📌 𝐅𝐨𝐥𝐥𝐨𝐰 𝐨𝐧 𝐈𝐧𝐬𝐭𝐚𝐠𝐫𝐚𝐦:- [ Ссылка ]
📌𝗝𝗼𝗶𝗻 𝗢𝘂𝗿 𝗧𝗲𝗹𝗲𝗴𝗿𝗮𝗺 𝗖𝗵𝗮𝗻𝗻𝗲𝗹 𝗛𝗲𝗿𝗲:- [ Ссылка ]
📌𝗦𝘂𝗯𝘀𝗰𝗿𝗶𝗯𝗲 𝗧𝗼 𝗠𝘆 𝗠𝗮𝗶𝗹𝗶𝗻𝗴 𝗟𝗶𝘀𝘁:- [ Ссылка ]
Examination of the jugular venous pulse
Estimation of jugular venous pressure is performed with the patient supine with the head of the bed elevated 30 degrees and head turned slightly to the left. A card is placed horizontally at the top of the oscillation point of the right internal jugular venous pulsation just posterior to the sternocleidomastoid muscle. The vertical height of the card above the sternal angel is measured in centimeters . In this patient, the height is about 2 cm. Venous pressure is elevated above normal when it is greater thn 3 to 4 cm above the sternal angle with the head of bed elevated to 30 degrees or approximately 8 to 9 cm in total distance above the right atrium.
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