CVS examination of a 40 years old woman with severe anemia.

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CVS EXAMINATION

INSPECTION 

Epigastric impulse was seen near the umblicus 

Diffuse Pulsations of the apex beat between the 5th and 6th Intercoastal space

Raised JVP

Pectus excavatum , Pectus carinatum absent 

No scars, sinuses or dilated veins

PALPATION 

Apex beat 

Diffuse pulsation in 5th and 6th intercoastal space

character- forceful 

Parasternal heave - visible, palpable, not obliterable with pressure

Thrills present  

AUSCULTATION 

Loud S1 , S2 heard in aortic , pulmonary , mitral and tricuspid area.