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18 Possible Causes for Hepatomegaly, Increased Area of Cardiac Dullness, Orthopnea

  • Congestive Heart Failure

    Cardiac examination at the age of 6 years revealed constrictive pericarditis with significant elevation of atrial filling pressures, consecutive hepatomegaly, and protein[ncbi.nlm.nih.gov] The patient experienced orthopnea due to congestive heart failure and could not assume any other position.[ncbi.nlm.nih.gov] Right upper quadrant sonogram revealed hepatomegaly of 15 cm, trace amount of perihepatic ascites, pericholecystic fluid, and also thickened edematous gallbladder wall with[ncbi.nlm.nih.gov]

  • 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] 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] If pericardial effusion symptoms do occur, they might include: Shortness of breath or difficulty breathing (dyspnea) Discomfort when breathing while lying down (orthopnea)[mayoclinic.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] […] right-sided heart failure (eg, peripheral edema, nausea, abdominal discomfort, ascites) become apparent and usually precede signs of left-sided failure (eg, exertional dyspnea, orthopnea[clevelandclinicmeded.com] […] echoes and CMD maintained with PCS - normal Uterus, Ovaries ,Bladder - normal study Ascites present Para aortic area – obscured B/L pleural effusion present Impression : Hepatomegaly[slideshare.net]

  • Cardiomyopathy

    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] Symptoms: Patients with cardiomyopathy will typically present with dyspnea, orthopnea, paroxysmal nocturnal dyspnea, bilateral edema, and fatigue.[symptoma.com] […] muffled heart sounds 41 with a third heart sound, 13,41 a mitral regurgitation murmur 13,41 or signs of pulmonary congestion. 13 Signs of systemic venous congestion including hepatomegaly[revportcardiol.org]

  • Aortic Valve Stenosis

    Rarely, right ventricular failure with systemic venous congestion, hepatomegaly, and edema precede LV failure.[emedicine.medscape.com] Other symptoms associated with AS are related to cardiac failure, such as paroxysmal nocturnal dyspnea, orthopnea, and dyspnea on exertion.[symptoma.com] […] an S3 or S4 gallop, the irregular rhythm of atrial fibrillation, an enlarged and laterally displaced point of maximal impulse, pulmonary rales, jugular venous distention, hepatomegaly[doi.org]

  • Suppurative Pericarditis

    […] jugular vein engorgement; audible, rhythmic and tachycardic heart sounds; no pericardial rub, rhonchi and crepitus in both lungs; subcostal and suprasternal retractions; no hepatomegaly[revistas.unal.edu.co] 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] Ewart sign (dullness and bronchial breathing between the tip of the left scapula and the vertebral column) Hepatomegaly, ascites Pericardial fluid: As the volume of pericardial[odlarmed.com]

  • Pericarditis

    He had leg oedema, hepatomegaly, jugular venous distension, and bilateral pleural effusion on chest radiography.[doi.org] 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] There was no chest discomfort, orthopnea or paroxysmal nocturnal dyspnea. He did not have symptoms of cough, fever, foamy urine, or body weight loss.[casesjournal.biomedcentral.com]

  • Cardiac Tamponade

    Other signs of cardiac tamponade includes dyspnea, tachypnea, hepatomegaly, paradoxical pulses, and dysphoria.[symptoma.com] […] filling stroke volume ( venous congestion) cardiac output References: [2] Clinical features Usually initially asymptomatic Shortness of breath, especially while lying down ( orthopnea[amboss.com] She came to the emergency room with a 7-day history of dyspnea and orthopnea.[revespcardiol.org]

  • Alcoholic Cardiomyopathy

    Jugular venous distention, peripheral edema, and hepatomegaly are evidence of elevated right heart pressures and right ventricular dysfunction.[emedicine.com] As ACM progresses, patients can develop orthopnea. Furthermore, some will have paroxysmal nocturnal dyspnea and episodic coughs that produce frothy sputum.[symptoma.com] Dyspnea, orthopnea, and paroxysmal nocturnal dyspnea are the hallmark complaints, but chest discomfort, fatigue, palpitations, dizziness, syncope, anorexia, and many others[emedicine.com]

  • Peripartum Cardiomyopathy

    Findings on physical examination included hepatomegaly, and marked abdominal distension with progression to anasarca within an unspecified time period.[scielo.org.co] Approximately 4 hours after cesarean section, progressive orthopnea developed.[ncbi.nlm.nih.gov] […] 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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