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23 Possible Causes for Hepatomegaly, Increased Area of Cardiac Dullness, Pallor

  • Congestive Heart Failure

    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] […] wheezing S 3 gallop and/or pulsus alternans Increased intensity of P 2 heart sound Hepatojugular reflux Ascites, hepatomegaly, and/or anasarca Central or peripheral cyanosis, pallor[emedicine.com] 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]

  • 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] Affected individuals may also experience excessive sweating, fatigue, wheezing, and paleness of the skin (pallor).[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]

  • Cardiac Tamponade

    Other signs of cardiac tamponade includes dyspnea, tachypnea, hepatomegaly, paradoxical pulses, and dysphoria.[symptoma.com] However, patient had bradycardia, and the other striking examination findings were coarse facies with pallor, madarosis, absent axillary and pubic hair and breast atrophy.[ncbi.nlm.nih.gov] Beck's triad Hypotension Muffled heart sounds Distended neck veins Tachycardia, pulsus paradoxus Retrosternal chest pain Apical impulse difficult to locate or nonpalpable Pallor[amboss.com]

  • Fetal Erythroblastosis

    Also, the newborn will be anemic and pale and present splenomegaly and hepatomegaly, caused by extramedullary hematopoiesis. Portal hypertension has the same cause.[symptoma.com] SignsMother• Polyhydramnios in mother.Baby• Pallor • Hepatosplenomegaly – signifying active haemolysis• Jaundice MAY NOT be there at birth – since the mother’s kidney will[de.slideshare.net] […] haemolyticus neonatorum (fetal erythroblastosis) with the following symptoms: anemia (due to the hemolysis) splenomegaly (location of the macrophages that destroy the erythrocytes) hepatomegaly[embryology.ch]

  • 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] Beck's triad Hypotension Muffled heart sounds Distended neck veins Tachycardia , pulsus paradoxus Retrosternal chest pain Apical impulse difficult to locate or nonpalpable Pallor[amboss.com]

  • Suppurative Pericarditis

    Early complaints of constrictive pericarditis are shortness of breath on exertion, recurrent chest pain and or symptoms of right-sided heart failure with venous congestion, hepatomegaly[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] Case-report: A healthy 3 month-old patient admitted with dyspnea, pallor and anorexia, developing cardiogenic shock due to cardiac tamponade.[researchers.unab.cl]

  • Large Ventricular Septal Defect

    […] diastolic rumble (due to increased flow through the mitral valve) and findings of heart failure (eg, tachypnea, dyspnea with feeding, failure to thrive, gallop, crackles, hepatomegaly[merckmanuals.com] […] hypertension Possibly asymptomatic if the defect is small and isolated Dyspnea Cyanosis History of respiratory infections Excessive sweating Assessment-Physical Findings Pallor[quizlet.com] […] congestive heart failure, which is characterized by an abnormally rapid rate of breathing (tachypnea), wheezing, unusually fast heartbeat (tachycardia), enlarged liver (hepatomegaly[rarediseases.org]

  • Dilated Cardiomyopathy

    The abdominal exam revealed hepatomegaly. The extremities displayed cyanosis and poor perfusion, with no edema.[revportcardiol.org] This leads to symptoms that can include: Pallor: The skin may appear more pale than usual because the blood vessels close to the skin's surface constrict in order to allow[secondscount.org] She also had tender hepatomegaly and free fluid in the abdomen. Her oxygen saturation was 85% on pulse oximetry.[doi.org]

  • Aortic Valve Stenosis

    Rarely, right ventricular failure with systemic venous congestion, hepatomegaly, and edema precede LV failure.[emedicine.medscape.com] It may also be accompanied by the characteristic "Dresden china" appearance of pallor with a light flush.[en.wikipedia.org] […] 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]

  • Ischemic Cardiomyopathy

    Crow-Fukase syndrome was diagnosed on the basis of findings of polyneuropathy, hepatomegaly, monoclonal hypergammaglobulinemia, and hypertrichosis.[ncbi.nlm.nih.gov] Clinical manifestations of acute limb ischemia (which can be summarized as the "six P's" ) include pain, pallor, pulseless, paresthesia, paralysis, and poikilothermia. [4][en.wikipedia.org] 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]

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