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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.[] Hepatojugular reflux and pulsatile liver are signs of RV failure with systemic venous congestion. In severe disease, ascites can also be present.[] Nonspecific: fatigue, tachypnea, exertional dyspnea, cough, anginal chest pain, hemoptysis, hoarseness What nonspecific signs may indicate underlying lung disease Increase[]

  • Eisenmenger Syndrome

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

  • Aortic Valve Insufficiency

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

  • Tricuspid Valve Insufficiency

    These may generally include: Peripheral edema Fatigue and weakness Hepatomegaly (congestive) Ascites Dyspnea upon exertion, orthopnea, and paroxysmal nocturnal dyspnea Decreased[] 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[] Common presenting complaints in patients with RV dysfunction include the following: Dyspnea on exertion Orthopnea Paroxysmal nocturnal dyspnea Ascites Peripheral edema Exercise[]

  • Pulmonary Arterial Hypertension

    Abstract A 17-year-old Japanese girl visited our hospital for an evaluation of exertional dyspnea.[] Jugular venous distension and hepatomegaly occur with heart failure, sometimes causing a pulsatile liver later in the disease state.[] General considerations Symptoms with no overt explanation: If a patient presents with symptoms, signs or history suggestive of pulmonary hypertension such as exertional dyspnea[]

  • 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[] […] is enlarged and may be tender or even pulsatile.[] 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.[]

  • 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.[] There was no pulsatile mass nor abdominal murmur.[] A 64-year-old woman was admitted with systemic edema and exertional dyspnea.[]

  • Acute Aortic Regurgitation

    Abstract A 65-year-old male was admitted with progressive dyspnea on exertion.[] Symptoms include exertional dyspnea, orthopnea, paroxysmal nocturnal dyspnea, palpitations, and chest pain.[] 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[]

  • 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[] 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.[] You could have shortness of breath only with exercise, but as the disease progresses, it will take less exertion to produce dyspnea.[]

  • Pulmonary Hypertension

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

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