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this video format is designed to help you prepare for objective structured clinical examinations for oscars [Music] you are going to observe and participate in a clinical encounter of a patient who comes to the office with a complaint of chest pain as you observe the encounter you will be asked to answer questions while the image on the screen freezes such questions will allow you to practice history taking and physical examination skills as well as your clinical reasoning skills in developing an assessment or differential diagnosis and a plan that is an appropriate next diagnostic workup you will have time to record your findings and receive feedback tell me your special concerns today im a little worried because ive been having sharp pains in my chest for the last two weeks what findings might be important to look for as you observe this patient level of distress labored breathing skin color central and peripheral cyanosis respiratory rate two weeks ago i was reading a story in th