49
St anding on t he pat ient s’ right side, spread
your left -hand fingers approxim at ely 1.5
cent im et ers, and place your left -hand lit t le
finger up against t he collar bone
( clavicular) . Just under t he collarbone
cost a num ber one ( C1) is found.
Press t he ot her fingers against t he chest
left side and m assage t he fingers int o t he
int ercost al spaces at t he st ernum border.
A m oderat e t o high palpat ion pressure is
needed t o recognize t he cost a and t he
int ercost al spaces.
When each of t he four fingers has found
t heir int ercost al spaces, m ark up t he fourt h
left I nt er cost al space under your index
finger.
Mark t he posit ion of I C4- L, approxim at ely
t wo cent im et ers from t he st ernum border
int o t he fourt h I nt er Cost al space.
