JVP Examination Explained - Clinical Skills Deep Dive - Medical School Revision - Dr Gill

Abdominal Examination Explained - Clinical Skills Deep Dive - Medical School Revision - Dr Gill

The Jugular Venous Pressure

It doesn't matter how many times I had the JVP explained to me in medical school lectures, or in medical school revision sessions after class, it always was a major challenge for me to understand.

However, if looked at carefully, and slowly, the JVP waveform, isn't actually impossible to understand, but does quite reasonably have a reputation as one of the more difficult clinical skill revision challenges

In this video, we will try to carefully go over graphs of the venous pulsation to allow easy comprehension of the JVP waveform explained

#drgill # jvp #clinicalskills

You can now consult via video or in person with Dr Gill at Dr Finlay’s Private Practice - https://www.drfinlays.co.uk/services/...

0:00 start
00:20 – Contents
00:50 – What is the JVP
01:03 – Internal Jugular Vein Anatomy
01:40 – Going for the Jugular
01:58 – Challenges with the JVP
02:56 – How to examine the JVP
03:18 – Where to look
03:38 – How to measure the JVP
03:46 – Patient Example
04:06 – How to get the best view
04:38 – The Three Golden Giveways
04:45 – Check the pulse
05:15 – Palpate the visible pulsation
05:33 – Hepatojugular Reflux (Yes, REFLUX)
05:53 – Hepatojugular Reflux Patient Example
06:30 – The reflux manoeuvre explained
07:12 – What you should see in healthy patients
07:28 – How to tell if it's abnormal
07:53 – The manubriosternal angle (angle of Louis)
08:18 – Using the ruler
08:54 – The ruler explained in the diagram
09:03 – Normal and Absent JVP
09:31 – Why you should check the JVP is below the clavicle (Severe Tricuspid Regurgitation)
09:59 – Causes of a raised JVP
10:07 – Cardiac Causes
11:12 – Pulmonary Causes
11:33 – Fluid Overload
11:54 – Mnemonic for raised JVP causes
13:11 – The JVP wave form
13:40 – 5 (ish) Sections of the JVP Wave form
14:34 - A
15:20 - X
15:47 – C
16:27 – X Again
17:25 - V
17:50 – Y
18:37 – Re-cap of the JVP wave
19:09 – Additional Pathologies seen in the Wave Form
19:52 – Summary
20:06 – Remember your history!
20:24 – Remember to like and Subscribe!