Jugular Venous Pressure
Jugular Venous Pressure
Please assess the student measuring the jugular venous pressure (JVP).
Student's Email:

GENERAL - Observe the student doing the following:

Washes hands
       
Introduces self and exam to patient
           
Appropriate draping of patient

Expose the neck so the heads of the sternocleidomastoid muscle can be seen

               

JVP PROCEDURE - The student should do the following:

Examines the right internal jugular vein

Distinguishes between the internal and external jugular veins

               
Examines between the 2 heads of the sternocleidomastoid muscle
               
Comments on the use of tangential lighting
               
Measures height of the JVP correctly

Comments on comparison to normal (2-4cm)

               

JVP VS CAROTID PULSE - The student should distinguishe between the JVP and the carotid pulse:

Notes that the JVP is a double waveform
               
Attempts to palpate the JVP

The JVP should be non-palpable

               
Attempts to occlude the JVP

The JVP should be occludable

               
Determines that the JVP changes with respiration

Decreases on inspiration, increases on expiration

               

SPECIAL TESTS - Observe the student performing the following manoeuver:

Performs the hepatojugular reflex

Apply pressure over RUQ for 10 seconds. Normal - transient rise or no change. Positive - Sustained rise

               

GLOBAL RATING SCALES - Please rate the student on their overall performance:

Understands rational of manoeuvers and findings
                   
Organized approach
                   
Sensitivity toward patient concerns and comfort during the examination