Bloating liver pulse

The clinical manifestations of cardiogenic cirrhosis in patients with congestive heart failure and passive congestion of the liver are mostly symptoms and signs caused by severe heart failure, while liver involvement is secondary. May have mild right upper quadrant discomfort, 10% to 20% have jaundice. Physical examination may show signs of congestive heart failure, including jugular vein distension and positive hepatic jugular vein reflux signs. Most patients have hepatomegaly, and a few can be highly swollen. 50% of patients have more than 5cm below the costal margin. Those with cuspid valve insufficiency can touch the expansive liver pulse, and the liver can retract to normal with the formation of liver fibrosis. 15% of patients have ascites and 25% have splenomegaly.

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