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Heather Holman, a physician assistant at UAB School of Health Professions, will be demonstrating a chest and thorax exam. To perform the exam, you will need a stethoscope, a measuring tool, and a pin for diaphragmatic excursion. You can also use a reflex hammer for percussion. Begin by inspecting the patient's breathing rate, rhythm, color, and appearance, looking for signs of tachypnea, accessory muscle use, retractions, nasal flaring, and barrel chest. This is followed by an examination of the anterior to posterior diameter of the chest.
