In Cardiovascular examination the most important part are Palpation and Percussion Palpation of Precordium The location, amplitude and character of cardiac impulse is noted. The normal LV apex is located in left fifth intercostal space in the midclavicular line. Normal apex is a systolic outward thrust which is localized...
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Examination of arterial pressure pulse The arterial pulse has an anacrotic shoulder on the ascending limb and then a rounded peak, then a downward deflection called incisura and then the pulse wave gradually comes down. In peripheral pulses the anacrotic shoulder is not seen and incisura is replaced by...
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