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Cardiology Examination - Examine the JVP

By Professor Karim Meeran and Imperial College London

Abstract

1. Position the patient supine with the head of the table elevated 45 degrees. 2. Use tangential, side lighting to observe for venous pulsations in the neck. 3. Look for a rapid, double (sometimes triple) wave with each heart beat. Use light pressure just above the sternal end of the clavicle to eliminate the pulsations and rule out a carotid origin. 4. Adjust the angle of table elevation to bring out the venous pulsation. 5. Identify the highest point of pulsation. Using a horizontal line from this point, measure vertically from the sternal angle. The sternal angle is about 5 cm above the right atrium. 6. This measurement should be less than 4 cm in a normal healthy adult.

Topics: ukoer, ooer, medev, cardiology examination, examine the jvp, Medicine & dentistry, A000
Publisher: Imperial College London
Year: 2010
OAI identifier: oai:dspace.jorum.ac.uk:10949/2764
Provided by: Jorum Open
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