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    PRECORDIAL PALPATION

    PRECORDIAL PALPATION is a topic covered in the Harrison's Manual of Medicine.

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    Cardiac apical impulse is normally localized at the fifth intercostal space, midclavicular line. Abnormalities include:

    • Forceful apical thrust: Left ventricular hypertrophy
    • Lateral and downward displacement of apex impulse: Left ventricular dilatation
    • Prominent presystolic impulse: Hypertension, aortic stenosis, hypertrophic cardiomyopathy
    • Double systolic apical impulse: Hypertrophic cardiomyopathy
    • Sustained “lift” at lower left sternal border: Right ventricular hypertrophy
    • Dyskinetic (outward bulge) impulse: Ventricular aneurysm, large dyskinetic area post MI, cardiomyopathy

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    Citation

    Loscalzo, Joseph, et al., editors. "PRECORDIAL PALPATION." Harrison's Manual of Medicine, 19th ed., McGraw Hill Inc., 2017. harrisons.unboundmedicine.com/harrisons/view/Harrisons-Manual-of-Medicine/623299/all/PRECORDIAL_PALPATION.
    PRECORDIAL PALPATION. In: Loscalzo J, Jameson JL, Longo DL, et al, eds. Harrison's Manual of Medicine. 19th ed. McGraw Hill Inc.; 2017. https://harrisons.unboundmedicine.com/harrisons/view/Harrisons-Manual-of-Medicine/623299/all/PRECORDIAL_PALPATION. Accessed April 21, 2019.
    PRECORDIAL PALPATION. (2017). In Loscalzo, J., Jameson, J. L., Longo, D. L., Hauser, S. L., Fauci, A. S., & Kasper, D. L. (Eds.), Harrison's Manual of Medicine. Available from https://harrisons.unboundmedicine.com/harrisons/view/Harrisons-Manual-of-Medicine/623299/all/PRECORDIAL_PALPATION
    PRECORDIAL PALPATION [Internet]. In: Loscalzo J, Jameson JL, Longo DL, Hauser SL, Fauci AS, Kasper DL, editors. Harrison's Manual of Medicine. McGraw Hill Inc.; 2017. [cited 2019 April 21]. Available from: https://harrisons.unboundmedicine.com/harrisons/view/Harrisons-Manual-of-Medicine/623299/all/PRECORDIAL_PALPATION.
    * Article titles in AMA citation format should be in sentence-case
    TY - ELEC T1 - PRECORDIAL PALPATION ID - 623299 ED - Loscalzo,Joseph, ED - Jameson,J Larry, ED - Longo,Dan L, ED - Hauser,Stephen L, ED - Fauci,Anthony S, ED - Kasper,Dennis L, BT - Harrison's Manual of Medicine UR - https://harrisons.unboundmedicine.com/harrisons/view/Harrisons-Manual-of-Medicine/623299/all/PRECORDIAL_PALPATION PB - McGraw Hill Inc. ET - 19 DB - Harrison's Manual of Medicine DP - Unbound Medicine ER -