The next step in our assessment is the analysis of the jugular venous pulse wave form or contour. The veins are clearly seen undulating on the inferolateral aspect of the sternocleidomastoid and, for timing, one can very conveniently feel the carotid impulse.

To enhance that timing further, one can use a cotton swab on the carotid vessel and clearly contrast the movement of the vein seen on the inferolateral aspect of the sternocleidomastoid.