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101 Possible Causes for Pulsatile Liver

  • Aortic Valve Insufficiency

    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[doctorslounge.com] (Watson's) Water-hammer pulse Quincke's sign (pulsation of the capillary bed in the nail) Mayen's sign (diastolic drop of BP 15 mm Hg with arm raised) Rosenbach's sign (pulsatile[doctorslounge.com]

  • Pulmonary Arterial Hypertension

    Jugular venous distension and hepatomegaly occur with heart failure, sometimes causing a pulsatile liver later in the disease state.[clinicaladvisor.com]

  • Tricuspid Valve Insufficiency

    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] The liver may be large and pulsatile. There is usually a single first heart sound that may be increased in intensity.[patient.info]

  • Cor Pulmonale

    liver, a loud pulmonic component of the 2nd heart sound, or evidence of venous thrombosis.[clinicaladvisor.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] […] sickle cell crisis, pre-existing pulmonary hypertension; chronic lung disease; or following cardiac surgery Physical examination may reveal distended neck veins, a tender, pulsatile[clinicaladvisor.com]

  • Eisenmenger Syndrome

    A third heart sound as well as hepatosplenomegaly or a pulsatile liver occur with right heart failure. 4.2.[ncbi.nlm.nih.gov]

  • Chronic Right-Sided Congestive Heart Failure

    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] […] include nontender peripheral pitting edema (digital pressure leaves visible and palpable imprints, sometimes quite deep) in the feet and ankles; an enlarged and sometimes pulsatile[merckmanuals.com]

  • Acute Aortic Regurgitation

    […] 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[slideshare.net] […] head bobs with heart beat) • Corrigan’s sign ( Dancing carotids ) • Muller’s sign (systolic pulsation of uvula) • Corrigan’s pulse (water hammer pulse) • Quninckey’s sign (pulsatile[slideshare.net]

  • Jugular Venous Distention

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

  • Hypoventilation

    A pulsatile liver develops if tricuspid regurgitation is severe. Ascites may occur but is unusual. The systolic murmur of tricuspid valve regurgitation may be present.[emedicine.medscape.com]

  • Ascites

    Heart failure - distended jugular veins, palpable thrills and murmurs, enlarged & pulsatile liver; constrictive pericarditis - pulsus paradoxus c.[clinicaladvisor.com] Cirrhosis - muscle mass loss, icteric sclera, spider angioma, palmar erythema, pedal edema, gynecomastia, prominent abdominal wall veins (caput medusae), palpable firm liver[clinicaladvisor.com]

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