Hepato-Jugular Reflux (HJR) (Also called Abdominojugular Reflux) 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



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