The world is roundBMJ 2008; 336 doi: https://doi.org/10.1136/bmj.39580.437593.59 (Published 15 May 2008) Cite this as: BMJ 2008;336:1134
- Des Spence, general practitioner, Glasgow
“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 …