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.
These are: Aortic area, Pulmonic area, Tricuspid area, Mitral Area (Apex). A common notation for a sound heard at an auscultatory site is to use the first initial of the site and the number 1 or 2 to describe the first or second heart sound respectively. Thus T1 denotes the first heart sound at the tricuspid area; M2 denotes the second sound at the mitral area, etc. In general both the first and second sounds can be heard at all sites, but some pathologic and normal sounds are heard best at one site or another.