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JVD
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[[File:Elevated JVP1.jpg|300px|thumb|leftright]]
[[Tombstone Piledriver|One of the most difficult skills to master]] is the assessment of jugular venous distension or JVD (Just Very Difficult). So don’t bother. Skip this step.<ref>[http://gomerblog.com/2015/12/heart/ Physical Exam Tips: The Heart]</ref><ref>[http://gomerblog.com/2016/08/list-diuresis/ Doctor Diureses List with 80 mg of Lasix, Net Negative 14 Patients]</ref>