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abdominal wall abnormal anatomical anxiety aorta apex beat arterial associated auscultation bladder blood pressure blood vessels breath sounds breathless bronchial cardiac carotid causes chest wall clinical colour common congestive heart failure cortical cough cyanosis described diagnosis diastolic dilated disturbances dull enlarged enquiry examiner's exophthalmos facial facial nerve feeling felt fibres finger fluid fossa fundus hand heard heart sound impaired important increased inspection intercostal space larynx liver lobes lower lung lymph glands melanin micturition midline motor neurone lesion movements murmurs neck nerve nervous system normal subjects occurs oedema optic pain palpable palpation paralysis pathway patient is told percussion percussion note peristalsis physical examination physical signs pigmentation pleural pleural effusion pulmonary pulsation pupils reflex respiration respiratory result rhonchi sclera seen sensation sensory side skin sputum swelling systolic tendon tested tongue trachea tracts upper motor neurone urine usually valves varies veins venous pressure venous pulse ventricle vibrations