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12:09
From 08:27
Additional findings from the study suggest that accuracy is lower in patients with elevated BMI.
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🔍 Prominent JVP (Jugular Venous Pressure) What it indicates 👇 • Raised right atrial pressure • Sign of cardiac or fluid overload Common causes ⚠️ • Right heart failure • Fluid overload • Constrictive pericarditis • Tricuspid valve disease • Pulmonary hypertension How to identify 👀 • Patient at 45° position • Look at right side of neck • Visible, pulsatile neck vein • Rises with expiration • Falls on deep inspiration (except Kussmaul sign) Clinical importance 🩺 • Helps assess heart function •
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The abdominojugular reflux test was performed by applying firm, sustained pressure to the center of the abdomen. A sustained increase in jugular venous pressure (JVP) of more than 3 cm of water for more than 10 seconds, as occurred in this patient, indicates a positive test. (A transient increase in JVP that returns to baseline in 10 seconds or less while abdominal pressure is applied would indicate a negative test.) | The New England Journal of Medicine
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