When an examiner presses on the liver and elicits hepato-jugular reflux, which of the following conditions is likely?
A. Left ventricular failure
B. Right ventricular failure
C. Hepatomegaly
D. Pulmonary edema
ANS: B
In right ventricular failure, the abdomen should be examined particularly for right upper quadrant discomfort related to hepatic congestion and enlargement. The examiner can also check for hepatic jugular reflux by placing sustained pressure on the liver while observing for jugular venous distention. In right HF, ascites may also be present. Examine the extremities for edema seen in right HF.
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