Views & Reviews From the Frontline

The world is round

BMJ 2008; 336 doi: (Published 15 May 2008) Cite this as: BMJ 2008;336:1134
  1. Des Spence, general practitioner, Glasgow
  1. destwo{at}

“The JVP is a unicorn—a myth.” All eyes turned to me. I knew it was mistake, a heinous blasphemy. There then followed an unholy medical inquisition. Despite my heresy I still religiously teach students how to test for jugular venous pressure, but when I suggest that it may be of highly limited value their eyes narrow suspiciously. For the JVP test is part of the holy scripture passed down through generations of doctors: the clinical examination.

But much of …

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