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With cardiac tamponade, jugular veins are distended and typically show a prominent x descent and an absent y descent as opposed to patients with constrictive pericarditis (prominent x and y descent); see Beck's triad. [1] Other possible causes of Kussmaul's sign include: [2] [citation needed] Right ventricular infarction - low ventricular ...
In TACO, the patient will always have a positive fluid balance and will often present with hypertension, jugular venous distension, elevated BNP, peripheral edema, and will respond well to diuretics. In contrast, TRALI is not associated with fluid overload and the patient may have a positive, even, or net fluid balance.
A man with congestive heart failure and marked jugular venous distension. External jugular vein marked by an arrow. Pitting edema during and after the application of pressure to the skin. A jugular venous distension is the most sensitive clinical sign for acute decompensation. [7]
The three classic signs, known as Beck's triad, are low blood pressure, jugular-venous distension, and muffled heart sounds. [24] Other signs may include pulsus paradoxus (a drop of at least 10 mmHg in arterial blood pressure with inspiration), [12] and ST segment changes on the electrocardiogram, [24] which may also show low voltage QRS ...
Patients are seen with a cyanotic discoloration of the shoulder skin and neck and face, jugular distention, bulging of the eyeballs, and swelling of the tongue and lips. The latter two are resultants of edema, caused by excessive blood accumulating in the veins of the head and neck and venous stasis.
The clinician presses firmly over either the right upper quadrant of the abdomen (i.e., over the liver) or over the center of the abdomen [2] for 10 seconds with a pressure of 20 to 35 mm Hg while observing the swelling of the internal jugular vein in the neck and also observing to be sure the patient does not perform a Valsalva maneuver.
Thrombosis of the internal jugular vein can be displayed with sonography. Thrombi that have developed recently have low echogenicity or echogenicity similar to the flowing blood, and in such cases pressure with the ultrasound probe show a non-compressible jugular vein - a sure sign of thrombosis.
If a patient has restrictive cardiomyopathy, the Doppler study should present poorly maintained ventricular filling on the E-wave and little to no late ventricular filling on the A-wave leading to the dip and plateau pattern of the early diastolic pressure marks seen on the ECG. [14]