CLINICAL MEDICINE

MEDICINE

CARDIOLOGY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
The jugular venous pressure is measured as
A
the vertical distance between the top of the venous pulsation and the angle of Louis
B
the vertical distance between the top of the venous pulsation and jugular notch of sternum.
C
the horizontal distance between the top of the venous pulsation and the angle of Louis.
D
the horizontal distance between the top of the venous pulsation and jugular notch of sternum
Explanation: 

Detailed explanation-1: -The JVP is measured as the vertical distance between the top of the jugular venous pulsation and the sternal inflection point (angle of Louis). The patient is usually placed in semirecumbent position at 45°.

Detailed explanation-2: -The internal jugular vein is visualised when looking for the pulsation. In healthy people, the filling level of the jugular vein should be less than 4 centimetres vertical height above the sternal angle.

Detailed explanation-3: -JVP height above the sternal angle can be used to estimate the right atrial pressure. A JVP of 0 to 4 cm above the sternal angle is considered normal, whereas a JVP >4 cm is considered jugular venous distension.

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