How do you differentiate jugular venous pulsations from carotid artery pulsations ? Unlike the arterial pulse, the venous pulse has a definite upper level which falls during inspiration and changes with posture. The venous pulse is seen to have a dominant inward motion, towards the midline (the 'y' descent), whereas l~he arterial pulse exhibits a dominant outward wave. The venous pulse is better seen than felt, whereas the arterial pulse is readily felt by very slight pressure of the clinician's finger.
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