ISRAA UNIVERSITY COLLEGE

Department of dentistry

The clinical suggestions in neck veins engorgement

and diagnosis of each suggestion

Submitted By
‫حسن علي نبأ‬
4th stage/Group D

Supervised By
Dr.Hussein AL_sarraf

July 2020
1. Introduction

Engorged Neck Veins: increased pressure and filling of the veins in the neck,
making them appear engorged and stand out. It is caused by reduced diastolic
filling of the right ventricle, due to pressure from the adjacent expanding
pericardial sac. This results in a backup of fluid into the veins draining into the
heart, most notably, the jugular veins (Fig.1). In
severe hypovolemia, the neck veins may not be
distended.

2.Common symptoms:

 Insomnia.
 Hyperhidrosis.
 Lips and nails turn blue.
 Low level of attention.
 Fainting.
 Chest tightness, pain or a feeling of pressure on the chest.
 Heart palpitations.
 Failure to urinate.
 Breathing problems and difficulties.

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REFERENCES

 Drazner MH, Rame JE, Stevenson LW, Dries DL. Prognostic

importance of elevated jugular venous pressure and a third heart
sound in patients with heart failure. N. Engl. J. Med. 2001 Aug
23;345(8):574-81. [PubMed]
 Sinisalo J, Rapola J, Rossinen J, Kupari M. Simplifying the
estimation of jugular venous pressure. Am. J. Cardiol. 2007 Dec
15;100(12):1779-81. [PubMed]
 Devine PJ, Sullenberger LE, Bellin DA, Atwood JE. Jugular
venous pulse: window into the right heart. South. Med. J. 2007
Oct;100(10):1022-7; quiz 1004. [PubMed]
 Metkus TS, Kim BS. Bedside Diagnosis in the Intensive Care Unit.
Is Looking Overlooked? Ann Am Thorac Soc. 2015
Oct;12(10):1447-50. [PMC free article] [PubMed]

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