External Jugular Vein Distention: The picture on the ...
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Description

External Jugular Vein Distention: The picture on the left demonstrates a markedly distended

right external jugular vein (EJV). This is the result of elevated central venous pressure (CVP). The picture 

on the right demonstrates the effect of hepatic pressure on the appearance of the EJV (i.e. vein becomes 

more engorged). In practice the EJV is not as reliable in determining CVP as the internal jugular vein 

(not visualized here) due to the fact that it sometimes has valves and is not in a direct line with the right 

atrium. Pressure on the liver, however, will have similar impact on the appearance of the IJV as 

demonstrated above for the EJV. This is referred to as hepatojugular reflux. 

Charlie Goldberg, M.D. - UCSD Catalog of Clinical Images

#Clinical #Photo #JVD #Jugular #VenousDistension #Hepatojugular #Reflux #UCSDH
Contributed by

Dr. Charles Goldberg
@DrGoldberg
Clinical Professor, University of California San Diego - Division of Hospital Medicine, - Images shared with permission from the UCSD Catalog of Clinical Images - https://meded.ucsd.edu/clinicalimg/browse.htm
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