Measuring JVP

A beginner's guide to measuring the JVP -- perfect for the medical student on their first placement. Far from comprehensive, but an excellent starting point if you're not quite sure what approach to take. Part of our series on basic clinical examination.

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Now get out there and see some patients!

Music:

Brittle Raille by Kevin Macleod
Cool Vibes by Kevin Macleod
Dub Feral by Kevin Macleod
Local Forecast by Kevin Macleod
Groove Grove by Kevin Macleod

Special thanks to Harrison Ferguson

Disclaimer:

HippocraTV is not affiliated with any medical school or NHS trust. While we make a great effort to ensure our content is correct and up-to-date, watching YouTube is not a substitute for reading a textbook, attending a lecture or seeing a real-life patient.

[NSOMAL]

I was looking for a good video on this topic for so long....this was extremely helpful and the best video. Thank you so much and please make more videos!!!!

[ajinkyabhasme]

I have my medicine exam in like 3 hours.
Helped a lot. Thanks hippocratv

[lacrossemd]

It's hepatojugular "reflUx". The abdominal pressure should be held and if the JVP goes up and remains so for 5-10 seconds then it's "present". Also, the 45 degree angle is a starting point, but if the pulsation/ top of the column cant be seen, then the bed should be lowered until you can. In a healthy person the JVP might be 5cm, so at 45 degrees that will be below the clavicle and therefore not visible. Finally, while the IJ is the correct vein traditionally, in a thin person it's often MUCH easier to see the EJ pulsation and meniscus. If you see it on an individual then you can follow it as they're treated, so it'll have internal validity (relatively speaking). - Michael Carson

[DavidHarringtontheth]

Am I the only one that felt Harrison was looking into the windows of my soul from 00:04-00:10? Either way, nice work. Maybe use an old person on a video like this so we can see some nice JVP.

[terrannowlan]

Good vid with annotations, just remember its reflux not reflex :)

[alimrjan]

your way of talking and explaining things is catchy, it doesn't make me zone out

[carmenj.cahuana]

Finally i got you! im from argentina and i had no clue about how to study all this stuff. You saved my life. Thanks for the video! im suscribed now ... :D

[vima]

Hey, really well made video, just one suggestion: I think it is hepatojugular reflux as it is not technically a reflex. Keep up the good work though, it was all very clear!

[CLarsonHorses]

Thank you! Very easy to understand! The videos from my class just confused me. Now I think I can do this. Thanks again!

[Kerryedrin]

aside from very good explaination of JVP measurement, you are one good looking  guy!! ^_^

[wadesonecent]

thanx zach, your videos are helping alot in my prep for Step 2 CS

[ANonyMouse]

so you only look at the right neck, not the left?

[suhaila]

Very nice & easy explaining, thank you so much for being helpful

[vishnurajupillai]

As with everyhting it gets easier with time...thats helpful gesture

[HippocraTV]

Those are tricky, aren't they? Definitely on our to do list. And thanks for watching :)

[SinatraFan]

Love the channel; keep up the great work. Any videos on examination of the MSK system (knee, shoulder etc) would be really welcomed

[Ventus]

So if we make the abdominal reflux and noticed a sustained JV does it incidates for an abnormal right ventricular failure? And if it was raised, then it's a normal condition? Am I correct?
And thank you so much for the video :)

[albualiify]

my consultant is asking if it is called hepto, or abdominal (J reflux) nowaday and what is the difference, and what is the history of the test (:

any ideas ?

[paulaarcher]

Great video! What is the normal range for JVP?

[chriswilloughby]

Non-palpable means you can't feel its pulse with your finger right?