Upon inspecting the patient,you find jugular venous distension.This is a sign of:

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Jugular venous distension is most commonly associated with right ventricular failure, which results in increased venous pressure and subsequently, distension of the jugular veins. Left ventricular hypertrophy, hypertension, and valve disease may also be associated with jugular venous distension, but are less likely to cause this particular sign.

Upon Inspecting the Patient,you Find Jugular Venous Distension