OnExam

This test, also known as the hepatojugular reflex, is used as an adjunct to measuring the jugular venous pressure.

Performing the Test

  1. Ask the patient to relax and breathe normally through an open mouth
  2. Apply firm pressure of 20-35 mmHg with palm of hand to mid-abdomen for 15-30 seconds
  3. Observe JVP waveform before, during and after abdominal compression
  4. The test is positive when there is a sustained increase in JVP by > 4 cm

References

  1. Insall, RL, Davies RJ, Prout WG. Significance of Buerger’s test in the assessment of lower limb ischaemia. J R Soc Med. 1989; 82:729-731