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The Rational Clinical Examination
David L. Simel, Drummond Rennie
Abnormal Central Venous Pressure
Deborah J. Cook, David L. Simel
A 65-year-old woman has had dyspnea for 2 months. She has had to give up her hobby of hiking and...


Topics Discussed: central venous pressure, measurement of, central venous pressure-biological function

Excerpt: "A 65-year-old woman has had dyspnea for 2 months. She has had to give up her hobby of hiking and is now short of breath after climbing even 1 flight of stairs. Her dyspnea is sometimes worse at night. She has no chest pain, cough, or sputum, and the result of systems review is otherwise negative. On physical examination, her blood pressure is 135/90 mm Hg, and she has a regular cardiac rhythm at 72/min. You turn your attention to the jugular veins and next ask yourself, "Does this patient have abnormal central venous pressure (CVP)?" ..."
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