Harrison's Manual of Medicine
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 October 19, 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 October 19]. 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 -