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94 Possible Causes for Hepatojugular Reflux

  • Congestive Heart Failure

    reflux The minor criteria include: Pedal edema Night cough Dyspnea on exertion Hepatomegaly Pleural effusion Tachycardia Vital capacity reduced by at least one third of normal[] Most commonly, providers may see elevated venous congestion which is manifested in neck vein distention, elevated hepatojugular reflux, and hepatomegaly.[] Hepatojugular reflux cannot diagnose cause of dyspnea but can help establish diagnosis of fluid overload.[]

  • Cor Pulmonale

    Physical exam shows barrel shaped chest, inspiratory crackles, hepatojugular reflux, pulsus paradoxus, and ventricular gallop.[] Increased right atrial pressures may lead to dependent edema, hepatojugular reflux, and ascites.[] Marked hepatojugular reflux due to hepatic congestion. Hepatomegaly liver pulsatility if there is significant associated tricuspid regurgitation.[]

  • Cardiac Cirrhosis

    Further distention of neck veins may be elicited with application of pressure over the right upper quadrant for as long as 1 minute (ie, hepatojugular reflux).[] Heart failure (heart cirrhosis): oedema, dyspnoea, fatigue, anorexia, dilated jugulars (jugular ingurgitation), coughing, hepatojugular reflux, heart murmurs and an enlarged[]

  • Central Venous Pressure Increased

    Enhanced by the hepatojugular reflux (see below).[] Evaluation of JVP Level Waveform Respiratory variation in level and wave pattern Hepatojugular reflux Venous hum Liver size and pulsations Technique of measuring JVP 1) Position[] Hepatojugular reflux (abdominojugular reflux sign) [ 4 ] This can help to confirm that the pulsation is caused by the JVP.[]

  • Chronic Constrictive Pericarditis

    Hepatojugular reflux may be observed. Fluid (and hence signs) usually develop slowly with cardiac tamponade developing late as a complication.[] Patients present with findings of right-sided heart failure, including peripheral edema, jugular venous distension, hepatojugular reflux, hepatomegaly, and ascites.[]

  • Pericardial Effusion

    reflux Tachypnea Decreased breath sounds Ewart sign: Dullness to percussion beneath the angle of left scapula Hepatosplenomegaly Weakened peripheral pulses, edema, and cyanosis[] […] following: Classic Beck triad of pericardial tamponade: Hypotension, muffled heart sounds, jugular venous distention Pulsus paradoxus Pericardial friction rub Tachycardia Hepatojugular[]

  • Chronic Right-Sided Congestive Heart Failure

    The fluid status is checked by jugular venous pressure, which usually gets accentuated by the hepatojugular reflux.[] Marked hepatojugular reflux due to hepatic congestion. Hepatomegaly liver pulsatility if there is significant associated tricuspid regurgitation.[] Assess the liver for hepatojugular reflux. Measure the urinary output carefully to establish a baseline against which to assess the effectiveness of diuretic therapy.[]

  • Tricuspid Valve Insufficiency

    A 30-year old man underwent a head-on motor accident and was admitted to hospital, where he was successfully treated for several injuries. He was discharged home with slight tricuspid regurgitation, without signs of hemodynamic decompensation, and required no further treatment. Five years later he was admitted[…][]

  • Asbestosis

    Patients with Cor pulmonale may have varying degrees of cyanosis, hepatojugular reflux, jugular venous distension and pedal edema.[]

  • Pulsus Alternans

    The edge of the liver may be palpable below the costal margin, and eliciting the hepatojugular reflux can be used to assess the amount of engorgement.As the systemic venous[]

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