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Jugular venous pressure assessment

A man with congestive heart failure who presented with a markedly elevated jugular venous pressure. The arrow is pointing to the external jugular vein; however, jugular venous pressure is measured by the internal jugular vein, which can also be seen here. (Source: Dr. James Heilman, 2009. Creative Commons Attribution-Share Alike 3.0 Unported license, creativecommons.org/licenses/by-sa/3.0 /deed.en.)

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