Neck & Veins Examination
Technique: Neck Veins
Once the technique for JVP is well-understood, it is useful to learn jugular waveform analysis, a far more complex and difficult examination maneuver. Considerable attention in this module is devoted to waveforms and abnormalities in waveforms with various conditions. Medical students are not expected to master this technique, but begin learning a skill to be developed during residency, and as a clinician.
- The jugular vein is localized and distinguished from the carotid artery.
- The level of pressure in the jugular vein is determined by detecting column height and relation to central pressure in the left atrium.
- After localization of the jugular vein, the "a" and "v" waveforms are observed.
- Patterns in the a and v waves help to identify various rhythm abnormalities and cardiovascular conditions.