Is the glass half empty or half full?
Recently, we were asked to see a patient on the consult service with a rising creatinine, a BUN of close to 200 and decreased urine output. The patient was a diabetic who had an STEMI several months previously…
The Bezold-Jarisch reflex
This intriguing set of clinical signs was discovered by von Bezold and Hirt in 1867 – they found that injection of a veratrum alkaloid caused bradycardia, hypotension and apnea. In the 1930’s Jarisch and Richter were performing similar…
Jugular venous distension – clinical studies
In the previous blog we discussed some of the physiological principles underlying the JVP. Now I thought I’d present some manuscripts relating to the utility of the isolated use of JVP in clinical practice. The first is a…
Jugular venous distention- the physical exam, continued…
Following on from Finnian’s last post, here are some remarkable videos from the 1950’s on JVP examination (physical examination of JVP begins at 3:38):
Jugular venous distention- the physical exam
The physical examination of volume status is perhaps the most common assessment we perform in everyday clinical practice. It is also one of the most difficult and subjective tasks to perform. In particular, the JVP is one of…