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FIG. 12-4 Auscultation areas of the heart. LICS, Left intercostal space; LMCL, left
midclavicular line; RICS, right intercostal space.
Box 12-9
Grading a Murmur
Grade I: Barely audible
Grade II: Quiet but clearly audible
Grade III: Moderately loud
Grade IV: Loud, associated with a thrill
Grade V: Very loud, easily palpable thrill
Grade VI: Very loud, audible without using a stethoscope, thrill easily palpable
and visible
Box 12-10
Arterial Pulse Points and Grading the Force of
Pulses
Arteries in the Arms and Hands
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