Hepato-Jugular Reflux (HJR) on Physical Exam

1) Position the patient supine with bed elevated to 45 degrees.
2) Look at jugular pulsations (baseline JVP).
3) Apply gentle pressure over the right upper quadrant for at least 10 seconds
4) Repeat the JVP examination - An increase in JVP of >3 cm is a positive HJR test

Video via Dr. E. Wesley Ely @WesElyMD

#HepatoJugular #Reflux #HJR #PhysicalExam #clinical #video #jvp #cardiology
Contributed by

Dr. Gerald Diaz
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG:  https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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