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19 Possible Causes for Distended Neck Veins, Facial Swelling, Increased Jugular Venous Pressure

  • Superior Vena Cava Syndrome

    Zoom Symptoms The clinical signs are related to the increase in venous pressure upstream from the SVC obstacle and the development of venous shunts ( Figure 13 ).[] Here, we report a case of facial swelling and severe bilateral pleural effusion secondary to superior vena cava occlusion in a 41-year-old woman.[] Physical examination can reveal distended neck veins, edema of the upper extremities, while various neurological deficits may be encountered.[]

  • Acute Cor Pulmonale

    swelling or extension of neck veins–come in acutely exacerbated, they indeed may have more swelling in their legs.[] neck veins, cyanosis, wheezes or crackles, split S2, systolic ejection murmur with click, S3/S4 with systolic tricuspid regurgitation, pitting edema What is cor pulmonale[] neck veins, a tender, pulsatile liver, a loud pulmonic component of the 2nd heart sound, or evidence of venous thrombosis.[]

  • Congestive Heart Failure

    Jugular venous pressure is frequently assessed as a marker of fluid status, which can be accentuated by eliciting hepatojugular reflux .[] If the right ventricular pressure is increased, a parasternal heave may be present, signifying the compensatory increase in contraction strength.[]

  • Pleural Effusion

    Jugular Venous Pressure (CHF, Pericarditis ) Orthopnea (CHF) Lower extremity edema (CHF) Pericardial Friction Rub ( Pericarditis ) S3 Gallop rhythm (CHF) Abdomen Hepatomegaly[] swelling and ruddy complexion, upper extremity swelling Gastrointestinal Abdominal abscess Exudative Abdominal pain, chills, fever, nausea, vomiting Cirrhosis Transudative[] The pleural effusion may be a transudate (due to obstruction of the superior vena cava that causes an increase in venous pressure), 117 or rather chylothorax. 118,119 It is[]

  • Cor Pulmonale

    jugular venous pressure) are often obscured by hyperinflation of the chest 6 which is present in a number of COPD patients.[] swelling or extension of neck veins–come in acutely exacerbated, they indeed may have more swelling in their legs.[] Examination reveals cyanosis, distended neck veins, and a prominent epigastric pulsation Cor pulmonale is right ventricular enlargement and eventually failure secondary to[]

  • Amniotic Fluid Embolism

    Towards the end of the procedure, the patient developed redness of her skin followed by facial swelling.[]

  • Chronic Right-Sided Congestive Heart Failure

    The fluid status is checked by jugular venous pressure, which usually gets accentuated by the hepatojugular reflux.[] Physical examination The patient appeared chronically ill, with facial swelling, mild scleral jaundice, lip cyanosis, engorgement of the jugular vein, and a reflux-positive[] Distended neck veins. Bluish skin. Chest pain. Enlarged liver and swollen abdomen.[]

  • Central Venous Pressure Increased

    Drazner et al. ( 13 ) reported that in patients with increased jugular venous pressure on examination, serum creatinine was significantly greater.[] The patient will have peripheral edema in addition to facial swelling.[] Causes of raised jugular venous pressure Heart failure. Constrictive pericarditis (JVP increases on inspiration - called Kussmaul's sign). Cardiac tamponade.[]

  • Pneumothorax

    A 75-year-old woman and a 65-year-old man presented with dyspnea, and facial swelling and abdominal pain, respectively.[] A tension pneumothorax additionally presents with distended neck veins, tracheal deviation , and hemodynamic instability.[] neck veins Differential diagnosis of a pneumothorax Pleural effusion PE Pneumonia Pericarditis Investigation of a pneumothorax ABG Hypoxia, severity dependent on size of[]

  • Radiation Pericarditis

    On physical exam, he is noted to have an increased jugular venous pressure (JVP) that increases with inspiration. A "knock" is ausculated.[] Facial swelling, cardiac arrhythmias and pericardial tamponade occurred frequently in the patients with malignant pericardial disease.[] During inspiration, the neck veins become distended (normally, they collapse).[]

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