Jugular venous distention resident survival guide: Difference between revisions
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===Life Threatening Causes=== | ===Life Threatening Causes=== | ||
Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated. | Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated. | ||
* [[ | * [[Acute heart failure]] | ||
* [[ | * [[Massive pulmonary emboli]] | ||
* [[ | * [[Right ventricular myocardial infarction]] | ||
* [[Cardiac Tamponade]] | |||
* [[Tension Pneumothorax]] | |||
===Common Causes=== | ===Common Causes=== | ||
* [[ | * [[Congestive heart failure]] | ||
* [[ | * [[Cor pulmonale]] | ||
* [[ | * [[Fluid overload]] | ||
==Diagnosis== | ==Diagnosis== | ||
Shown below is an algorithm summarizing the diagnosis of jugular venous distension according to the | Shown below is an algorithm summarizing the diagnosis of jugular venous distension according to the ACC and ESC guidelines. | ||
{{familytree/start |summary=JVD diagnosis Algorithm.}} | {{familytree/start |summary=JVD diagnosis Algorithm.}} | ||
{{familytree | | | | | A01 | | | | | | |A01=<div style="float: Center; text-align: Center; width: | {{familytree | | | | | A01 | | | | | | |A01=<div style="float: Center; text-align: Center; width:12em; padding:1em;"> [[Jugular Venous Distension]]}} | ||
{{familytree | | | | | |!| | | | | | | | | |}} | {{familytree | | | | | |!| | | | | | | | | |}} | ||
{{familytree | | |,|-|-|^|-|-|-|.| | | | | |}} | {{familytree | | |,|-|-|^|-|-|-|.| | | | | |}} | ||
{{familytree | | B01 | | | | | B02 | | | | |B01=<div style="float: Center; text-align: Center; width: | {{familytree | | B01 | | | | | B02 | | | | |B01=<div style="float: Center; text-align: Center; width:12em; padding:1em;"> With [[pulmonary edema]]|B02=Without [[pulmonary edema]]}} | ||
{{familytree | | |!| | | |,|-|-|^|-|-|-|-|.|}} | {{familytree | | |!| | | |,|-|-|^|-|-|-|-|.|}} | ||
{{familytree | | C01 | | C02 | | C03 | | C04 |C01=<div style="float: Center; text-align: Center; width: | {{familytree | | C01 | | C02 | | C03 | | C04 |C01=<div style="float: Center; text-align: Center; width:12em; padding:1em;"> | ||
Heart Failure | Heart Failure | ||
|C02=<div style="float: Center; text-align: Center; width: | |C02=<div style="float: Center; text-align: Center; width:12em; padding:1em;"> '''Increased right atrial pressure''' | ||
|C03=<div style="float: Center; text-align: Center; width: | |C03=<div style="float: Center; text-align: Center; width:12em; padding:1em;"> '''Venous obstruction''' | ||
|C04=<div style="float: Center; text-align: Center; width: | |C04=<div style="float: Center; text-align: Center; width:12em; padding:1em;"> '''Increased intrathoracic pressure'''}} | ||
{{familytree | | | | | | |!| | | |!| | | |!|}} | {{familytree | | | | | | |!| | | |!| | | |!|}} | ||
{{familytree | | | | | | D01 | | D02 | | D03|D01=<div style="float: Center; text-align: Center; width: | {{familytree | | | | | | D01 | | D02 | | D03|D01=<div style="float: Center; text-align: Center; width:20em; padding:1em;"> | ||
❑ '''Restriction of right atrial and right ventricular filling:''' | ❑ '''Restriction of right atrial and right ventricular filling:''' | ||
:❑ Cor pulmonale | :❑ [[Cor pulmonale]] (Massive [[pulmonary emboli]], [[COPD]]) | ||
:❑ Pulmonary Hypertension | :❑ [[Pulmonary Hypertension]] | ||
:❑ Constrictive pericarditis | :❑ [[Constrictive pericarditis]] | ||
:❑ Cardiac Tamponade | :❑ [[Cardiac Tamponade]] | ||
❑'''RV Failure:''' | ❑'''RV Failure:''' | ||
:❑ Cardiomyopathy | :❑ [[Cardiomyopathy]] | ||
:❑ RV myocardial infarction | :❑ [[RV myocardial infarction]] | ||
❑ '''Fluid overload due to renal diseases''' | ❑ '''Fluid overload due to renal diseases''' | ||
❑ '''Tricuspid valve incompetence''' | ❑ '''Tricuspid valve incompetence''' | ||
❑ '''Tricuspid valve stenosis | ❑ '''Tricuspid valve stenosis or obstruction'''|D02=<div style="float: Center; text-align: Center; width:20em; padding:1em;"> | ||
A large pleural effusion | ❑ '''Superior vena cava obstrcution'''|D03=<div style="float: Center; text-align: Center; width:20em; padding:1em;"> | ||
Pneumothorax}} | ❑ '''Positive pressure ventilation''' | ||
❑ '''A large [[pleural effusion]]''' | |||
❑'''[[Tension Pneumothorax]]'''}} | |||
Revision as of 17:43, 30 August 2020
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
This section provides a short and straight to the point overview of the disease or symptom. The first sentence of the overview must contain the name of the disease.
Causes
Life Threatening Causes
Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.
- Acute heart failure
- Massive pulmonary emboli
- Right ventricular myocardial infarction
- Cardiac Tamponade
- Tension Pneumothorax
Common Causes
Diagnosis
Shown below is an algorithm summarizing the diagnosis of jugular venous distension according to the ACC and ESC guidelines.
With pulmonary edema | Without pulmonary edema | ||||||||||||||||||||||||||||||
Heart Failure | Increased right atrial pressure | Venous obstruction | Increased intrathoracic pressure | ||||||||||||||||||||||||||||
❑ Restriction of right atrial and right ventricular filling:
❑RV Failure: ❑ Fluid overload due to renal diseases ❑ Tricuspid valve incompetence ❑ Tricuspid valve stenosis or obstruction |
❑ Superior vena cava obstrcution | ❑ Positive pressure ventilation ❑ A large pleural effusion ❑Tension Pneumothorax | |||||||||||||||||||||||||||||
Treatment
Shown below is an algorithm summarizing the treatment of [[disease name]] according the the [...] guidelines.
Do's
- The content in this section is in bullet points.
Don'ts
- The content in this section is in bullet points.