Physical diagnosis, including diseases of the thoracic and abdominal organs : a manual for students and physicians .. . PulmonicAorticMitralTricuspid Apex Diagram showing the approximate outline of the heart and therelative location of the orifices. line, and connect this point and the apex with the rightseventh costo-sternal articulation by straight lines. The pulmonic orifice is directly behind the upper partof the third left costo-sternal articulation. The aortic orifice is behind the sternum opposite the TOPOGRAPHICAL AND RELATIONAL ANATOMY. 35 lower part of the third left costo-sternal ar
Physical diagnosis, including diseases of the thoracic and abdominal organs : a manual for students and physicians .. . PulmonicAorticMitralTricuspid Apex Diagram showing the approximate outline of the heart and therelative location of the orifices. line, and connect this point and the apex with the rightseventh costo-sternal articulation by straight lines. The pulmonic orifice is directly behind the upper partof the third left costo-sternal articulation. The aortic orifice is behind the sternum opposite the TOPOGRAPHICAL AND RELATIONAL ANATOMY. 35 lower part of the third left costo-sternal articulation tothe left of the median line. The mitral orifice is behind the sternum opposite thefourth costo-sternal articulation, slightly to the left ofthe median line. The tricuspid orifice is behind the sternum oppositethe fourth intercostal space and in the median line.(Fig. 11.) THE AORTA. The aorta, arising at the aortic orifice, first appearsbetween the pulmonary artery and the apex of the rightauricle,, coming forward and upward. It soon attains a Fig. Diagram showing relations between great vessels at base of heart and bronchi. position anterior to the pulmonary artery, whichupwards and then backward, dividing into the righleft pulmonary arteries, the right going behind theascending aorta, which continues upwards to the right goesght and — 36 ANATOMICAL. and forward, approaching very close to the posteriorsurface of the sternum behind its right border at thesecond intercostal space, where it usually projects Fig. 13.
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