Lessons in Physical Diagnosis

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If the turgescence is temporary, a ftdl inspiration will empty and collapse the distended veins, while a full expiration will increase their distension. On the other hand, if the turges- cence is permanent, the condition of the veins is not affected by the respiratory acts.
Venous Pulsations may be presystolic or systolic. They are most marked in the jugular veins inmiediately above the clavicles.
Presystolic jugular pulsations are due to the contractions of the right auricle, but they can seld
...om be appreciated except when the intra-thoracic veins are distended. Sometimes in a perfectly healthy person when in a recumbent position, presys- tolic pulsation in the jugular veins can be seen.
Systolic jugular pulsation occurs with the systole of the ventricles and indicates regurgitation into the right auricle with the ventricular systole. Frudreich states that sudden collapse of the jugular veins occurs in some cases of pericardial adhesions. Pulsations in the carotid arteries often communi- cate systolic pulsations to the jugulars.


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