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Diseases of the circulatory system
문제
The patient's jugular veins show pronounced ______ waves, a sign of right-sided heart failure.
1
distention
✓ 정답
2
pulsation
3
collapse
4
retrograde
5
pressure
해설
Jugular vein distention (JVD) is a key finding in right-sided heart failure. The distention occurs because the failing right ventricle cannot effectively pump blood forward, leading to backup of blood in the venous system and visible neck vein distention.
같은 주제 다음 문제 The patient's EKG shows significant ST ______ in leads V2 through V4, suggesting acute ant…
임상 시나리오 Key Points:
- Jugular venous distention (JVD) assessment
- Normal jugular venous pressure: 6-8 cm H2O
- JVD > 3 cm above sternal angle indicates abnormal elevation
- Common causes of elevated JVD:
* Right heart failure
* Tricuspid regurgitation
* Constrictive pericarditis
* Superior vena cava obstruction
- Clinical examination:
* Patient position: 45-degree angle
* Observe internal jugular vein
* Measure vertical height above sternal angle
- Associated symptoms:
* Peripheral edema
* Hepatomegaly
* Ascites
* Dyspnea
- Kussmaul's sign: paradoxical rise in JVP during inspiration
- Lewis method for JVP measurement
- Hepatojugular reflux test
- Cannon a-waves in complete heart block
핵심 개념
distention — The state of being enlarged, expanded, or swollen beyond normal size due to pressure from within
pulsation — A rhythmic throbbing or vibrating movement, typically caused by the regular beating of the heart
collapse — A sudden falling or giving way; a breakdown or failure of a structure or system
retrograde — Moving backward or in a direction opposite to the normal direction
pressure — The continuous physical force exerted on or against an object by something in contact with it
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