J as in Jugular
Vein
Jugular vein, any of several veins of the neck.
The external jugular veins, which receive
blood from the neck, the outside of the cranium, and the deep tissues of the
face, empty into the subclavian veins (continuations of the principal veins of
the arms or forelimbs). Among the
tributaries of the external jugular veins
are the posterior external jugular veins,
which receive blood from the back of the neck.
The anterior external jugular
veins receive blood from the larynx, or voice box, and other tissues below the
lower jaw. The internal jugular veins unite with the subclavian veins to
form the brachiocephalic veins, and drain blood from the brain, the face, and
the neck.
The phrase "go for the jugular"
means to attack a vital, vulnerable part of someone or something. Serious injury to the jugular can drain blood from the head and brain
and lead to a quick kill.
For patients with heart disease, cardiologists now often go to the jugular for help in making diagnosis and treatment
decisions.
Conventional wisdom has long linked swollen neck veins with the occurrence
of heart disease. Nowadays, some
cardiologists evaluate blood pressure in the jugular
as a part of their physical exams of heart patients and use this information to
make their diagnoses. When the blood
pressure in the jugular vein is higher
than normal, its walls can swell or distend, resulting in a condition known as jugular venous distension.
Cardiologists can estimate the blood pressure in the jugular vein (jugular
venous pressure) by careful observation of the vein. This requires the patient to be lying down
with the upper body at an angle of less than 30 degrees, with the neck muscles
relaxed. The doctor usually observes the
jugular vein from the side, aided by a
beam of light shining on the patient's neck. F rom this perspective, he or she
can observe the filling level of the jugular
and estimate the blood pressure.
Cardiologists can also observe pulses in the jugular
vein, called the jugular venous pulse. This is a source of information about the
state of the right atrium, one of the chambers in the heart.
Analysis of jugular venous pressure
and pulse provides information about physical aspects of the blood circulation
in the right side of the heart and can be useful in the diagnosis of different
forms of heart and lug disease. An
elevated jugular venous pressure is the
classic sign of right-sided heart failure.
Also in this case, the correct head position which NIMBLE teaches
you is important for the proper function of this vein.
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