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[Music] Im mark Pepin Im an MD PhD student here at UAB School of Medicine this is Aaron Dorman PA student here and today well be teaching you through the heent exam before you enter the rooms is important to know you have the proper equipment to perform this exam so what I have with me is a tuning fork specifically the 512 Hertz secondly I have a pen light here also a tongue depressor and I also have an HR 2 types of ID charts notice the different sizes in the lowest font here maybe you cant see that from there but its important to read the small font basically at the very bottom of each of these charts one of them so this one requires you to hold the chart at 16 inches 16 to 18 inches so at basically at arms length have the patient hold it the second one here is actually at the foot of the bed or about six feet from the patient so you yourself would hold this and ask the patient to read it so just kind of a thing to note on what you actually have with you the last thing here sho