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Medicine Miscellaneous e3ea85e0

Non-cardiac cause of raised central venous pressure include all of the following except-

A
Abdominal compament syndrome
B
Tension pneumothorax
C
Positive pressure ventilation
D
Hypervolemia
High-Yield Explanation
Abdominal compament syndrome (ACS) occurs when the abdomen becomes subject to increased pressure reaching past the point of intra-abdominal hypeension (IAH). ACS is present when intra-abdominal pressure rises and is sustained at > 20 mmHg and there is new organ dysfunction or failure.ACS is classified into three groups: Primary, secondary and recurrent ACS.It is not a disease and as such it occurs in conjunction with many disease processes, either due to the primary illness or in association with treatment interventions. Specific cause of abdominal compament syndrome is not known, although some causes can be sepsis and severe abdominal trauma. Increasing pressure reduces blood flow to abdominal organs and impairs pulmonary, cardiovascular, renal, and gastro-intestinal (GI) function, causing multiple organ dysfunction syndrome and death A pneumothorax is an abnormal collection of air in the pleural space between the lung and the chest wall.Symptoms typically include sudden onset of sharp, one-sided chest pain and shoness of breath.In a minority of cases the amount of air in the chest increases when a one-way valve is formed by an area of damaged tissue, leading to a tension pneumothorax. This condition can cause a steadily worsening oxygen shoage and low blood pressure. Unless reversed by effective treatment this can be fatal.Very rarely both lungs may be affected by a pneumothorax. It is often called a collapsed lung, although that term may also refer to atelectasis. Positive-pressure ventilation means that airway pressure is applied at the patient's airway through an endotracheal or tracheostomy tube. The positive nature of the pressure causes the gas to flow into the lungs until the ventilator breath is terminated Ref Davidson 23rd edition pg 1073

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