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physical examinations start with inspection inspection literally means you are visually looking at the body including their body movement their posture smell is also part of the inspection when you are using the technique of inspection it will be like youre observing the shape of their chest paying attention to their breathing noting their rate depth and efforts of their respirations nursing the overall color of their skin lips nail beds at times you might have to use the pen light to make sure that you are seeing everything clearly especially into the mouth if youre looking for a skin lesion auscultation involves listening to sounds within the body a stethoscope is usually used to facilitate auscultation stethoscope must be placed directly onto the skin because clothing that could be patients gown it will alter the sound make sure youre warming up the head of the stethoscope before placing it on the patient the friction of body here rubbing against the diaphragm of the stethoscope