Auscultation Over the Tricuspid Area (the Left Lower Sternal Border) When you have completed your examination of the apex, move to the left lower sternal border. Tricuspid murmurs and some asymmetric ...
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During cardiac auscultation, I have the patient lean forward, take a deep breath, and forcefully exhale. The combination of maneuvers causes retractions of the chest cavity, making the heart closer to ...
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Editor's Note: Before reading this article, it is recommended that readers first review "Nonauscultatory Cardiac Exam: Assessing the Elderly Person," previously published on Medscape. As with most ...