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421 Possible Causes for Hepatomegaly, Right-Sided Heart Failure

  • Cor Pulmonale

    Findings include peripheral edema, neck vein distention, hepatomegaly, and a parasternal lift. Diagnosis is clinical and by echocardiography.[merckmanuals.com] The patient with subacute cor pulmonale had severe right-sided heart failure for 5 weeks and necropsy disclosed microscopic-sized neoplastic pulmonary emboli from a gastric[ncbi.nlm.nih.gov] The patient developed progressive exertional dyspnea, with clinical and laboratory findings of right-sided heart failure and pulmonary hypertension.[ncbi.nlm.nih.gov]

  • Heart Failure

    We report the case of a 41-year-old female patient admitted to the Department of Cardiology with clinical signs of right heart failure: congested jugular veins, hepatomegaly[ncbi.nlm.nih.gov] This reflects an increase in right atrial pressure and, therefore, right-sided heart failure.[emedicine.medscape.com] […] impairment. 7 Diagnostics 7.1 Physical exam Increased jugular vein pressure (filling level at 45 elevated upper body and slightly reclined head) Positive hepatojugular reflux , hepatomegaly[flexikon.doccheck.com]

  • Chronic Constrictive Pericarditis

    On the other hand, when this entity is considered as a possible underlying cause of relatively symptomless hepatomegaly and ascites and appropriate laboratory studies are[jamanetwork.com] Our patient had right side heart failure and a typical cardiac CT calcification.[hindawi.com] […] analysis In chronic constrictive pericarditis the serum-ascites albumin gradient 1.1 g/dL and an ascites fluid total protein 2.5 g/dL. [1] Abdominal sonography Congestive hepatomegaly[explainmedicine.com]

  • Pulmonary Arterial Hypertension

    Jugular venous distension and hepatomegaly occur with heart failure, sometimes causing a pulsatile liver later in the disease state.[clinicaladvisor.com] At admission, all patients presented with syncope, World Health Organization functional class IV, right-sided heart failure, and extremely severe hemodynamic parameters.[ncbi.nlm.nih.gov] […] 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]

  • Tricuspid Valve Insufficiency

    Finally, laboratory tests may reveal hyperbilirubinemia and increased liver transaminase levels due to congestive hepatomegaly.[symptoma.com] Tricuspid valve regurgitation can also occur with heart conditions that affect the left side of the heart, such as left-sided heart failure that leads to right-sided heart[mayoclinic.org] His recent chest radiograph revealed increased cardiothoracic ratio and ultrasound abdomen showed hepatomegaly.[omicsonline.org]

  • Chronic Thromboembolic Pulmonary Hypertension

    ., as indicated by increased jugular venous pressure; new/worsening hepatomegaly, ascites, or peripheral edema; worsening echocardiographic parameters such as tricuspid annulus[clinicaltrials.gov] Elevated BP in the lungs gradually overloads the right ventricle and causes right-sided heart failure.[medical-dictionary.thefreedictionary.com] Physical examination often reveals signs of right heart failure including jugular venous distention, hepatomegaly, ascites, and peripheral edema. 1 Bruits may be appreciated[anesthesiology.pubs.asahq.org]

  • Tricuspid Valve Stenosis

    - Jaundice - jugular venous distention - Peripheral edema without pulmonary congestion - peripheral edema - Hepatomegaly - Jugular venous distention - ascites - cyanosis[quizlet.com] Both conditions can produce the symptoms of right-sided heart failure, including discomfort in the upper abdomen because of an enlarged liver, fatigue and swelling.[healthcentral.com] The result is chronic hepatic congestion and hepatomegaly along with peripheral edema and ascites.[pathwaymedicine.org]

  • Schistosomiasis Japonica

    Hepatomegaly was found in 76.3% (1082/1419); hepatic fibrosis was found in 73.3% (1040/1419); and splenomegaly was found in 18.6% (264/1419).[ncbi.nlm.nih.gov] Pulmonary obstructive arteriolitis causes pulmonary hypertension with right-sided heart Failure (cor-pulmonale). V.[histopathology-india.net] We discuss the role of sICAM-1 and TNFR-I and -II as candidate markers for schistosome-induced hepatomegaly and fibrosis, and their potential for assessing disease stage and[ncbi.nlm.nih.gov]

  • Constrictive Pericarditis

    Examination revealed raised jugular venous pressure (JVP), pitting pedal oedema, muffled heart sounds, bilateral pleural effusion and hepatomegaly.[ncbi.nlm.nih.gov] The prognosis of inoperative constrictive pericarditis is poor due to subsequent severe right-sided heart failure that is refractory to conventional medical treatment.[ncbi.nlm.nih.gov] Conversely, preoperative hepatomegaly and concomitant valvular operation were associated with significantly higher mortality on both univariate and multivariate analysis.[ncbi.nlm.nih.gov]

  • Congenital Hepatic Fibrosis

    The age at presentation ranged from 1.8-14 years (mean: 7.5 years); clinical manifestations at diagnosis were splenomegaly (12), hepatomegaly (11), failure to thrive (10),[ncbi.nlm.nih.gov] Despite undergoing intensive care, the patient died 1 week after admission owing to severe right-sided heart failure.[ncbi.nlm.nih.gov] Hepatomegaly was present in all patients and splenomegaly in all but one.[ncbi.nlm.nih.gov]

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