A Diagnostic Tool Yet Simple and Strong: Inspection of the Jugular Veins
Journal Title: Pulmonary Research and Respiratory Medicine – Open Journal - Year 2017, Vol 0, Issue 1
Abstract
Inspection of the neck, including the inspection of veins is taught at most of the medical schools as a routine step of physical examination. However, rarely we see students assess findings in a correct fashion, or even physicians may not perform well enough to be models for students. We would like to present two cases, which could remind us of an importance of this simple examination at the bedside. First of all, the right internal jugular vein is the best vein in the neck to aid the diagnosis of heart failure or valvular dysfunction. If physicians cannot observe the movement of internal jugular vein well, they could look at the external jugular vein, which is much easier to observe and may be as reliable as internal jugular vein to assess Central Venous Pressure (CVP)1 and jugular wave form, especially when tricuspid regurgitation exists.
Authors and Affiliations
Taro Minami
Keywords
Related Articles
- EP ID EP560164
- DOI 10.17140/PRRMOJ-SE-1-109
- Views 152
- Downloads 0
Misdiagnosis Murder: Disguised TB or Lung Cancer?
Medical misdiagnosis dilemma of Tuberculosis (TB) versus Lung Cancer (LC) and their pre-judged unsuitable grueling treatment leading to numerous unnecessary deaths worldwide.1 Globally, numerous patients with incurable L...
Role of MicroRNAs in Progression and Recurrence of Early-Stage Lung Adenocarcinoma
Lung cancer is the leading cause of cancer-related death worldwide, and the majority of cases (77%) are not diagnosed until the disease has spread to regional lymph nodes or distant sites. Even among Non-Small Cell Lung...
Effects of the Resisted Exercise in the Respiratory Function of Individuals With Hemiparesis after Stroke
Objective To compare the effects of resisted exercise in lungs volume and capacity and strength of the respiratory muscles on individuals with hemiparesis after a stroke. Methods Ten individuals with hemiparesis caused b...
Rehabilitation in Patients Undergoing Lung Transplantation (LTx)
Lung transplantation (LTx) has become an established therapeutic option for treating patients with end-stage pulmonary disease. Before and after LTx, physical ability might be restricted due to certain effects on respira...
The Impact of VAP Staff Education on VAP Morbidity and Mortality in Alexandria University
Background: Staff education had several success stories in reducing Ventilator-associated Pneumonia (VAP) rate. However, the stability of supplies and the top management support were not addressed in most of these studie...