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21 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.[emedicine.medscape.com] Jugular venous distension and hepatomegaly occur with heart failure, sometimes causing a pulsatile liver later in the disease state.[clinicaladvisor.com] Affected individuals may also have a cough, sometimes with blood (hemoptysis), an enlarged heart and liver, low blood pressure (hypotension), and hoarseness due to compression[rarediseases.org]

  • Acromegaly

    Ultimately they cause considerable disability (aside from the need for larger rings, gloves, and shoes) including hoarseness , sleep apnea , joint pain, cardiovascular disease[medicinenet.com] Random serum GH is not a reliable test for diagnosis of acromegaly due to the pulsatile nature of GH secretion.[doi.org] Decreased peripheral vision Easy fatigue Excessive height (when excess GH production begins in childhood) Excessive sweating Headache Heart enlargement, which can cause fainting Hoarseness[nlm.nih.gov]

  • Cor Pulmonale

    Symptoms of CPM include fatigue, lethargy, dypsnoea on exertion, tachypnoea, chest pain, exertional syncope, dyspnoea at rest, nonproductive cough, haemoptysis, hoarseness[link.springer.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] Nonspecific: fatigue, tachypnea, exertional dyspnea, cough, anginal chest pain, hemoptysis, hoarseness What nonspecific signs may indicate underlying lung disease Increase[quizlet.com]

  • Pulmonary Hypertension

    Uncommon symptoms include cough, hemoptysis and hoarseness.[symptoma.com] The signs of right ventricular failure include a high-pitched systolic murmur of tricuspid regurgitation, hepatomegaly, a pulsatile liver, ascites, and peripheral edema.[emedicine.medscape.com] liver Diastolic murmur Pulmonary regurgitation Hepatojugular reflux High central venous pressure Advanced PH with right ventricular failure Right ventricular S 3 (in 23%)[doi.org]

  • Anabolic Steroid

    Secretion is pulsatile and gradually decreases after peaking during early adolescence.[doi.org] We report a unique case of a 47-year-old male smoker and professional body builder who presented with progressive stridor and hoarseness following abuse of anabolic steroids[ncbi.nlm.nih.gov] Growth hormone is converted in the liver into insulin-like growth factor 1, which has several effects throughout the body.[doi.org]

  • 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[clinicalgate.com] liver Tricuspid regurgitation JVD Parasternal heave Prominent v wave Prominent a wave TR Peripheral edema Loud P2, later becomes palpable 8.[slideshare.net] 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[utswmedicine.org]

  • 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[nejm.org] Tricuspid regurgitation, if significant, will be accompanied by a pulsatile liver (feel over the lower costal margin).[stanfordmedicine25.stanford.edu]

  • Gigantism

    Voice is hoarse and affected individuals have a plump, stocky body with pectus excavatum, thoracic scoliosis, hepatosplenomegaly, umbilical and/or inguinal hernias, broad[ncbi.nlm.nih.gov] GH induces the generation of insulin-like growth factor 1 (IGF-1, also called somatomedin 1) in the liver and regulates the paracrine production of IGF-1 in many other tissues[doi.org] Ultimately they cause considerable disability (aside from the need for larger rings, gloves, and shoes) including hoarseness , sleep apnea , joint pain, cardiovascular disease[medicinenet.com]

  • Pericardial Calcification

    Abdominal examination revealed an enlarged, pulsatile liver and there was flank dullness suggestive of ascites.[gastrohep.com] Respiratory symptoms, including cough and hoarseness, may occur. Other symptoms include fatigue, hiccoughs, anxiety and confusion.[patient.info] A large amount of effusion may lead to compression of adjoining structures and produce symptoms of dysphagia, hoarseness, and hiccups.[brown.edu]

  • Octreotide

    The pulsatile release of growth hormone (GH) by normal somatotroph cells is regulated by growth hormone releasing hormone (GHRH), which stimulates GH secretion, and somatostatin[pituitary.mgh.harvard.edu] […] irritability, dizziness, fast heart rate, or feeling jittery; or underactive thyroid--extreme tired feeling, dry skin, joint pain or stiffness, muscle pain or weakness, hoarse[drugs.com] […] irritability, dizziness, fast heart rate, or feeling jittery; or underactive thyroid --extreme tired feeling, dry skin, joint pain or stiffness, muscle pain or weakness, hoarse[uofmhealth.org]

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