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Percussion for Cardiac Assessment

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Questions and Answers

How should the patient be positioned for percussing the heart borders?

Supine on an examining table (correct)

Sitting on a chair

Lying on the left side

Standing upright

What is the recommended method of percussion for outlining the cardiac dullness?

Percussion with finger parallel to cardiac

Indirect percussion

Orthopercussion method of Plesch (correct)

Percussion with finger at right angle to cardiac

Which finger position is recommended for the orthopercussion method of Plesch?

Middle finger at right angle to cardiac (correct)

Index finger at right angle to cardiac

Thumb parallel to cardiac

Ring finger parallel to cardiac

What mistake do many beginners make when attempting to outline the cardiac dullness?

<p>Striking too forcibly and failing to hear the slight change in percussion note caused by overlying lung</p> Signup and view all the answers

At which end of the first phalanx should the flexed finger be struck in the orthopercussion method of Plesch?

<p>Distal end</p> Signup and view all the answers

Study Notes

Positioning for Percussing Heart Borders

The patient should be positioned in a seated or supine position, with the chest exposed and the arm on the side being examined raised above the head.

Percussion Method for Outlining Cardiac Dullness

The recommended method of percussion for outlining cardiac dullness is the orthopercussion method of Plesch.
In this method, the flexed finger should be struck at the end of the first phalanx.

Finger Position for Orthopercussion Method

The finger position recommended for the orthopercussion method of Plesch is a flexed finger.

Common Mistake in Outlining Cardiac Dullness

Many beginners make the mistake of striking the chest wall too heavily or too lightly, which can lead to inaccurate results.

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Description

Test your knowledge of the method and importance of percussing the chest to confirm cardiac borders, size, contour, and position in the thorax. Learn about relative and absolute cardiac dullness, as well as the correct method of percussion for the heart.