Heard best at the left lower sternal border, Still’s murmur is crescendo-decrescendo and low pitched thus heard best with the bell of the stethoscope.

Auscultation Over the Tricuspid Area (the Left Lower Sternal Border) When you have completed your examination of the apex, move to the left lower sternal border.

Pulmonic valve regurgitation produces a soft, high-pitched, early diastolic decrescendo murmur heard best at the pulmonic listening post (left-upper sternal border).

A Grade 5 pansystolic murmur was heard at the lower left sternal border, and a Grade 2 mid-diastolic rumble was noted at the apex. The 2nd sound was now of normal intensity, and evidence of ...

A Grade 3/6 systolic murmur was present along the left sternal border. The lungs were clear. A smooth, blunt liver edge was palpated 9 cm. below the right costal margin.

The infant's heart had a regular rate and rhythm with a grade 2/6 systolic murmur at the left sternal border. There was no hepatosplenomegaly. Her ear, nose, and throat exams were normal.