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27 Possible Causes for Increased Jugular Venous Pressure, Pulsatile Liver

  • Cor Pulmonale

    jugular venous pressure) are often obscured by hyperinflation of the chest 6 which is present in a number of COPD patients.[heart.bmj.com] liver, a loud pulmonic component of the 2nd heart sound, or evidence of venous thrombosis.[clinicaladvisor.com] Jugular venous pressures are always increased. Cardiac palpation may reveal a right ventricular heave.[javed-abbas.tripod.com]

  • Tricuspid Valve Insufficiency

    […] compliance and signs of right-sided failure appear: jugular venous distension, hepatic congestion, ascites, and peripheral edema.[ispub.com] Right heart failure leads to ascites, hepatosplenomegaly, pulsatile liver, peripheral edema and pleural overflow. In advanced stages patients are cachectic and cyanotic.[heartupdate.com] Fatigue, weakness, shortness of breath, jugular vein distension, ascites, hepato-splenomegaly, pulsatile liver, pleural effusions and peripheral oedema may be present.[escardio.org]

  • Chronic Right-Sided Congestive Heart Failure

    The fluid status is checked by jugular venous pressure, which usually gets accentuated by the hepatojugular reflux.[newhealthadvisor.com] 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[merckmanuals.com] Hepatomegaly liver pulsatility if there is significant associated tricuspid regurgitation. Jaundice in advanced cases. Ascites in advanced cases.[patient.info]

  • Tricuspid Valve Disease

    […] compliance and signs of right-sided failure appear: jugular venous distension, hepatic congestion, ascites, and peripheral edema.[ispub.com] Hepatojugular reflux, pulsatile liver, and signs of hepatic dysfunction also may be present.[accesssurgery.mhmedical.com] Fatigue, weakness, shortness of breath, jugular vein distension, ascites, hepato-splenomegaly, pulsatile liver, pleural effusions and peripheral oedema may be present.[escardio.org]

  • Pulmonary Arterial Hypertension

    RV stiffness) and V waves (due to tricuspid regurgitation [TR]); Kussmaul’s sign (increased jugular venous pressure with inspiration, due to a noncompliant RV or significant[content.onlinejacc.org] Jugular venous distension and hepatomegaly occur with heart failure, sometimes causing a pulsatile liver later in the disease state.[clinicaladvisor.com] Physical examination findings sometimes observed in PH and right ventricular (RV) dysfunction include: an elevated jugular venous pressure with prominent A waves (due to increased[content.onlinejacc.org]

  • Acute Pericarditis

    On physical exam, he is noted to have an increased jugular venous pressure (JVP) that increases with inspiration. A "knock" is ausculated.[medbullets.com] Hepatomegaly, a pulsatile liver, clinical ascites, and bilateral lower extremity edema? Does the patient have a pericardial friction rub?[clinicaladvisor.com] Physical Examination Findings Increased ventricular filling pressures cause jugular venous distention and Kussmaul's sign (paradoxical rise in jugular venous pressure on inspiration[clevelandclinicmeded.com]

  • Acute Cor Pulmonale

    liver, a loud pulmonic component of the 2nd heart sound, or evidence of venous thrombosis.[clinicaladvisor.com] liver and ascites.[phaonlineuniv.org] 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]

  • Acute Massive Pulmonary Embolism

    liver, brown guaiac negative stool Extremities: right upper extremity with decreased tone, 1 edema in lower extremities bilaterally, all extremities cool to touch Neurologic[thoracic.org] […] holosystolic murmur and S3 gallop present, point of maximal impulse displaced laterally Lungs: coarse breath sounds bilaterally Abdomen: soft, nontender, hypoactive bowel sounds, pulsatile[thoracic.org]

  • Acute Myocarditis

    Physical exam will look like congestive heart failure, with jugular venous distention, pulmonary rales, peripheral edema, pulsatile liver, and perhaps a laterally displaced[clinicaladvisor.com]

  • Right Ventricular Disorder

    A paradoxical increase in the jugular venous pressure during inspiration (Kussmaul sign) is indicative of right-sided heart failure and can be seen in RV failure, restrictive[merckmanuals.com] liver, a loud pulmonic component of the 2nd heart sound, or evidence of venous thrombosis.[clinicaladvisor.com] liver and ascites.[phaonlineuniv.org]

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