MRCP PACES Station 3 Cardiovascular (with examination summary) 

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@@ClinicalSkillsPro Do you have a Littmann Stethoscope?

@@ClinicalSkillsPro 😊😊

You're welcome

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Glad you think so!

Thank you so much 😀

Glad you've enjoyed the video and found it useful. It is hepatic reflex.

@@ClinicalSkillsPro I urge you to research this. It is reflux, not reflex. You're observing the reflux of blood into the SVC from the IVC as the IVC pressure temporarily increases from the hepatic manoueuvre. There is no reflex arc being activated. www.bmj.com/content/318/7192/1172.1 "So where did the students get the idea that hepatojugular reflux is a reflex. Well, my colleague Sonya Abrahams and I looked into it, and it turns out that hepatojugular reflux is called “the hepatojugular reflex” in several recent textbooks on clinical examination that I presume the students use.2-5 It is, of course, easy for authors to miss a typographical or copyediting error of this type; in another book, for example, the term is given correctly in the text but wrongly in the index. No doubt these misprints will be corrected in subsequent editions."

Are you using in-ear headphones? If so, they don't work, you have to use over-the-ears headphones due to the frequency of the heart sounds