Let us continue the bedside examination by evaluating the precordial or chest wall movement. Let’s evaluate the apical impulse. I feel the impulse located here, anterior axillary line, 6th to 7th intercostal space… I’m placing light pressure on the impulse and I feel it’s a silver dollar-size impulse - not a dime, not a quarter, more like a silver dollar (1.043 inches - 26.5mm ).