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Cardiac auscultation supine and leaning forward

Cardiac auscultation supine and leaning forward

Auscultation of the pericardium: To elicit pericardial rubs, the patient is invited to lean forward (A) or rest on elbows and knees (B). Both physical maneuvers increase the contact of visceral and parietal pericardium.

Reproduced from: Heart, Imazio M. Pericardial involvement in systemic inflammatory diseases, 97:1882, Copyright © 2011, with permission from BMJ Publishing Group Ltd.

Graphic 86234 Version 1.0

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