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13 Possible Causes for Hepatomegaly, Increased Area of Cardiac Dullness, Low-Voltage Electrocardiogram

  • Cardiomyopathy

    1st step in mitochondrial β-oxidation of fatty acids Onset: Early childhood Episodes: Associated with fasting Hypoglycemia, Hypoketotic Cardiac arrest Clinical findings Hepatomegaly[] Additional symptoms may include fluid collection in the abdomen (ascites) and feet due to accumulation of fluid, congestion of the lungs, and an abnormally large liver (hepatomegaly[] & Fasting induced Relatively easily triggered Muscle pain: Relatively severe (More than CPT2 deficiency ) Rhabdomyolysis Systemic features: Variably present Hypoglycemia Hepatomegaly[]

  • Pericardial Effusion

    Radiologic examinations were carried out, and the computed tomography scan revealed a hepatomegaly and a chest X-ray showed evidence of a unilateral pleural effusion.[] Initial workup will include an electrocardiogram which may show: Low voltage Electric alterans A chest X-ray may show an enlarged globular heart.[] Considerable amounts of pericardial fluid may muffle heart sounds, increase the area of cardiac dullness, and change the size and shape of the cardiac silhouette.[]

  • Malignant Pericardial Effusion

    Problems Fever – low grade 15 days B/L pleural effusion more on Left side Pericardial Effusion Ascites Hepatomegaly On ATT. 9.[] Prominent low voltage QRS complexes in all derivations were obtained on electrocardiogram (Figure 1).[] On evaluation, radiology revealed right adrenal mass with periportal, periaortic and aortocaval lymphadenopathy, mild hepatomegaly with fatty liver and cardiac tamponade with[]

  • Cardiac Tamponade

    Other signs of cardiac tamponade includes dyspnea, tachypnea, hepatomegaly, paradoxical pulses, and dysphoria.[] The electrocardiogram showed low-voltage QRS complex with electrical alternans.[] , which may also show low voltage QRS complexes, as well as general signs and symptoms of shock (such as fast heart rate, shortness of breath and decreasing level of consciousness[]

  • Ischemic Cardiomyopathy

    Crow-Fukase syndrome was diagnosed on the basis of findings of polyneuropathy, hepatomegaly, monoclonal hypergammaglobulinemia, and hypertrichosis.[] Signs and tests include: hepatomegaly; "crackles" in the lungs (heard with a stethoscope); extra heart sounds; and elevated pressure in the neck vein.[] […] pressures and determine the degree of jugular venous distension and its response to abdominal pressure, the presence and severity of organ congestion (pulmonary rales and hepatomegaly[]

  • Hemopericardium

    […] ventricular failure: tachypnea, rales, pleural effusion, S3 (aneurysm, infarction, valvular disruption, VSD) Signs of right ventricular failure: jugular venous distention, hepatomegaly[]

  • Pericarditis

    He had leg oedema, hepatomegaly, jugular venous distension, and bilateral pleural effusion on chest radiography.[] QRS voltage 25 0.5 mV in limb and less 1 mV in precordial derivations. 26 In our case, the electrocardiogram revealed low voltage with tachycardia, inferolateral T wave inversion[] Considerable amounts of pericardial fluid may muffle heart sounds, increase the area of cardiac dullness, and change the size and shape of the cardiac silhouette.[]

  • Suppurative Pericarditis

    His electrocardiogram showed sinus rhythm with a heart rate of 100 per minute and low voltage of QRS complexes.[] Patients with large pericardial effusions have an area of increased dullness at the base of the heart in addition to generalized enlargement of the area of cardiac dullness[] Electrocardiogram (ECG). Features of acute pericarditis on an ECG are: ST-segment elevation with concavity upward. PR-segment depression. Low voltage.[]

  • Dilated Cardiomyopathy

    The abdominal exam revealed hepatomegaly. The extremities displayed cyanosis and poor perfusion, with no edema.[] […] and low voltage.[] She also had tender hepatomegaly and free fluid in the abdomen. Her oxygen saturation was 85% on pulse oximetry.[]

  • Peripartum Cardiomyopathy

    Electrocardiogram showed sinus rhythm, low voltage and negative T-waves in inferior and lateral leads.[] Findings on physical examination included hepatomegaly, and marked abdominal distension with progression to anasarca within an unspecified time period.[] […] pulmonic component of the second heart sound, mitral or tricuspid regurgitation, pulmonary rales, worsening of peripheral edema, ascites, arrhythmias, embolic phenomenon, and hepatomegaly[]

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