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42 Possible Causes for Exertional Dyspnea, Pulsatile Liver

  • Cor Pulmonale

    The patient developed progressive exertional dyspnea, with clinical and laboratory findings of right-sided heart failure and pulmonary hypertension.[ncbi.nlm.nih.gov] 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] Nonspecific: fatigue, tachypnea, exertional dyspnea, cough, anginal chest pain, hemoptysis, hoarseness What nonspecific signs may indicate underlying lung disease Increase[quizlet.com]

  • Eisenmenger Syndrome

    Clinical manifestations include exertional dyspnea, fatigue, lethargy, central cyanosis, chest pain, palpitations, atrial and ventricular arrhythmias.[orpha.net]

  • Aortic Valve Insufficiency

    dyspnea Chest pain (angina) Dizziness Syncope Complications Left ventricular volume overload with left ventricular dilatation Decreased left ventricular systolic function[echocardiology.org] dyspnea (common) Orthopnea (common) Paroxysmal nocturnal dyspnea (common) Angina pectoris (less common) Abdominal discomfort (less common) Syncope (rare) Nocturnal angina[emedicine.medscape.com] Case presentation Case 1 A 58-year-old Chinese man was admitted to our department with chief complaint of exertional dyspnea for one month.[cardiothoracicsurgery.biomedcentral.com]

  • Tricuspid Valve Insufficiency

    These may generally include: Peripheral edema Fatigue and weakness Hepatomegaly (congestive) Ascites Dyspnea upon exertion, orthopnea, and paroxysmal nocturnal dyspnea Decreased[symptoma.com] With severe TR, there may be an enlarged liver detected on palpation of the right upper quadrant of the abdomen; the liver may be pulsatile on palpation and even on inspection[en.wikipedia.org] Common presenting complaints in patients with RV dysfunction include the following: Dyspnea on exertion Orthopnea Paroxysmal nocturnal dyspnea Ascites Peripheral edema Exercise[emedicine.medscape.com]

  • Pulmonary Arterial Hypertension

    Abstract A 17-year-old Japanese girl visited our hospital for an evaluation of exertional dyspnea.[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] General considerations Symptoms with no overt explanation: If a patient presents with symptoms, signs or history suggestive of pulmonary hypertension such as exertional dyspnea[escardio.org]

  • Pulmonary Edema

    High altitude pulmonary edema (HAPE) is a form of high altitude illness characterized by cough, dyspnea upon exertion progressing to dyspnea at rest and eventual death, seen[ncbi.nlm.nih.gov] […] is enlarged and may be tender or even pulsatile.[en.wikipedia.org] Shortly after, she started to have exertional dyspnea, which progressed gradually from New York Heart Association (NYHA) classes II–IV over the course of 4 days.[edm.bioscientifica.com]

  • High Output Heart Failure

    A 51-yr-old man presented exertional dyspnea as a consequence of iliocaval fistula combined with paradoxical pulmonary embolism and high-output heart failure.[ncbi.nlm.nih.gov] There was no pulsatile mass nor abdominal murmur.[circ.ahajournals.org] A 64-year-old woman was admitted with systemic edema and exertional dyspnea.[ncbi.nlm.nih.gov]

  • Acute Aortic Regurgitation

    Abstract A 65-year-old male was admitted with progressive dyspnea on exertion.[ncbi.nlm.nih.gov] Symptoms include exertional dyspnea, orthopnea, paroxysmal nocturnal dyspnea, palpitations, and chest pain.[merckmanuals.com] dyspnea Angina Orthopnea Easy fatigability Syncope Symptoms of high pulse pressure (e.g., head pounding, rhythmic nodding, or bobbing of the head in synchrony with heartbeats[amboss.com]

  • Chronic Right-Sided Congestive Heart Failure

    dyspnea and fatigue 1,2 orthopnea: dyspnea in the recumbent position, may use multiple pillows at night 1,2 paroxysmal nocturnal dyspnea: dyspnea that awakens the patient[radiopaedia.org] Snapshot A 60-year-old man presents to his primary care physician for several months of dyspnea on exertion, exercise intolerance, and lower-extremity swelling.[medbullets.com] You could have shortness of breath only with exercise, but as the disease progresses, it will take less exertion to produce dyspnea.[sharecare.com]

  • Pulmonary Hypertension

    A 58-year-old woman was referred to our hospital with a chief complaint of exertional dyspnea.[ncbi.nlm.nih.gov] The signs of right ventricular failure include a high-pitched systolic murmur of tricuspid regurgitation, hepatomegaly, a pulsatile liver, ascites, and peripheral edema.[emedicine.medscape.com] Common presenting features are exertional dyspnea, lethargy, fatigue, exertional syncope and chest pain, peripheral edema, anorexia and right upper quadrant pain.[symptoma.com]

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