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
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TY - ELEC
T1 - PRECORDIAL PALPATION
ID - 623299
ED - Fauci,Anthony S,
ED - Hauser,Stephen L,
ED - Jameson,J Larry,
ED - Kasper,Dennis L,
ED - Longo,Dan L,
ED - Loscalzo,Joseph,
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 -