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You are assessing a patient and notice he has a collapsed jugular vein. What does this indicate?

1) Tension pneumothorax
2) Hemothorax
3) Commotio cordis
4) Cardiac tamponade

1 Answer

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Final answer:

A collapsed jugular vein typically indicates a decrease in central venous pressure, which in the context of the options provided, suggests cardiac tamponade. Cardiac tamponade is associated with decreased venous return due to fluid build-up in the pericardial space.

Step-by-step explanation:

If a patient has a collapsed jugular vein, this generally indicates a decrease in central venous pressure. Among the listed options, the condition that is associated with decreased venous pressure due to impaired heart filling is cardiac tamponade. Cardiac tamponade occurs when excess fluid accumulates in the pericardial space, impeding the heart's ability to expand fully during diastole and thereby reducing preload. This leads to compromised cardiac output and, as a result, could present with collapsed jugular veins due to the decreased central venous pressure.

The other conditions listed—tension pneumothorax, hemothorax, and commotio cordis—are more likely to present with other specific signs. Tension pneumothorax can lead to distended jugular veins due to increased intrathoracic pressure, while hemothorax may or may not affect the jugular veins visibly. Commotio cordis is a sudden cardiac arrest due to a blunt chest impact and does not directly relate to the jugular vein's appearance.

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