Vitums Sign - Hepatic Pressure Maneuver to Identify Tricuspid Regurgitation on Physical Exam Firm pressure with the palm of hand → inward and cephalad below the right costal margin for a few seconds → auscultation at the 4th and/or 5th intercostal space at the left sternal border → appearance or increase intensity of tricuspid regurgitation murmur - Dr. Jorge Cortés @Jcortesizaguirr #Vitums #Sign #Tricuspid #Regurgitation #PhysicalExam #diagnosis #cardiology
