Differential diagnosis of elevated central venous pressure

Acute tamponade must be differentiated from other conditions with an acutely elevated central venous pressure, such as acute right ventricular failure, chronic obstructive lung disease, constrictive pericarditis, pulmonary embolism, and acute exacerbation of chronic bronchitis. It must also be differentiated from a high central venous pressure following excessive or too rapid fluid administration, abdominal distention from paralytic ileus or ascites, increased intrathoracic pressure from pneumothorax or hemothorax, airway obstruction, infusions of vasopressors, and a clotted or non-functional central venous pressure line.

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