Jugular vein distention (JVD) causes a bulge in the veins ... This occurs when the sac around the heart fills up with fluid, no longer allowing the heart to fill with blood properly.

[6] Pain and tenderness have been described as symptoms associated with jugular vein aneurysm, but no serious complications have been reported. We present a case of an asymptomatic internal ...

His physical exam reveals no jugular venous distention (JVD), mild bibasilar rales on lung exam, his heart sounds are regularly irregular, and an S4 heart sound is present. His ECG is below.

His oxygen saturation is 88% on room air. He appears in mild distress, no jugular venous distension is present, he is tachycardic and regular without any murmurs. His lungs are clear to auscultation.