415-416; emphasis added) Thus, the Bouillaud sign refers to the presence of persistent retraction of the precordium
caused by adhesive pericarditis (Table 1) (5).
He was observed to have a goiter with a more prominent right lobe, fine hand tremors, sinus tachycardia with a pounding pulse, and an ejection systolic murmur over the precordium
. Chest radiograph showed clear lungs and no cardiomegaly.
Cardiovascular examination may indicate tachycardia, hyperdynamic precordium
, widened pulse pressure, and signs of heart failure; heart murmurs may also be present.
We gave questionnaires to screen for personal health and family health history, recorded BMI, and measured PWV with Colin Medical Instrument VP-1000 Vascular Profiling System by placing BP cuffs on all four extremities, ECG on both wrist, and a phonocardiographic microphone over the precordium
. The results were inconclusive and the goal that was set was not reached by the end of the study.
The classic sign of pneumomediastinum is Hamman's sign, a crunching sound over the precordium
that is synchronous with ventricular systole.
During the exam, feel for a hyperdynamic precordium
, and check for an increased and sometimes palpable P2-a single, loud second heart sound.
There was a harsh grade II systolic ejection murmur all over the precordium
. EKG was suggestive of left ventricular hypertrophy (LVH).
The distinctive mill wheel murmur is heard over the precordium
. It is a continuous, loud, churning, drum-like cardiac murmur caused by a right atrial and right ventricular outflow obstruction, also known as a cog wheel or water wheel murmur.
Commotio Cordis Registry illustrated the dangers implicit in striking the chest sharply in any way including lightly or inadvertently Because of these dangers, the investigators recommended the development of chest protectors that more reliably cover the precordium
and more efficiently prevent ventricular fibrillation following a precordial blow (JAMA 287:1142-46, 2002).
A grade II/VI injection murmur, thought to be a heroic murmur, was audible over the precordium
. Her spleen was easily palpable 13 cm below the left costal margin, and the splenic edge was palpable at her midabdominal line.
The area on the anterior chest wall that overlies the heart and great vessels is the precordium
; the heart structures lie in the middle third of the thoracic cage, known as the mediastinum. The heart consists of 4 pumping chambers: the right and left atria and the right and left ventricles. (See Fig.
During the first postpartum day, the subcutaneous swelling abated and crepitations were audible over the precordium
in phase with cardiac systole (Hamman's sign).