MedicosNotes.com

A site for medical students - Practical,Theory,Osce Notes

How to measure Jugular venous pulse (JVP)

Objectives of examination of JVP 
Estimation of jugular venous pressure.
Assessment of wave forms.
Most important bedside test for assessment of volume status.
Assessment of waves give important clues regarding certain conditions.

Internal jugular vein  is preferred because 
It has no valves.
It is in direct line with S uperior vena cava  and right atrium.
Not passing through facial planes, unlikely to be compressed by other structures.
Usually best felt when patient’s trunk is inclined by less than 30.
If pressure is very high, better in sitting position.
If volume depleted, supine is better.

If increased pressure is suspected and pulsations not obtained, make the patient to sit up by the legs dangling over the side of bed. 
Surrogate marker of right sided pressure.
Distance between centre of right atrium and sternal ankle varies in many individuals.
At 40 degree, varies between 6-15cm.
Pulsation above clavicle at sitting position is usually abnormal.
Distance between right atrium  to clavicle is at least 10cm.
Estimation of an elevated pressure is important rather than the exact value.
Labels: , , , , ,
: Posted at :

Labels

abdomen adrenal gland Anatomy anemia Anesthesia Anesthesiology angina antiplatelets AntiSeizureDrugs Aortic regurgitation Aortic stenosis apexbeat arrhthmia arthritis ascites Ataxia atrial septal defect Audio autoimmune disease Autoimmune_Encephalitis AutoimmuneEncephalitis Biochemistry blood supply of brain blood_supply built Capsular_Warning_Syndrome cardiac auscultation cardiac tamponade Cardiology CerebellarAtaxia cerebellum cerebral circulation cerebro vascular accident cerebrospinal cerebrovascular accident clinical sign clinical_examination ClinicalDecisionMaking ClinicalDiagnosis ClinicalMedicine ClinicalNeurology ClinicalTrials clubbing ClusterHeadache coarctation of aorta Cognitive_Decline collagen vascular disease congenital heart disease COPD coronary circulation coronaryheartdisease cranial nerve CranialNerves critical care CSF CSFLeak CTMyelography cvj Cyanotic heart disease dementia Dementia_Mimics dermatology diabetes DiagnosticAlgorithm dialysis Differential_Diagnosis DifferentialDiagnosi DifferentialDiagnosis diplopia drugs dwarfism Dyslipidemia ECG edema EEG electrolyte disturbance electrophysiology embryology EmergencyMedicine EMG endocrinology Epilepsy EpisodicAtaxia fever gastroenterology general examination Genetics graves disease hair examination headache HeadacheClassification heart heart failure heart murmurs heartmurmurs heartsounds height hematology hemo hemochromatosis hemolysis hemophilia hepatic encephalopathy hepatology higher mentalfunction history taking hyperkalemia hypertension HypertensionManagement hyperthyroidism hypokalemia ICHD3 iih infectious disease infective endocarditis insulin internal capsule Internal_Capsule InternalMedicine Intracerebral Hemorrhage involuntary movement iron defiency Ischemic_Stroke jaundice JME JVP kidney labour Laptop Lecture Notes LGI1_Antibodies Limbic_Encephalitis Limbic_System liver function test long qt lumbar puncture LumbarPuncture marfans syndrome MBBS MedicalEducation MedicalErrors MedicalHistory MedicalResearch MedicalStudentGuide medicine MedicosNotes Memory_Impairment Migraine MigraineCriteria MigraineMechanisms MigraineVsTTH mitral regurgitation mitral stenosis motor neuron disease MovementDisorders mrcp MRI musculoskeletal system myocardial infarction myotonia nail NASH Nausea nephrology Neurobiology neurocutaneous markers Neurogenetics Neuroimaging Neuroimmunology Neurological_Disorders neurology NeurologyFlowchart NeurologyGuidelines NeurologyNotes neuroophthalmology NICE Guidelines note notes notes. nuerology nutrition Nystagmus obesity obstestrics ocularmovements oedema oncology opening snap oral cavity osce osteoarthirtis p parasternal heave parathyroid gland patent ductus arteriosus Pathophysiology PatientSafety PDA PDF PediatricNeurology percussion Pharmacology Pharmacotherapy physiology PKD ClinicalCases plague posterior circulation stroke PPT practical note practical notes practicalnotes primaryheadache PrimaryHeadaches protein pulmonary medicine pulmonology pulse radiofemoraldelay Radiology rare manifestations reflex respiratory system rheumatic fever rheumatology seizure sepsis short stature skin spinal cord SpontaneousCSFLeak Squint strabismus stroke Stroke Management StrokeCare symptomatology Synovial joint tallstature temperature Therapeutics thrill thrombolysis thyroid thyrotoxicosis TIA TrigeminalSystem tuberculosis.infection urinary bladder usmle Valvular heart disease Video vitals monitoring vitals monitoring. VSD