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Double Apical Impulse (S4) Visualization on Physical Exam - Hi-Res Video Version: https://www.grepmed.com/images/7802/physicalexam-cardiology-impulse-double-gallop-apical-signs

On palpation, the PMI
www.grepmed.com/images ... /7802/physicalexam-cardiology-impulse-double-gallop-apical-signs ... movement of the cardiac ... sound was heard on cardiac ... the bell of the stethoscope