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[Music] can you cross your arms for me and put your hands on the opposite shoulders thats it just like that and weve normally fun have the patient places hands on the opposite shoulders and breathe normally now examine the posterior thorax beginning with inspection observe the chest for contour symmetry and deformities also inspect the overlying skin tell me if this hurts anywhere then palpate the chest wall to locate any areas of pain or tenderness or to assess any lesions or abnormalities you may have found during inspection to assess lung expansion place your thumbs close to the patients spine at the level of t10 and spread your fingers lightly across the lateral thorax to ask for patient to inhale and exhale deeply and fully while you watch the divergence of your thumbs and feel for the range and symmetry of movement next systematically palpate for tactile fremitus okay put your head for your chest and please say ninety nine every time I touch you ninety nine feel for the vibra
