Inspect the Chest Configuration

Inspection of the chest often reveals information about the heart. Because the chest and the heart develop at about the same time during embryogenesis, it is not surprising that anything interfering with the development of the chest may interfere with the heart. A pectus excavatum, or caved-in chest, is seen in Marfan's syndrome and in mitral valve prolapse (see Fig. 13-7). Pectus carinatum, or pigeon breast, is also associated with Marfan's syndrome (see Fig. 13-8).

Are there any visible cardiac motions?

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