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[Music] hi my name is Heather Holman I'm a physician assistant and a faculty member here at UAB at School of Health Professions today we will be doing a chest and thorax exam I'm dr. Gallin has offered to help us out what you need for this exam is a stethoscope as well as something to measure with any type of ruler or your eye chart and a pin to measure a diaphragmatic excursion if you're not proficient and using your fingers for percussion you could also use a reflex hammer okay so for the first part of this exam we would do a general inspection of the patient we would look at their rate and rhythm of their breathing looking for any type of tachypneic we would also look at their color and appearance looking for accessory muscle use retractions for the pediatric patient they may even have nasal flaring then we would look at the anterior to posterior diameter of the patient's chest and look for barrel chest and things of that nature so after we have finished the general inspection of t...