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40 Possible Causes for Distended Neck Veins, Increased Jugular Venous Pressure, S3 Gallop

  • Congestive Heart Failure

    Jugular venous pressure is frequently assessed as a marker of fluid status, which can be accentuated by eliciting hepatojugular reflux.[en.wikipedia.org] veins that stick out (are distended) Sounds (crackles) from fluid buildup in your lungs, heard through a stethoscope Swelling of the liver or abdomen Uneven or fast heartbeat[medlineplus.gov] […] criteria: · Paroxysmal nocturnal dyspnea · Neck vein distention · Rales · Radiographic cardiomegaly (increasing heart size on chest radiography) · Acute pulmonary edema · S3[medicalcriteria.com]

  • Chronic Constrictive Pericarditis

    Physical Examination Findings Increased ventricular filling pressures cause jugular venous distention and Kussmaul's sign (paradoxical rise in jugular venous pressure on inspiration[clevelandclinicmeded.com] During inspiration, the neck veins become distended (normally, they collapse).[aafp.org] .  Prominent S3 gallop may be present.  Secondary tricuspid regurgitation with its characteristic murmur.  Abdominal examination reveals hepatomegaly, often with palpable[slideshare.net]

  • Restrictive Cardiomyopathy

    Physical examination is notable for elevated jugular venous pressure, often with Kussmaul's sign (paradoxical increase in jugular venous pressure with inspiration).[clinicaladvisor.com] ) or bulging neck veins Enlarged liver Lung crackles and abnormal or distant heart sounds when listening to the chest with a stethoscope Signs of heart failure Fluid backup[quizlet.com] pressures Jugular venous pressure may be increased Left ventricular impulse is usually normal and palpable Third heart sound may be audible due to rapid ventricular filling[pathologyoutlines.com]

  • Pulmonary Embolism

    In this case, the elevated jugular venous pressure suggests a right ventricle that has reached its preload reserve, and further increases in the impedance to RV ejection may[circ.ahajournals.org] The clinical examination may reveal signs of acute right ventricular dysfunction, including tachycardia, a low arterial blood pressure, distended neck veins, an accentuated[doi.org] Signs that indicate pulmonary hypertension and right ventricular failure include a loud pulmonary component of the second heart sound, right ventricular lift, distended neck[emedicine.medscape.com]

  • Cardiomyopathy

    gallop is common in children but signifies decompensated CHF in adults; S4 is frequently heard Jugular venous pulse revealing a prominent a wave Double carotid arterial pulse[emedicine.medscape.com] Other possible physical findings include an S3 gallop and a systolic murmur of mitral regurgitation if the valve annulus is dilated.[clinicaladvisor.com] […] apical impulse (less common) Normal first heart sound; second heart sound usually is normally split but is paradoxically split in some patients with severe outflow gradients; S3[emedicine.medscape.com]

  • Pulmonary Edema

    Distinguishing Cardiogenic from Non-cardiogenic Pulmonary Edema  Finding suggesting cardiogenic edema -S3 gallop -elevated JVP -Peripheral edema  Findings suggesting non-cardiogenic[slideshare.net] An third heart sound (S3) gallop is frequently present.[tele.med.ru]

  • Chronic Right-Sided Congestive Heart Failure

    The fluid status is checked by jugular venous pressure, which usually gets accentuated by the hepatojugular reflux.[newhealthadvisor.com] Distended neck veins. Bluish skin. Chest pain. Enlarged liver and swollen abdomen.[nmihi.com] Framingham Criteria for Dx of Heart Failure • Major Criteria: – PND – JVD – Rales – Cardiomegaly – Acute Pulmonary Edema – S3 Gallop – Positive hepatic Jugular reflex – venous[slideshare.net]

  • Peripartum Cardiomyopathy

    , increased jugular venous pressure, displaced apical impulse, right ventricular heave, murmurs of mitral and tricuspid regurgitation, third heart sound, pulmonary rales,[cathlabdigest.com] Her lungs were clear to auscultation and her heart rate was regular, with an S3 gallop. Her extremities were nonedematous, and she had no calf tenderness.[thepermanentejournal.org] Physical signs like hyperventilation, edema, distended neck veins can be seen in normal pregnancy.[ijaweb.org]

  • Cor Pulmonale

    […] and other neck and facial veins Increased jugular venous pressure Hepatomegaly Cyanosis Abnormal heart sounds Physical indicators of cor pulmonale on exam: Pulmonary hypertension[symptoma.com] Examination reveals cyanosis, distended neck veins, and a prominent epigastric pulsation Cor pulmonale is right ventricular enlargement and eventually failure secondary to[smartypance.com] The S3 and S4 sounds resemble a horse gallop. The presence of the fourth heart sound is found in cor pulmonale.[medical-dictionary.thefreedictionary.com]

  • Acute Myocarditis

    If an inflammation of the heart muscle leads to congestive heart failure, symptoms such as swollen feet and ankles, distended neck veins, a rapid heartbeat, and difficulty[medical-dictionary.thefreedictionary.com] The physical examination is perhaps even more important, which can reveal tachycardia, cardiac murmurs (soft S1 sound, S3 or S4 gallop, as well as sounds pointing toward insufficiency[symptoma.com]