Possible Causes for distention of neck veins Congestive Heart Failure The major criteria include: Paroxysmal nocturnal dyspnea Distention of neck veins Crepitations Cardiomegaly Acute pulmonary edema S3 gallop rhythm Increased venous pressure [symptoma.com] Major criteria: · Paroxysmal nocturnal dyspnea · Neck vein distention · Rales · Radiographic cardiomegaly (increasing heart size on chest radiography) · Acute pulmonary edema [medicalcriteria.com] Pulmonary Edema Signs of right ventricular (RV) failure (eg, neck vein distention, peripheral edema) may be present. [merckmanuals.com] If right heart failure exists, there may be swelling of the feet, ankles, and legs as well as jugular venous distention (a prominence of the veins in the neck associated with [emedicinehealth.com] Cor Pulmonale neck veins. [medical-dictionary.thefreedictionary.com] Findings include peripheral edema, neck vein distention, hepatomegaly, and a parasternal lift. Diagnosis is clinical and by echocardiography. [merckmanuals.com] Use a light from the side, which casts shadows along the neck, and look for jugular vein distention and pulsation. [medical-dictionary.thefreedictionary.com] Cardiomyopathy Cardiomyopathy is disease in which the heart muscle becomes weakened, stretched, or has another structural problem. It often occurs when the heart cannot pump or function well. Most people with cardiomyopathy have heart failure. There are many types of cardiomyopathy, with different causes. Some of the more[…] [nlm.nih.gov] Pulmonary Embolism On the neck, inspect for jugular vein distention. [emsworld.com] Chronic Right-Sided Congestive Heart Failure Check jugular vein distention, it is a sign of right sided heart failure resulting from severe pulmonary congestion. [medictests.com] vein distention A decrease in vital capacity by one third the maximal value recorded Rales Pleural effusion Acute pulmonary edema Tachycardia (rate of 120 bpm) Hepatojugular [emedicine.medscape.com] Physical exam – Inspect face and neck : for pursed lip breathing (an effort to pressurize the lungs) and accessory muscle use (muscles will exhaust soon.) [medictests.com] Dilated Cardiomyopathy Right ventricular failure causes peripheral edema and neck vein distention. [merckmanuals.com] Acute Cor Pulmonale Findings include peripheral edema, neck vein distention, hepatomegaly, and a parasternal lift. Diagnosis is clinical and by echocardiography. [msdmanuals.com] Acute Massive Pulmonary Embolism Abstract The aim of this study was to evaluate the contribution of clinical, angiographic and haemodynamic findings in predicting the cardiorespiratory efficacy of thrombolytic therapy in acute massive pulmonary embolism. Haemodynamic measurements and pulmonary angiography were performed before (H0) and 12 h[…] [ncbi.nlm.nih.gov] Recurrent Pulmonary Embolism Abstract Sixty-nine patients (37.5%) presented recurrent pulmonary embolic phenomena. Of these, 62 patients underwent interruption of the inferior vena cava by total surgical ligature (11 patients) or partial interruption by means of a transvenous Mobin-Uddin umbrella filter (51 patients). The mortality was 0.9% in[…] [ncbi.nlm.nih.gov] Ischemic Cardiomyopathy Signs and tests include: hepatomegaly; "crackles" in the lungs (heard with a stethoscope); extra heart sounds; and elevated pressure in the neck vein. [symptoma.com] […] heart failure are: dyspnea following activity or after lying down; abrupt awakening from sleep due to dyspnea; cough; anorexia; edema of ankles and feet (adults); abdominal distention [symptoma.com] Pericardial Effusion distention (enlargement of the neck veins due to increased pressure in the heart) Pulsus paradoxus (marked decrease in pulse and blood pressure during inhalation) Diagnostic [jamanetwork.com] Distention of neck veins with a rise in venous pressure during inspiration (Kussmaul sign) is present; it is absent in tamponade. [merckmanuals.com] On physical examination classical signs include neck vein distention with elevated jugular venous pressure at bedside examination, pulsus paradoxus, and diminished heart sounds [eurheartj.oxfordjournals.org] Restrictive Cardiomyopathy The distention of neck veins will be prominent and have a rapid "y" descent. [symptoma.com] Physical examination detects a quiet precordium, a low-volume and rapid carotid pulse, pulmonary crackles, and pronounced neck vein distention with a rapid y descent (see [merckmanuals.com] Cardiac Tamponade […] has multiple potential causes in trauma patients, muffled heart tones can be difficult to assess during a noisy trauma resuscitation, and neck vein distention can be absent [merckmanuals.com] Increased JVP in cardiac tamponade In cardiac tamponade, the heart is strangulated and blood will pool behind, this will raise JVP leads to distension of the neck veins, so [drnajeeblectures.com] In addition, tension pneumothorax also should be considered in patients with hypotension and neck vein distention, although this disorder typically causes markedly decreased [merckmanuals.com] Cardiac Cirrhosis Further distention of neck veins may be elicited with application of pressure over the right upper quadrant for as long as 1 minute (ie, hepatojugular reflux). [emedicine.medscape.com] Superior Vena Cava Syndrome These include swelling of the face, arms, neck, and chest, distention of veins in the neck, and sometimes shortness of breath and a cough. [verywell.com] […] in the neck and distended veins in the upper chest and arms Upper limb edema Lightheadedness Cough Edema (swelling) of the neck, called the collar of Stokes Pemberton's signSuperior [en.wikipedia.org] arm swelling, neck venous distention, cyanosis, plethora). [clinicaladvisor.com] Malignant Pericardial Effusion OBJECTIVES: Pericardial effusion associated with malignancy is a life-threatening complication of late-stage disease. While simple drainage is effective in relieving the symptoms, reaccumulation of effusion may cause further symptomatic episodes, often during a period when overall patient management is focused on[…] [ncbi.nlm.nih.gov] Primary Cardiomyopathy PURPOSE OF REVIEW: Noncompaction of the left ventricle is a descriptive anatomical term and recently recognized primary cardiomyopathy. Cardiac imaging now allows for prompt detection. The specific etiology remains poorly understood, however, and the major genetic determinants are unknown. This review describes[…] [ncbi.nlm.nih.gov] Right Ventricular Dilatation Paradoxical interventricular septal motion with right ventricular dilatation has been considered the hallmark of right ventricular volume overload. We report a 43-year-old woman with severe pulmonary hypertension due to pulmonary veno-occlusive disease who exhibited these echocardiographic abnormalities. Right[…] [ncbi.nlm.nih.gov] Tricuspid Valve Insufficiency A 30-year old man underwent a head-on motor accident and was admitted to hospital, where he was successfully treated for several injuries. He was discharged home with slight tricuspid regurgitation, without signs of hemodynamic decompensation, and required no further treatment. Five years later he was admitted[…] [ncbi.nlm.nih.gov] Tricuspid Stenosis A 47-year-old man with history of familial cardiomyopathy and orthotopic heart transplant at the age of 34 years presented severe tricuspid stenosis (TS) with a mean transvalvular gradient of 10 mm Hg. The patient opted against tricuspid valve replacement and was offered percutaneous transcatheter tricuspid[…] [ncbi.nlm.nih.gov] Hemopericardium The case of a premature infant ventilated for hyaline membrane disease and complicated by recurrent tension pneumopericardium requiring surgical drainage is reported. The infant improved but developed a tension hemopericardium following the removal of the surgical drain. He had cardiac arrest, responded to[…] [ncbi.nlm.nih.gov] Tricuspid Valve Disease Echocardiography. 2015 May;32(5):856-9. doi: 10.1111/echo.12773. Epub 2014 Sep 23. Author information 1 King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia. Abstract Spectral Doppler recording of the hepatic veins (HV) provides a semiquantitative assessment of tricuspid regurgitation (TR) severity. It[…] [ncbi.nlm.nih.gov] Alcoholic Cardiomyopathy Abstract Owing to its acute psychotropic effects, ethanol is the most frequently consumed toxic agent worldwide. However, excessive alcohol intake results in an array of health, social, and economic consequences, which are related to its property as an addictive substance. It has been well established that exposure[…] [ncbi.nlm.nih.gov] Chronic Constrictive Pericarditis OBJECTIVE: Prognosis after pericardiectomy remains to be clearly elucidated, especially in Asian countries, where the causes of constrictive pericarditis differ from those in Western countries. We aimed to investigate the preoperative prognostic factors and clinical outcomes after pericardiectomy in patients with[…] [ncbi.nlm.nih.gov] Secondary Cardiomyopathy […] cardiomyopathy [ kahr″de-o-mi-op ah-the ] a general diagnostic term designating primary myocardial disease. alcoholic cardiomyopathy a congestive cardiomyopathy resulting in cardiac enlargement and low cardiac output occurring in chronic alcoholics ; the heart disease in beriberi (thiamine deficiency) is also[…] [medical-dictionary.thefreedictionary.com] Right Ventricular Outflow Obstruction Sinus of Valsalva aneurysms rarely present until rupture occurs. We describe the case of a patient who presented with acute right heart failure and upon investigation was found to have an unruptured sinus of Valsalva aneurysm causing right ventricular outflow obstruction; there was an associated subaortic[…] [ncbi.nlm.nih.gov] Ebstein Malformation 2015 ICD-9-CM Diagnosis Code 746.2 Ebstein's anomaly 2015 Billable Thru Sept 30/2015 Non-Billable On/After Oct 1/2015 ICD-9-CM 746.2 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 746.2 should only be used for claims with a date of service on or before September[…] [icd9data.com] Valsalva Maneuver A 70-year old man with a 15-year-history of chronic daily Valsalva maneuvers for left ear congestion presented with worsening vertigo and calvarial (occipitoparietal) and upper cervical hyperpneumatization. With continued frequent Valsalva maneuvers, subsequent studies demonstrated increased pneumatization with[…] [ncbi.nlm.nih.gov] Amniotic Fluid Embolism AFE (amniotic fluid embolism) is widely known as a disastrous rapid-progressing clinical entity. The incident ranges from 1:800 to 1:8,000. The mortality rate reaches 61-86%. Neonatal survival is reported at 70%. We describe the case of a healthy 29-year old primigravida developing amniotic fluid embolism during labour.[…] [ncbi.nlm.nih.gov]
