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30 Possible Causes for Hoarseness, Pulsatile Liver

  • Pulmonary Arterial Hypertension

    Cough, hemoptysis, and hoarseness are less common symptoms. Women are more likely to be symptomatic than men.[] Jugular venous distension and hepatomegaly occur with heart failure, sometimes causing a pulsatile liver later in the disease state.[] Hoarseness due to recurrent laryngeal nerve compression by an enlarged pulmonary artery (ie, Ortner syndrome) also occurs rarely.[]

  • Pulmonary Hypertension

    Uncommon symptoms include cough, hemoptysis and hoarseness.[] The signs of right ventricular failure include a high-pitched systolic murmur of tricuspid regurgitation, hepatomegaly, a pulsatile liver, ascites, and peripheral edema.[] Cough, hemoptysis, and hoarseness are less common symptoms. Women are more likely to be symptomatic than men.[]

  • Cor Pulmonale

    Symptoms of CPM include fatigue, lethargy, dypsnoea on exertion, tachypnoea, chest pain, exertional syncope, dyspnoea at rest, nonproductive cough, haemoptysis, hoarseness[] liver, a loud pulmonic component of the 2nd heart sound, or evidence of venous thrombosis.[] Nonspecific: fatigue, tachypnea, exertional dyspnea, cough, anginal chest pain, hemoptysis, hoarseness What nonspecific signs may indicate underlying lung disease Increase[]

  • Jugular Venous Distention

    There was no hoarseness, stridor, menstrual irregularity, heart failure, or psychosis, but a widened pulse pressure, pretibial myxedema, and proximal muscle weakness were[] Tricuspid regurgitation, if significant, will be accompanied by a pulsatile liver (feel over the lower costal margin).[]

  • Chronic Right-Sided Congestive Heart Failure

    Hoarseness - occurs occasionally (due to compression of the left recurrent laryngeal nerve by dilated pulmonary artery).[] liver palpable below the right costal margin; abdominal swelling and ascites; and visible elevation of the jugular venous pressure, sometimes with large a or v waves that[] Hepatomegaly liver pulsatility if there is significant associated tricuspid regurgitation. Jaundice in advanced cases. Ascites in advanced cases.[]

  • Congenital Mitral Stenosis

    […] syncope 21 but seldom with hemoptysis. 23 Aphonia has been attributed to compression of the recurrent laryngeal nerve by a dilated hypertensive pulmonary trunk, analogous to hoarseness[] liver Tricuspid regurgitation JVD Parasternal heave Prominent v wave Prominent a wave TR Peripheral edema Loud P2, later becomes palpable 8.[] Symptoms of mitral valve stenosis can include: Coughing up of blood Fatigue Fluid retention and swelling in the legs and abdomen (symptoms of right-sided heart failure) Hoarseness[]

  • Hereditary Hemorrhagic Telangiectasia

    Case report of a 40-year-old man with HHT presenting with 2 years of worsening hoarseness. Hoarseness corresponded with a period of anticoagulation.[] Hepatic bruit is present on auscultation in most cases, and the liver may be pulsatile.[]

  • Hepatosplenic Amyloidosis

    TO LIVER DISEASE C0019212 Hernia Inguinal C0019294 Hernia Umbilical C0019322 HERPES SIMPLEX KERATITIS C0019357 HERPES ZOSTER C0019360 Hiccups C0019521 Hirsutism C0019572 Hoarseness[] On palpation Smooth hepatomegaly Suggests: hepatitis, chronic heart failure, sarcoid, early alcoholic cirrhosis, tricuspid incompetence with a pulsatile liver.[] Measure the hepatomegaly by percussing the upper and lower borders (will rule out causes such as emphysema which can push the liver down giving a false impression of hepatomegaly[]

  • Cardiac Amyloidosis

    […] is characterized by macroglossia, carpal tunnel syndrome, skin nodules, arthropathy, alopecia, nail dystrophy, submandibular gland enlargement, periorbital purpura, and hoarseness[] liver and 1 bilateral lower extremity pitting edema.[] A subtle change in the voice (particularly hoarseness toward the end of the day), a quite common complaint, probably represents vocal cord involvement. 23 Neurological symptoms[]

  • Anterior Pituitary Disease

    […] decreased range of motion secondary to removal of the discs and fusion; dysphagia (difficulty swallowing-typically transient); cosmetic scar (visible on the front of the neck); hoarseness[] Growth hormone is secreted in a pulsatile manner, so measuring its level alone does not diagnose deficiency.[] Among its many effects, GH stimulates the release of insulin-like growth factor-1 (IGF-1) from the liver, which is a more reliable indicator of GH secretion.[]

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