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[Music] in this lecture Im going to discuss the newborn physical exam so before I even start I want to say two things about the newborn exam one is it can be tricky from the standpoint of making sure that the child is adequately warm so sometimes you have to be a little bit quick because if you light leave the child unexposed for a period of time they can start getting cold youll notice that the skin starts to model or look like marble a little bit and lets assign that infinite getting cold if you can you can do a very careful exam under a warmer the other thing about the new more exam is it can be frustrated its frustrating especially with auscultation and the reason is newborn infants might cry and make it hard to hear whats going on its okay if you leave an infant and then come back to them later when theyre sleeping to get the rest of your exam but lets go through the normal new born exam really carefully here so we can understand not only for an exam that might happen but