++
Like the pulmonary system, examination of the cardiac system requires optimal use of auditory, observational, positional, tactile, auscultatory, and medical information. Perturbation of initial examination findings with different body positions or maneuvers may provide important observational, tactile, and auscultatory findings that may yield important information that could (1) direct further examination techniques, (2) direct treatment techniques, and (3) provide important prognostic information. This chapter will review a variety of practical examination techniques and specific maneuvers that may help to direct and predict the effects of examination and treatment techniques. Much of this information is alluded to in the patient note of Box 10-1.
++