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14 Possible Causes for Echocardiogram showing Dilation of Inferior Vena Cava, Pulsatile Liver

  • Tricuspid Valve Insufficiency

    Right heart failure leads to ascites, hepatosplenomegaly, pulsatile liver, peripheral edema and pleural overflow. In advanced stages patients are cachectic and cyanotic.[heartupdate.com] Fatigue, weakness, shortness of breath, jugular vein distension, ascites, hepato-splenomegaly, pulsatile liver, pleural effusions and peripheral oedema may be present.[escardio.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

    Abdominal ultrasound showed liver congestion with dilatation of the inferior vena cava and of the supra-hepatic veins. Serologies for B and C hepatitis were negative.[scielo.br] liver, a loud pulmonic component of the 2nd heart sound, or evidence of venous thrombosis.[clinicaladvisor.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]

  • Chronic Right-Sided Congestive Heart Failure

    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[merckmanuals.com] Hepatomegaly liver pulsatility if there is significant associated tricuspid regurgitation. Jaundice in advanced cases. Ascites in advanced cases.[patient.info] […] include nontender peripheral pitting edema (digital pressure leaves visible and palpable imprints, sometimes quite deep) in the feet and ankles; an enlarged and sometimes pulsatile[merckmanuals.com]

  • Cardiac Amyloidosis

    liver and 1 bilateral lower extremity pitting edema.[cathlabdigest.com] Physical examination findings were consistent with fluid overload: jugular venous distention, decreased breath sounds at the right base up to the mid lung field, pulsatile[cathlabdigest.com]

  • Tricuspid Valve Disease

    Hepatojugular reflux, pulsatile liver, and signs of hepatic dysfunction also may be present.[accesssurgery.mhmedical.com] Fatigue, weakness, shortness of breath, jugular vein distension, ascites, hepato-splenomegaly, pulsatile liver, pleural effusions and peripheral oedema may be present.[escardio.org] The liver is tender and pulsatile.[symptoma.com]

  • Acute Cor Pulmonale

    liver, a loud pulmonic component of the 2nd heart sound, or evidence of venous thrombosis.[clinicaladvisor.com] liver and ascites.[phaonlineuniv.org] 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]

  • Acute Massive Pulmonary Embolism

    liver, brown guaiac negative stool Extremities: right upper extremity with decreased tone, 1 edema in lower extremities bilaterally, all extremities cool to touch Neurologic[thoracic.org] […] holosystolic murmur and S3 gallop present, point of maximal impulse displaced laterally Lungs: coarse breath sounds bilaterally Abdomen: soft, nontender, hypoactive bowel sounds, pulsatile[thoracic.org]

  • Acute Myocarditis

    Physical exam will look like congestive heart failure, with jugular venous distention, pulmonary rales, peripheral edema, pulsatile liver, and perhaps a laterally displaced[clinicaladvisor.com]

  • Right Ventricular Disorder

    liver, a loud pulmonic component of the 2nd heart sound, or evidence of venous thrombosis.[clinicaladvisor.com] liver and ascites.[phaonlineuniv.org] 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[merckmanuals.com]

  • Atrial Myxoma

    inferior vena cava.[jmedicalcasereports.biomedcentral.com] 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 transthoracic echocardiogram showed a moving mass in the RA (Figure 2 ) attached to the atrial septum, an increased RA, right ventricular volume overload, and a dilated[jmedicalcasereports.biomedcentral.com]

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