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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[neuromuscular.wustl.edu] 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[rarediseases.org] & Fasting induced Relatively easily triggered Muscle pain: Relatively severe (More than CPT2 deficiency ) Rhabdomyolysis Systemic features: Variably present Hypoglycemia Hepatomegaly[neuromuscular.wustl.edu]

  • 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.[ncbi.nlm.nih.gov] Initial workup will include an electrocardiogram which may show: Low voltage Electric alterans A chest X-ray may show an enlarged globular heart.[symptoma.com] 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.[merckmanuals.com]

  • Malignant Pericardial Effusion

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

  • Cardiac Tamponade

    Other signs of cardiac tamponade includes dyspnea, tachypnea, hepatomegaly, paradoxical pulses, and dysphoria.[symptoma.com] The electrocardiogram showed low-voltage QRS complex with electrical alternans.[ncbi.nlm.nih.gov] , 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[en.wikipedia.org]

  • Ischemic Cardiomyopathy

    Crow-Fukase syndrome was diagnosed on the basis of findings of polyneuropathy, hepatomegaly, monoclonal hypergammaglobulinemia, and hypertrichosis.[ncbi.nlm.nih.gov] Signs and tests include: hepatomegaly; "crackles" in the lungs (heard with a stethoscope); extra heart sounds; and elevated pressure in the neck vein.[symptoma.com] […] 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[doi.org]

  • Hemopericardium

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

  • Pericarditis

    He had leg oedema, hepatomegaly, jugular venous distension, and bilateral pleural effusion on chest radiography.[doi.org] 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[scielo.org.mx] 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.[merckmanuals.com]

  • Suppurative Pericarditis

    His electrocardiogram showed sinus rhythm with a heart rate of 100 per minute and low voltage of QRS complexes.[biomedsearch.com] 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[tele.med.ru] Electrocardiogram (ECG). Features of acute pericarditis on an ECG are: ST-segment elevation with concavity upward. PR-segment depression. Low voltage.[drnajeeblectures.com]

  • Dilated Cardiomyopathy

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

  • Peripartum Cardiomyopathy

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

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