Cardiac drill
Various positions and maneuvers to bring out
murmurs:
- Supine, in parasternal area with diaphragm (PDA)
- Left
lateral, internal to apex with bell after exercise (Mitral
stenosis)
- Upright, at the root of neck (Venous hum)
- Leaning
forwards, end expiration with diaphragm (Aortic insufficiency)
- Bracing shoulders back (Pericardial rub)
- Squatting: ( Mitral valve prolapse)