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Pulmonary hypertension is high blood pressure within the artery that connects the lungs and heart. It forces the heart to work harder to transfer blood between the heart and lungs, which may lead to an enlargement of the right side. Thyroid problems, whether they involve an underactive or overactive thyroid, can cause a heart to enlarge.
Palpating the fundus also allows you to assess the bladder, which, if full, may precipitate excessive blood loss. A full bladder will cause the fundus to palpate higher than would normally be expected, and also may cause deviation to the right or left. Remember to check the patient's obstetric history also, as fibroids can give an erroneous reading. Mar 17, '10. Yes, always.