Figure 7.6. Anteroposterior view of the chest indicating the major precordial areas to be examined.

Figure 7.6Anteroposterior view of the chest indicating the major precordial areas to be examined

Try to detect by both inspection and palpation any abnormal pulsations that the underlying cardiac chambers and great vessels may produce. Auscultation is routinely performed over each of these five areas. The aortic area is the second intercostal space to the right of the sternum. The pulmonary area is the second left intercostal space to the left of the sternum. The parasternal or right ventricular area is the lower half of the sternum on the left. The apical or left ventricular area is the fifth intercostal space at the mid clavicular line. The epigastric area is just below the xiphisternum (subxyphoid area).

From: Chapter 7, An Overview of the Cardiovascular System

Cover of Clinical Methods
Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd edition.
Walker HK, Hall WD, Hurst JW, editors.
Boston: Butterworths; 1990.
Copyright © 1990, Butterworth Publishers, a division of Reed Publishing.

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