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65 Possible Causes for Hepatomegaly, Pulsatile Liver

  • Cor Pulmonale

    Findings include peripheral edema, neck vein distention, hepatomegaly, and a parasternal lift. Diagnosis is clinical and by echocardiography.[merckmanuals.com] Hepatojugular reflux and pulsatile liver are signs of RV failure with systemic venous congestion. In severe disease, ascites can also be present.[emedicine.medscape.com] Pallor, engorged, and pulsatile neck veins and central cyanosis were present on general physical examination.[ijem.in]

  • Chronic Right-Sided Congestive Heart Failure

    Right sided heart failure Right sided heart failure Right sided heart failure Right sided heart failure Anasarca (massive generalized body edema) Right sided heart failure Hepatomegaly[quizlet.com] Abdominal examination elicited pain during superficial palpation on the right upper quadrant with hepatomegaly identification, with no signs of ascites.[austinpublishinggroup.com] Hepatomegaly - Centrilobular congestion and atrophy of central hepatocytes (nutmeg liver).[histopathology-india.net]

  • Tricuspid Valve Insufficiency

    Finally, laboratory tests may reveal hyperbilirubinemia and increased liver transaminase levels due to congestive hepatomegaly.[symptoma.com] With severe TR, there may be an enlarged liver detected on palpation of the right upper quadrant of the abdomen; the liver may be pulsatile on palpation and even on inspection[en.wikipedia.org] The liver may be large and pulsatile. There is usually a single first heart sound that may be increased in intensity.[patient.info]

  • Pulmonary Arterial Hypertension

    Jugular venous distension and hepatomegaly occur with heart failure, sometimes causing a pulsatile liver later in the disease state.[clinicaladvisor.com] […] regurgitation, and large a waves thought to be secondary to poor right ventricular compliance may also be present. [16] Right-sided S3 gallop Other findings may include hepatomegaly[emedicine.medscape.com] Edema may present as jugular vein distension, hepatomegaly, peripheral edema, or ascites. 6 DIAGNOSTIC TESTING Diagnostic testing options for PAH are listed in Table 3. 6[aafp.org]

  • Liver Cirrhosis

    Cardinal symptoms include fasting hypoglycemia, lactic acidosis and hepatomegaly as well as neutropenia.[ncbi.nlm.nih.gov] Non-pulsatile hepatic and portal vein waveforms in patients with liver cirrhosis: concordant and discordant relationships. Br J Radiol 2004;77:547–550. 27.[doi.org] […] aminotransferase, and prothrombin international normalized ratio; LR, 0.09; 95% CI, 0.03-0.31); a platelet count 160 x 10(3)/μL (LR, 0.29; 95% CI, 0.20-0.39); or the absence of hepatomegaly[ncbi.nlm.nih.gov]

  • Portal Cirrhosis

    The presence of this triad in a patient with unexplained hepatomegaly is indicative of portal cirrhosis.[ncbi.nlm.nih.gov] Non-pulsatile hepatic and portal vein waveforms in patients with liver cirrhosis: concordant and discordant relationships. Br J Radiol 2004;77:547–550. 27.[e-ultrasonography.org] The liver becomes large, even huge (hepatomegaly). The normal liver weighs about 1,200 grams (2.6 lb).[en.wikipedia.org]

  • Hepatitis

    Findings include: hepatomegaly 15.5 cm at the midclavicular line 4 possible decreased attenuation around the portal system and at the hepatic hilum (periportal edema) possible[radiopaedia.org] The results for portal vein maximum velocity, hepatic vein pulsatility, liver parenchyma echo-pattern and spleen size were inconsistent between studies.[doi.org] […] and vomiting Dehydration with drying of mucous membranes Telangiectasis (spider angiomata) and esophageal varices Jaundice Ascites Utricarial rashes Portal Hypertension Hepatomegaly[symptoma.com]

  • Liver Neoplasm

    Liver symptoms: Right upper quadrant pain, tenderness, hepatomegaly, possible palpable mass. Generalised infective symptoms: Swinging fever. Night sweats.[brainscape.com] Patients usually do not have symptoms, but some may present with right upper quadrant pain and occasionally with a large, pulsatile liver.[ajronline.org] ALP isoenzyme test (Medical Encyclopedia) Ascites (Medical Encyclopedia) Diet - liver disease (Medical Encyclopedia) Hepatic encephalopathy (Medical Encyclopedia) Hepatomegaly[icdlist.com]

  • Occult Malignancy

    Chest examination revealed scattered crackles over bases and a firm hepatomegaly 4 cm below coastal margin. Investigations revealed normal CBC.[consultant360.com] Temporal arteries were nontender and pulsatile. Systemic examination of chest, cardiovascular system, and abdomen was unremarkable.[consultant360.com] Further investigations showed complete blood count (CBC), liver function tests, renal function tests, and thyroid function tests to be normal.[consultant360.com]

  • Eisenmenger Syndrome

    Right heart failure (with hepatomegaly, jugular venous distention and peripheral edema, is a very late complication).[orpha.net]

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