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It’s the area on the anterior chest wall which lies over the heart


During inspection of the chest wall look for the following variations.

Bulging precordium

  • This could mean chronic cardiac condition
  • The common causes are-
    1. Ventricular Septal Defect
    2. Rheumatic heart disease
    3. Pericardial effusion
    4. Scoliosis
    5. Mediastinal tumours
    6. Left pleural effusion

Flattening  precordium

  • The chest wall looks more flatter than usual
  • Seen in
    1. Fibrosis of lung
    2. Congenital deformities of chest wall
    3. Adherent pericarditis

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