{"id":293,"date":"2010-12-02T13:31:59","date_gmt":"2010-12-02T13:31:59","guid":{"rendered":"https:\/\/cloverock.info\/mockosce23\/new\/percussion-2\/"},"modified":"2023-01-11T23:13:26","modified_gmt":"2023-01-11T23:13:26","slug":"percussion-2","status":"publish","type":"post","link":"https:\/\/www.qpercom.com\/sim\/index.php\/the-cardiovascular-examination\/percussion-the-cardiovascular-examination\/percussion-2\/","title":{"rendered":"Percussion"},"content":{"rendered":"<p>Research results have shown that the reliability of cardiac percussion is very variable. For this reason the validity of cardiac percussion is under discussion and it is not currently part of the standard examination. However, because percussion of the left heart border in particular can sometimes still provide useful information &#8211; for example if the apex beat cannot be palpated &#8211; the&nbsp; procedure will briefly be described here.<\/p>\n<h2>Procedure<\/h2>\n<p><iframe loading=\"lazy\" src=\"https:\/\/player.vimeo.com\/video\/116865717?dnt=1&amp;app_id=122963\" width=\"640\" height=\"480\" frameborder=\"0\" allow=\"autoplay; fullscreen; picture-in-picture\" allowfullscreen><\/iframe><\/p>\n<p>In supine position the hand should be placed parallel to the ribs at the 5th intercostal space. From the midaxillary line, the finger should be repeatedly moved 0.5 to 1 cm medially until a dull tone is found [Figure 10].<\/p>\n<p><span class=\"jce_caption\" style=\"display: inline-block;\"><img loading=\"lazy\" decoding=\"async\" class=\" size-full wp-image-292\" style=\"margin: auto;\" src=\"https:\/\/cloverock.info\/mockosce23\/new\/wp-content\/uploads\/2010\/12\/Cardiovascular_cv-fig-10.jpg\" alt=\"\" width=\"400\" height=\"294\" srcset=\"https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/Cardiovascular_cv-fig-10.jpg 400w, https:\/\/www.qpercom.com\/sim\/wp-content\/uploads\/2010\/12\/Cardiovascular_cv-fig-10-300x221.jpg 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><span style=\"width: 400px; display: block;\">Figure 10: Percussion of the left heart border<\/span><\/span><\/p>\n<p>Normally dullness to percussion is found on, or within, the midclavicular line. If it falls outside of this then cardiomegaly (e.g. left ventricular hypertrophy) or displacement of the heart (due to a right-sided tension pneumothorax) may be present.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Research results have shown that the reliability of cardiac percussion is very variable. For this reason the validity of cardiac percussion is under discussion and it is not currently part of the standard examination. However, because percussion of the left heart border in particular can sometimes still provide useful information &#8211; for example if the [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[118],"tags":[120],"class_list":["post-293","post","type-post","status-publish","format-standard","hentry","category-percussion-the-cardiovascular-examination","tag-the-cardiovascular-examination"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Percussion - Qpercom | Skills in Medicine<\/title>\n<meta name=\"description\" content=\"Online Mock OSCEs with examiners, patient actors, instant results and personalised feedback. 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