1. Listen with the diaphragm at the right 2nd interspace near the sternum (aortic area).
2. Listen with the diaphragm at the left 2nd interspace near the sternum (pulmonic area).
3. Listen with the diaphragm at the left 3rd, 4th, and 5th interspaces near the sternum (tricuspid area).
4. Listen with the diaphragm at the apex (PMI) (mitral area).
5. Listen with the bell at the apex.
6. Listen with the bell at the left 4th and 5th interspace near the sternum.

Example

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