Long-time local landmarks include Gilroy Gardens Family Theme Park, along California State Route 152, just west of town, and Mount Madonna County Park, at Hecker Pass, about twelve miles west of town, off Highway 152.
Jan 11, '05. The apical pulse is the pulse heard at the apex of the heart (which is the pointed lower extremity of the heart) Yoou can hear the apical pulse by placing your stethescope at the 5th intercostal space (spaces between the ribs) on the left side just left of the sternum.
Jugular venous pressure x 2 cm. no visible pulsations, heaves or lifts on pericardium. Apical impulse palpated in the 5th ICS, at the left MCL, approximately the size of a nickel, with no thrill. Apical heart rate auscultated, 70 beats per min,, regular rhythm, S1 heard best at apex, S2 heard best at base. No S3 or S4 auscultated. No splitting of heart sound, snaps, clicks, or murmurs noted 8/14/2017 Maria Carmela L. Domocmat, RN, MSN 158