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31 Possible Causes for Hepatomegaly, Increased Area of Cardiac Dullness, Syncope

  • 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] Dogs diagnosed this way had more VPCs, polymorphic VPCs, couplets, triplets, VTs and R-on-T-phenomenon and syncope, decreased right ventricular function and dilatation in[ncbi.nlm.nih.gov] The following symptomatology may be seen in patients with HCM: Dyspnea Pre-syncope or syncope Chest pain Orthopnea Dizziness Paroxysmal Nocturnal Dyspnea (PND) Palpitations[symptoma.com]

  • 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] […] on the right side of the heart, and it may be more easily felt Eyes or feet may be puffy as the right heart fails Chest pain Palpitations (irregular heartbeat) Dizziness Syncope[cincinnatichildrens.org] 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]

  • Cardiac Tamponade

    Other signs of cardiac tamponade includes dyspnea, tachypnea, hepatomegaly, paradoxical pulses, and dysphoria.[symptoma.com] Prior to experiencing syncope, she had felt slight dizziness while running on a treadmill. There was no associated pallor, cyanosis, tremors, or seizure-like activity.[radcliffecardiology.com] Pearls: Beck’s triad (JVD, muffled heart sounds, hypotension), pulsus paradoxus, EKG changes, peripheral edema, and hepatomegaly are non-specific in the identification of[emdocs.net]

  • 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] Some patients may report lightheadedness with syncope or near syncope.[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]

  • Aortic Valve Stenosis

    Rarely, right ventricular failure with systemic venous congestion, hepatomegaly, and edema precede LV failure.[emedicine.medscape.com] A 66-year-old man was admitted due to repeated syncope, and the electrocardiogram showed complete atrioventricular block (CAVB).[ncbi.nlm.nih.gov] […] 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]

  • Alcoholic Cardiomyopathy

    […] prognosis, because coexistence of these two factors intensifies the signs of left and right ventricular heart failure: tachycardia, supraventricular and ventricular arrhythmias, hepatomegaly[termedia.pl] Presentation 45 year old man presented to ED following syncopal event. Drinks one of spirits a day. Exercise tolerance of less than 20m.[radiopaedia.org] Jugular venous distention, peripheral edema, and hepatomegaly are evidence of elevated right heart pressures and right ventricular dysfunction.[emedicine.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] […] hypertension, dyslipidemia and atrial fibrillation who went to the emergency department due to nonspecific thoracic discomfort of over six hours duration associated with syncope[elsevier.pt] 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]

  • Pericarditis

    He had leg oedema, hepatomegaly, jugular venous distension, and bilateral pleural effusion on chest radiography.[doi.org] […] symptoms of pericarditis: Chest pain, often described as sharp Low-grade fever Irregular heartbeat Shortness of breath Feeling the heart beat (heart palpitations) Fainting (syncope[urmc.rochester.edu] 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]

  • Dilated Cardiomyopathy

    The abdominal exam revealed hepatomegaly. The extremities displayed cyanosis and poor perfusion, with no edema.[revportcardiol.org] Here, we report a Chinese family with typical DCM, ventricular tachycardia, syncope, and SCD.[ncbi.nlm.nih.gov] Abstract Dilated Cardiomyopathy (DCM) and cardiac conduction disease (CCD) are two kinds if diseases that can induce heart failure, syncope and even sudden cardiac death ([ncbi.nlm.nih.gov]

  • Pericardial Cyst

    Abdominal examination revealed hepatomegaly and ascites. A clinical diagnosis of right sided heart failure was made.[panafrican-med-journal.com] We present the case of a 24 year-old man with a giant hemorrhagic pericardial cyst diagnosed after evaluation for recurrent syncope which caused compression of the right ventricle[ncbi.nlm.nih.gov] We present a patient with a symptomatic intra-pericardial cystic lesion with intermittent syncope who underwent treatment using a laparoscopic approach, thus minimizing pain[ncbi.nlm.nih.gov]

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