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In this physical exam tutorial, the examiner begins by having James take a seat and washing their hands. They note that James is alert, responsive, and shows no signs of distress, indicating good health and hygiene. The examiner takes James's vitals, starting with blood pressure, which is 126 over 78. They then measure his temperature, instructing him to hold the thermometer under his tongue, while simultaneously checking his heart rate. James’s temperature is recorded as 35.4°C, his heart rate at 62 beats per minute, and his respiratory rate at 16 breaths per minute. The examiner then invites James to move to the examination table for further assessment.