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22 Possible Causes for Hepatojugular Reflux, Pulsatile Liver

  • Cor Pulmonale

    Physical exam shows barrel shaped chest, inspiratory crackles, hepatojugular reflux, pulsus paradoxus, and ventricular gallop.[osmosis.org] liver, a loud pulmonic component of the 2nd heart sound, or evidence of venous thrombosis.[clinicaladvisor.com] Increased right atrial pressures may lead to dependent edema, hepatojugular reflux, and ascites.[javed-abbas.tripod.com]

  • Chronic Right-Sided Congestive Heart Failure

    The fluid status is checked by jugular venous pressure, which usually gets accentuated by the hepatojugular reflux.[newhealthadvisor.com] 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] Marked hepatojugular reflux due to hepatic congestion. Hepatomegaly liver pulsatility if there is significant associated tricuspid regurgitation.[patient.info]

  • 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]

  • Jugular Venous Distention

    Reflux Apply firm pressure to midabdomen for 30 seconds Apply 20-30 mmHg of pressure Positive test: 4 cm JVP rise for 10 seconds Suggests CHF (right or left sided failure[fpnotebook.com] Tricuspid regurgitation, if significant, will be accompanied by a pulsatile liver (feel over the lower costal margin).[stanfordmedicine25.stanford.edu] reflux Most importantly, there are many conditions that can result in an elevated JVP : 1.[renalfellow.blogspot.com]

  • Ascites

    Patients with congestive heart failure or constrictive pericarditis may have elevated jugular venous pressure, crackles on lung exam, and a positive hepatojugular reflux.[clinicaladvisor.com] Heart failure - distended jugular veins, palpable thrills and murmurs, enlarged & pulsatile liver; constrictive pericarditis - pulsus paradoxus c.[clinicaladvisor.com] Cirrhosis - muscle mass loss, icteric sclera, spider angioma, palmar erythema, pedal edema, gynecomastia, prominent abdominal wall veins (caput medusae), palpable firm liver[clinicaladvisor.com]

  • Acute Pericarditis

    reflux Peripheral edema ; or anasarca , ascites with abdominal discomfort Symptoms of reduced cardiac output (forward failure) Fatigue, dyspnea on exertion Tachycardia Pericardial[amboss.com] Hepatomegaly, a pulsatile liver, clinical ascites, and bilateral lower extremity edema? Does the patient have a pericardial friction rub?[clinicaladvisor.com] […] fluid overload (backward failure) Jugular vein distention , jugular venous pressure Kussmaul sign Hepatic vein congestion hepatomegaly , painful liver capsule distention, hepatojugular[amboss.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]

  • Pericardial Calcification

    Hepatojugular reflux may be observed. Fluid (and hence signs) usually develop slowly with cardiac tamponade developing late as a complication.[patient.info] Abdominal examination revealed an enlarged, pulsatile liver and there was flank dullness suggestive of ascites.[gastrohep.com]

  • Acute Pleuropericarditis

    reflux Peripheral edema ; or anasarca , ascites with abdominal discomfort Symptoms of reduced cardiac output (forward failure) Fatigue, dyspnea on exertion Tachycardia Pericardial[amboss.com] Hepatomegaly, a pulsatile liver, clinical ascites, and bilateral lower extremity edema? Does the patient have a pericardial friction rub?[cancertherapyadvisor.com] reflux, weakened peripheral pulses, peripheral oedema and cyanosis.[racgp.org.au]

  • Right Heart Endocarditis

    Her physical examination revealed jugular veins distension with a hepatojugular reflux and a mild painful hepatomegaly.[medical-case-reports.imedpub.com] liver) 30%.[hopkinsguides.com] […] supporting tricuspid valve endocarditis were: pleurisy 30%, pulmonary infiltrates (presumably septic embolic) 80%, signs of tricuspid valve insufficiency (gallop, large V wave, pulsatile[hopkinsguides.com]

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