Cardio Exam

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MedStudent219

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Hi, sorry if this is a dumb question. When we've been taught cardiovascular examinations, we've been taught to palpate so and so intercostal space to find each valve and then auscultate from there. That sounds slow and I was just wondering, I've never actually seen a doctor do that. They usually just auscultate and know where the valves and whatnot are. So out of curiosity, how does a doctor know where to ausculate (i.e. the positioning of the valves?0 Is it just based off surface anat (I was wondering, if this is the case, would this always be possible in patients if there are pathologies that change the relative position of valves?). Once again, sorry if this is dumb. I'm just a bit confused and would love to be enlightened. Thank you so much! 😀
 
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