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45 Possible Causes for Liver Tenderness, Pulsatile Liver

  • Tricuspid Valve Insufficiency

    Systolic pulsations of an enlarged, tender liver. Ascites and oedema.[patient.info] 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]

  • Cor Pulmonale

    liver, and dependent edema.[health.am] liver, a loud pulmonic component of the 2nd heart sound, or evidence of venous thrombosis.[clinicaladvisor.com] Physical exam may reveal distended veins in the neck, enlarged and tender liver, swelling of lower extremities (edema), and abdominal swelling and discomfort due to fluid[nmihi.com]

  • Chronic Right-Sided Congestive Heart Failure

    Physical exam may reveal distended veins in the neck, enlarged and tender liver, swelling of lower extremities (edema), and abdominal swelling and discomfort due to fluid[nmihi.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] Resulting clinical syndromes including shortness of breath, pitting edema, enlarged tender liver, and pulmonary rales in various combinations. heart failure (härt fālyur)[medical-dictionary.thefreedictionary.com]

  • Acute Cor Pulmonale

    , pulsatile 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]

  • Passive Congestion of the Liver

    However, moderate congestion causes right upper quadrant discomfort (due to stretching of the liver capsule) and tender hepatomegaly.[merckmanuals.com] This is particularly seen in tricuspid valve incompetence, when the liver is pulsatile.[somalidoc.com] On palpation, the liver is found enlarged and tender, sometimes extending several inches below the costal margin of the ribs.[en.wikipedia.org]

  • Tricuspid Valve Disease

    The liver is tender and pulsatile.[symptoma.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 Edema

    […] is enlarged and may be tender or even pulsatile.[en.wikipedia.org] […] is enlarged and may be tender or even pulsatile.[en.wikipedia.org] […] legs, in general, of the "pitting" variety, wherein the skin is slow to return to normal when pressed upon), raised jugular venous pressure and hepatomegaly , where the liver[en.wikipedia.org]

  • Hepatocellular Carcinoma

    […] result in chronic inflammation of the liver.[medicinenet.com] […] failure, tricuspid regurgitation (pulsatile), sickle cell disease, inborn errors of metabolism liver cysts – simple cyst, inherited polycystic kidney/liver disease, hydatid[geekymedics.com] Ascites may occur due to a concomitant liver disease or compression of structures by a fast-growing tumor.If the ascites is tense with a large and tender liver , a superimposition[symptoma.com]

  • Congestive Heart Failure

    Resulting clinical syndromes including shortness of breath, pitting edema, enlarged tender liver, engorged neck veins, and pulmonary rales in various combinations. congestive[medical-dictionary.thefreedictionary.com] ), S4 in patients with diastolic heart failure, thyrotoxicosis (goiter, exophthalmos, excessive sweating, cachectic appearance, and a pulsatile thyroid mass) and presence[clinicaladvisor.com] liver , engorged neck veins , and pulmonary rales in various combinations .[de.dict.md]

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