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Clinically by 1. Inspection 2. palpation and 3. auscultation of the precordial region of the chest. By EKG and Ultrasound examination a very accurate assesment.. |
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Clinically by 1. Inspection 2. palpation and 3. auscultation of the precordial region of the chest. By EKG and Ultrasound examination a very accurate assesment of the degree of enlargement is obtained. Hope this answers your question. i wasted my time answering this gay question An enlarged heart can be detected clinically directly by: Displaced apex beat Enlarged "scratch test" There are other things to look for which amount to circumstantial evidence of enlarged heart - ie. signs of heart failure. Apex beat - see the wiki page The scratch test is a set of little known clinical tests out of favour these days purely because of inconsistency. It relies on the physics phenomenon that sound is transmitted through solids best, liquids less so, and gas quite poorly. To do a scratch test measurement of the heart - place the stethoscope at the base of the heart and lightly scratch the skin above the apex beat. You should be able to hear the scratching sound. Move laterally and scratch and continue to do so until the scratching is no longer heard. This is the lateral border of the heart (approximately). Now place the stethoscope there and listen for the scratch at the base of the heart and continue medially until you find the medial border. This is an approximation of the heart size. It would generally be considered enlarged if it is bigger than 1/2 the total width of the chest. |
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