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16 Possible Causes for Pulsatile Liver, Tenderness in the Right Upper Quadrant

  • Cor Pulmonale

    Hepatojugular reflux and pulsatile liver are signs of RV failure with systemic venous congestion. In severe disease, ascites can also be present.[] Pallor, engorged, and pulsatile neck veins and central cyanosis were present on general physical examination.[] Abdominal examination revealed a firm, non-tender liver having a sharp margin, and measuring 7 cm below costal margin with a span of 12 cm, and the left lobe measuring 9 cm[]

  • Chronic Right-Sided Congestive Heart Failure

    Fonti utilizzate nella revisione corrente (2015 November 6 Updated). What Is Heart Failure? National Heart, Lung, and Blood Institute [On-line information]. Available online at . Accessed March 2016. Dumitru, I. and Baker, M. (2016 Jan 11 Updated).Heart Failure.Medscape Drugs and Diseases [On-line information].Available[…][]

  • Tricuspid Valve Insufficiency

    With severe TR, there may be an enlarged liver detected on palpation of the right upper quadrant of the abdomen; the liver may be pulsatile on palpation and even on inspection[] The liver may be large and pulsatile. There is usually a single first heart sound that may be increased in intensity.[]

  • Acute Cor Pulmonale

    liver and ascites.[] Hepatojugular reflux and pulsatile liver are signs of RV failure with systemic venous congestion. In severe disease, ascites can also be present.[] […] by elevation in right atrial pressure and systemic venous hypertension leading to hepatic congestion, which combined with tricuspid regurgitation, leads to an enlarged, pulsatile[]

  • Liver Disease

    INTRODUCTION: Although the revised cardiac risk index (RCRI) is a useful tool for estimating the risk of postoperative cardiac events, whether it improves the prediction of cardiac events in patients undergoing liver transplantation (LT) has not been sufficiently demonstrated. METHODS: We retrospectively analyzed[…][]

  • Liver Transplant Rejection

    […] abrupt damping of the normally pulsatile blood flow of the hepatic veins.[] Abstract 37 transplanted livers (in thirty patients) were assessed by serial doppler ultrasound examination. 18 of 23 biopsy-proved rejection episodes were associated with[]

  • Laparoscopic Cholecystectomy

    The apex beat was in the right fifth intercostal space, midclavicular line. She had epigastric tenderness but was not tender in the right or left upper quadrants.[] Pulsatile collaterals suggesting high intravascular pressure seen intra-operatively was challenging.[] In our patient, favourable factors were normal liver architecture without cirrhosis and no portal hypertension.[]

  • Hepatitis

    A minority have an audible bruit in the right upper quadrant, believed to be due to increased blood flow in the hepatic artery[ 14 ].[] The results for portal vein maximum velocity, hepatic vein pulsatility, liver parenchyma echo-pattern and spleen size were inconsistent between studies.[] If palpable, the liver is usually enlarged and tender.[]

  • Liver Neoplasm

    Liver symptoms: Right upper quadrant pain, tenderness, hepatomegaly, possible palpable mass. Generalised infective symptoms: Swinging fever. Night sweats.[] Patients usually do not have symptoms, but some may present with right upper quadrant pain and occasionally with a large, pulsatile liver.[]

  • Focal Nodular Hyperplasia

    Her physical exam was notable only for some mild right upper quadrant and flank tenderness.[] […] flow in liver cirrhosis.[] Portal vein–hepatic vein shunts and portocaval (portosystemic) shunts may also cause pulsatile portal flow.[]

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