Assessment (select exam of heart - focus on CVP, PMI and auscultation techniques)

Auscultation

1) Tip to remember sequence of heart sound auscultation areas

APE To Man = aortic; pulmonic; Erb's point; tricuspid; mitral

2) Normal heart sounds: S1 & S2

3) Abnormal findings(listen to rubs, gallops and and murmurs)

a) Gallops S3 & S4

b) Murmurs

c) Pericardial rub

d) Displaced point of maximum intensity (normal PMI - 5th ICS at MCL)