hypertension[patient.info]

  • Acute Aortic Regurgitation

    Early closure of the mitral valve, weak first heart sound, tall A wave of apexcardiogram, and early diastolic murmur indicated acute aortic regurgitation.[ncbi.nlm.nih.gov] […] nailbed) • Palfrey’s sign ( pistol shot sounds in radial artery ) • Rosenbach’s sign (pulsations in liver) • Gerhart’s sign ( pulsations in spleen ) • Traube’s sign (Pistol[slideshare.net] A 65-year-old man with chronic hypertension developed dyspnea, a cough, and a new diastolic murmur. Two-dimensional echocardiography showed severe aortic regurgitation.[ncbi.nlm.nih.gov]

  • Atrial Myxoma

    He had a low-grade pyrexia and cardiac auscultation revealed a diastolic murmur consistent with 'tumour plop'. He had no sequelae of endocarditis.[ncbi.nlm.nih.gov] 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.[pulsus.com] A tumor plop may be followed by a low pitched diastolic murmur.[healio.com]

  • Pulmonary Arterial Hypertension

    Also present can be an RV heave, systolic murmur secondary to triscupid regurgitation, and perhaps even a diastolic murmur secondary to pulmonic insufficiency.[clinicaladvisor.com] With regards to auscultation, systolic murmurs indicating tricuspid regurgitation may be heard in mild to moderate PAH, whereas diastolic murmurs due to pulmonary valve insufficiency[symptoma.com] (tricuspid regurgitation), third heart sound, and a diastolic murmur (pulmonary valve insufficiency).[aafp.org]

  • Congenital Aortic Insufficiency

    We present a case of a 39-year-old male who was found to have QAV, with the help of TEE, while undergoing evaluation for a diastolic murmur.[clinicalimagingscience.org] Case 2 A 20-year-old asymptomatic Chinese boy was found to have grade 3/6 diastolic murmur at the left sternal border.[cardiothoracicsurgery.biomedcentral.com] Finally, a third murmur, known as an Austin Flint murmur, may be detected. This is a soft, rumbling, low-pitched, late diastolic murmur which is heard best at the apex.[med.ucla.edu]

  • Hypoventilation

    A diastolic murmur indicative of pulmonic valve regurgitation may be auscultated.[emedicine.medscape.com] murmur indicative of pulmonic valve regurgitation may be auscultated Diagnosis Obesity Hypoventilation Syndrome (OHS) exists when an obese individual (body mass index (BMI[rjjaramillo.wordpress.com] 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.[emedicine.medscape.com]

  • Heart Valve Disease

    Murmurs which occur when the heart contracts (squeezes) are called systolic murmurs and those that occur when the heart relaxes are called diastolic murmurs.[irishheart.ie] 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[en.wikipedia.org] The associated murmur is a high-pitched, early diastolic decrescendo murmur. TR This does not produce symptoms but severe cases feature fatigue, anorexia, and bloating.[symptoma.com]

  • Endocarditis

    On examination, she is afebrile but has a new harsh diastolic murmur and hepatomegaly. ECHO reveals a 1.5-cm vegetation on the aortic valve.[pedsinreview.aappublications.org] On examination, there was a loud holosystolic murmur, maximally audible in the epigastric space, and a pulsatile liver.[the-hospitalist.org] Systolic and diastolic murmurs were present. Blood cultures were drawn, and antibiotics started. An electrocardiogram showed heart block.[the-hospitalist.org]

  • Jugular Venous Distention

    Also heard were an early diastolic heart sound ( tumour plop) and a mid-diastolic murmur at the apex.[bjmp.org] Tricuspid regurgitation, if significant, will be accompanied by a pulsatile liver (feel over the lower costal margin).[stanfordmedicine25.stanford.edu] This mid-diastolic murmur is associated with an opening snap and has a low-pitched, rumbling quality.[quizlet.com]

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