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54 Possible Causes for Orthopnea, Pulsatile Liver

  • Aortic Valve Insufficiency

    Signs of acute left heart failure — including severe dyspnea, even at rest, orthopnea and PND — arise. Hypotension, flash pulmonary edema and shock can also occur.[] liver) Gerhardt's sign (enlarged spleen) Duroziez's sign (systolic and diastolic murmurs heard over the femoral artery when it is gradually compressed) Hill's sign (A 20[] Angina with exertion, orthopnea, and paroxysmal nocturnal dyspnea are also principal complaints.[]

  • Ascites

    The shortness of breath tends to be worse with activity and with lying flat (orthopnea).[] Heart failure - distended jugular veins, palpable thrills and murmurs, enlarged & pulsatile liver; constrictive pericarditis - pulsus paradoxus c.[] Cirrhosis - muscle mass loss, icteric sclera, spider angioma, palmar erythema, pedal edema, gynecomastia, prominent abdominal wall veins (caput medusae), palpable firm liver[]

  • Acute Aortic Regurgitation

    Another reason is the increased demand of oxygen by the hypertrophied left ventricle. [2] Features of Heart Failure (HF) Eg: Paroxysmal nocturnal dyspnea, peripheral edema, orthopnea[] […] nailbed) • Palfrey’s sign ( pistol shot sounds in radial artery ) • Rosenbach’s sign (pulsations in liver) • Gerhart’s sign ( pulsations in spleen ) • Traube’s sign (Pistol[] Symptoms include exertional dyspnea, orthopnea, paroxysmal nocturnal dyspnea, palpitations, and chest pain.[]

  • Tricuspid Valve Insufficiency

    These may generally include: Peripheral edema Fatigue and weakness Hepatomegaly (congestive) Ascites Dyspnea upon exertion, orthopnea, and paroxysmal nocturnal dyspnea Decreased[] Right heart failure leads to ascites, hepatosplenomegaly, pulsatile liver, peripheral edema and pleural overflow. In advanced stages patients are cachectic and cyanotic.[] Fatigue, weakness, shortness of breath, jugular vein distension, ascites, hepato-splenomegaly, pulsatile liver, pleural effusions and peripheral oedema may be present.[]

  • Eisenmenger Syndrome

    At 38 weeks' gestation, she presented with a 2-month history of dyspnea on exertion, lower-extremity edema, and orthopnea.[] A third heart sound as well as hepatosplenomegaly or a pulsatile liver occur with right heart failure. 4.2.[]

  • Cardiac Amyloidosis

    This report discusses a 75-year-old male who presented with worsening dyspnea on exertion, orthopnea, and lower-extremity edema.[] liver and 1 bilateral lower extremity pitting edema.[] Additional symptoms included increasing shortness of breath and orthopnea. Vitals showed a blood pressure of 89/61 mmHg and he was not orthostatic.[]

  • Atrial Myxoma

    A 49-year-old man presented with shortness of breath on exertion, orthopnea, and chest pain.[] Hepatomegaly was present, with the pulsatile liver palpated 6 cm below the right coastal margin, there was ascites and bowel sounds were present and normoactive.[] Clinical Manifestations Symptoms: Due to obstruction of blood flow, valvular regurgitation, impaired contractility Can see dyspnea, orthopnea, paroxysmal nocturnal dyspnea[]

  • Heart Valve Disease

    […] and paroxysmal nocturnal dyspnea [18] Angina pectoris [18] Syncope , usually exertional [18] Heart failure symptoms, such as dyspnea on exertion , orthopnea and paroxysmal[] Patients with chronic AR are asymptomatic for years but eventually develop exertional dyspnea, orthopnea, paroxysmal nocturnal dyspnea, and palpitations.[] When symptoms begin, there may be palpitations; cardiac arrhythmias; shortness of breath during exertion; breathlessness while lying down (orthopnea); sudden, severe shortness[]

  • Tricuspid Valve Disease

    Signs and symptoms are often consistent with congestive heart failure and can include dyspnea on exertion, orthopnea, jugular venous distention, ascites, and peripheral edema[] Fatigue, weakness, shortness of breath, jugular vein distension, ascites, hepato-splenomegaly, pulsatile liver, pleural effusions and peripheral oedema may be present.[] The liver is tender and pulsatile.[]

  • Cor Pulmonale

    Assessment History Determine if the patient has experienced orthopnea, cough, fatigue, epigastric distress, anorexia, or weight gain or has a history of previously diagnosed[] liver, a loud pulmonic component of the 2nd heart sound, or evidence of venous thrombosis.[] Hepatojugular reflux and pulsatile liver are signs of RV failure with systemic venous congestion. In severe disease, ascites can also be present.[]

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