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ELEVATED JVP

This is a very important clinical sign that must never be overlooked during the clinical examination. It is suggestive of fluid overload and right heart failure.

Closer view of the photograph. This 56-year-old diabetic patient called 1051 for acute shortness of breath.
He had orthopnoea; he weighted 140kg and had widespread subcutaneous edemata. Over his lower limbs he had superficial ulcerations, which were producing serous discharge.

He was transferred to the hospital in order to have a large amount of fluid removed with hemodialysis.

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