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Passive Congestion of the Liver

Liver Passive Congestion


Presentation

  • […] due to long standing congestion. [3] [4] [10] [11] [12] Swelling of the abdomen Cirrhosis is rare but present due to long standing congestion. [3] [4] [10] [11] [12] Features of right heart failure i.e.[explainmedicine.com]
  • Mediolobular hepatocytes may present fatty change (hypoxic mechanism); periportal hepatocytes are normal. (H&E, ob. x4) Passive congestion (Passive hyperemia) (liver) (detail) Passive congestion of the liver. (H&E, ob. x10) Last updated : 01/30/2009[pathologyatlas.ro]
  • Clinical presentation: 1. Due to obstruction to pulmonary vascular out-flow there is pulmonary congestion and edema. 2.[histopathology-india.net]
  • Subjects were divided into 3 groups for statistical purposes, based on duration of cardiac symptoms: acute presentation (less than 2 weeks of symptoms; 12 cases), chronic known compensated cardiac disease (53 cases), and chronic heart disease with acute[journals.lww.com]
  • With transmitted central venous hypertension, the hepatojugular reflex is present, unlike in hepatic congestion due to Budd-Chiari syndrome .[merckmanuals.com]
Pathologist
  • Confidently prepare for the upcoming recertification exams for clinical pathologists set to begin in 2016.[books.google.com]
  • News in Brief Article Outline Outline All anatomic pathologists are familiar with “nutmeg” liver, the pattern of hepatic chronic passive congestion so commonly found at autopsy.[journals.lww.com]
  • […] congestion, a hepatopathy due to cardiac decompensation and failure, the appearance of which bears a visual verisimilitude to a cut nutmeg; if the congestion is severe, these changes may be accompanied by haemorrhagic necrosis nutmeg liver A term used by pathologists[medical-dictionary.thefreedictionary.com]
Weight Gain
  • We describe a case of nonbacterial thrombotic endocarditis following autologous bone marrow transplantation that was marked by weight gain, hepatomegaly, ascites, and extreme hyperbilirubinemia leading to a clinical diagnosis of hepatic veno-occlusive[ncbi.nlm.nih.gov]
Falling
  • Most of the cases are due to the fall of myocardial contractile function (systolic dysfunction). Example: Ischemic injury ; pressure or volume overload ; dilated cardiomyopathy.[histopathology-india.net]
Sputum
  • […] going on if the congestion keeps on for a long time. [1] [2] [3] [4] [5] Sense of fullness in the upper abdomen Due to hepatomegaly in congestion. [6] [7] Upper abdominal pain Due to the stretching of the liver capsule. [6] Coughing out blood stained sputum[explainmedicine.com]
  • The pigment-containing macrophages, which can also be seen in expectorated sputum, have been called “heart failure cells.” If sufficiently prolonged, the congestion can lead to an increase in interstitial connective tissue.[med.umich.edu]
Hemoptysis
  • CVS- Block Pathology Dept, KSU 37 Hypersensitivity vasculitis might be complicated with glomerulonephritis and hemoptysis due to pulmonary capillaritis Hypersensitivity vasculitis – Clinical sign CVS- Block Pathology Dept, KSU 38 Leukocytoclastic vasculitis[slideplayer.com]
Upper Abdominal Pain
  • abdominal pain Due to the stretching of the liver capsule. [6] Coughing out blood stained sputum Due to pulmonary venous congestion due to left sided heart failure. [8] [9] Yellow discoloration of eyes, pale stools and dark urine Not common, and due[explainmedicine.com]
Hepatomegaly
  • ALP isoenzyme test (Medical Encyclopedia) Ascites (Medical Encyclopedia) Diet - liver disease (Medical Encyclopedia) Hepatic encephalopathy (Medical Encyclopedia) Hepatomegaly (Medical Encyclopedia) Liver disease (Medical Encyclopedia) Liver scan (Medical[icdlist.com]
  • […] failure is that, since the back pressure of systemic veins, venous blood is congested in the liver and there is a chronic ischemia going on if the congestion keeps on for a long time. [1] [2] [3] [4] [5] Sense of fullness in the upper abdomen Due to hepatomegaly[explainmedicine.com]
  • .-) cystic disease of liver (congenital) ( Q44.6 ) hepatic vein thrombosis ( I82.0 ) hepatomegaly NOS ( R16.0 ) pigmentary cirrhosis (of liver) ( E83.110 ) portal vein thrombosis ( I81 ) toxic liver disease ( K71 .-) K76.0 Fatty (change of) liver, not[icd10coded.com]
  • We describe a case of nonbacterial thrombotic endocarditis following autologous bone marrow transplantation that was marked by weight gain, hepatomegaly, ascites, and extreme hyperbilirubinemia leading to a clinical diagnosis of hepatic veno-occlusive[ncbi.nlm.nih.gov]
  • .- ) cystic disease of liver (congenital) ( Q44.6 ) hepatic vein thrombosis ( I82.0 ) hepatomegaly NOS ( R16.0 ) pigmentary cirrhosis (of liver) ( E83.110 ) portal vein thrombosis ( I81 ) toxic liver disease ( K71.- ) Other diseases of liver Approximate[icd10data.com]
Angiomatosis
  • Nonalcoholic fatty liver disease (NAFLD) K76.1 Chronic passive congestion of liver Inclusion term(s): Cardiac cirrhosis Cardiac sclerosis K76.2 Central hemorrhagic necrosis of liver K76.3 Infarction of liver K76.4 Peliosis hepatis Inclusion term(s): Hepatic angiomatosis[icd10coded.com]
Dark Urine
  • urine Not common, and due to periportal necrosis and centrilobular fibrosis. [6] [10] Swelling of the abdomen Cirrhosis is rare but present due to long standing congestion. [3] [4] [10] [11] [12] Swelling of the abdomen Cirrhosis is rare but present[explainmedicine.com]

Workup

  • In case of unknown cause of ALF, despite a meticulous workup, cardiac failure should always be considered. Right heart catheter evaluation for exact assessment of CI, MPAP, and CVP is mandatory for these patients.[link.springer.com]
Hepatic Necrosis
  • necrosis (and ultimately “cardiac cirrhosis”) Valvular Heart Disease (approximately 23% of cases) Aortic Stenosis (AS) (see Aortic Stenosis, Aortic Stenosis ) Mitral Stenosis (MS) (see Mitral Stenosis, Mitral Stenosis ) Tricuspid Regurgitation (TR) ([mdnxs.com]

Treatment

  • Effectively monitor the pace of drug clearing in patients undergoing pharmacogenomic treatments with a new chapter on this groundbreaking new area.[books.google.com]
  • Medical treatment must be resorted to in order to relieve passive congestion. In most cases the heart must be strengthened by appropriate tonics. Complete rest is an essential element of treatment.[chestofbooks.com]
  • You can help by adding to it . ( November 2017 ) Treatment [ edit ] Treatment is directed largely to removing the cause, or, where that is impossible, to modifying its effects.[en.wikipedia.org]
  • Treatment: —Tf these patients be permitted to fast, there will be a natural decrease in the quantity of blood in the liver, without treatment.[henriettes-herb.com]
  • Seite 282 - Long-term treatment of canine cyclic hematopoiesis with recombinant canine stem cell factor. Blood 85, 74-79. ‎[books.google.de]

Etiology

  • Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.[icd10coded.com]
  • Physical examination of patients with cirrhosis may reveal a variety of findings that necessitate a hepatic- or gastrointestinal-based work-up to determine the etiology.[aafp.org]
  • Physiology Liver has Complex Vascular Supply and High Metabolic Rate : makes it vulnerable to circulatory dysfunction from a variety of etiologies Congestive Hepatopathy : passive hepatic congestion, usually attributable to right-sided congestive heart[mdnxs.com]
  • […] recognize cardiac source of liver disease • Diagnosis is based on clinical and imaging findings DIAGNOSTIC CHECKLIST • Differentiate acute passive hepatic congestion from Budd-Chiari and viral hepatitis • Distinguish chronic, cardiac cirrhosis from other etiologies[radiologykey.com]

Epidemiology

  • […] causes hepatic encephalopathy Hepatic Pulsatility Epidemiology : may be seen in cases associated with tricuspid regurgitation (presystolic pulsations corresponding to prominent “v waves” on a right atrial pressure tracing) Clinical : loss of hepatic[mdnxs.com]
  • Moreover we were not able to make any conclusions about the epidemiology of ALF caused by cardiac failure.[link.springer.com]
  • Relation of hemochromatosis with hepatocellular carcinoma: epidemiology, natural history, pathophysiology, screening, treatment, and prevention. Med Clin North Am. 2005;89:391–409. 19. Neimark E, Schilsky ML, Shneider BL.[aafp.org]
Sex distribution
Age distribution

Pathophysiology

  • We discuss the pathophysiology and clinical features of nonbacterial thrombotic endocarditis and review its occurrence in association with bone marrow transplantation.[ncbi.nlm.nih.gov]
  • Pathophysiology [ edit ] CT appearance of liver in congestive hepatopathy, sometimes referred to as a nutmeg liver. Due to congestion, contrast does not flow through the liver in a normal manner. Axial and coronal images in the portal venous phase.[en.wikipedia.org]
  • Fulminant hepatic failure caused by congestive heart failure has rarely been documented; furthermore the exact pathophysiology remains unclear.[link.springer.com]
  • When severe and longstanding, hepatic congestion can lead to cirrhosis, a state described as cardiac cirrhosis. [1] Pathophysiology Increased pressure in the sublobular branches of the hepatic veins causes an engorgement of venous blood, and is most frequently[wikidoc.org]
  • CG There are a number of clinical characteristics as well as laboratory tests that help distinguish CHF-related liver disease from primary liver disease due to the former’s distinct pathophysiology.[gastroenterologyandhepatology.net]

Prevention

  • Avoidable - 0% Emergent - ED Care Needed - Not Preventable/Avoidable - 0% Primary diagnosis of injury 0% Primary diagnosis of mental health problems 0% Primary diagnosis of substance abuse 0% Primary diagnosis of Alcohol 0% Unclassified 100% Health Topic[codelay.com]
  • Get optimal test results with guidance on error detection, correction, and prevention as well as cost-effective test selection.[books.google.com]
  • What they found adds to... [ Read Full Story ] May 10, 2019 If your provider is ordering nebulizers and the drugs used in them for their patients here are things in the documentation that will help prevent a resubmission to Medicare and ease medical coding[coder.aapc.com]
  • Centers for Disease Control and Prevention. Alcohol-attributable deaths and years of potential life lost—United States, 2001. MMWR Morb Mortal Wkly Rep. 2004;53:866–70. 8.[aafp.org]
  • However, even with these drugs, indirect effects should be considered to prevent, for instance, intravascular depletion with diuretics, which may exacerbate reduced blood flow in an already compromised liver.[gastroenterologyandhepatology.net]

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