6 steep cent of ures ft einer clean ae tlc ems en bead wel Fete aes eee ‘Cain ura chs hence supa atria be econo mater area of PDA wos Net ex oe it Se am pr cate rover spacer foe. hatin ot oe cock ny bg ge enh: mane of erie ein re rhe crane al ano Re sae compen of eto ceo arts hyperencon, oe he oping a of som sed Coinen ms may elcid ver he tad lan ck (rts {or ceven. me. Syste orcas maa ret sal fle ee cane etre aun, cacbrl wna oe epee occa A ping eats wi m ue bt vet te ae eat Sinn o scram alo toma carosd aeons ven ft) "ey Amon ns bones panel ne ihe ei, ee fa shoul be dean end ina tm, To fe ae aprane ters of pre et eo wl) paint pi erect ott xa oo oe eal ST eee ra cheno mnie ae numeri HS ‘meu cn an! ec marmrs e e aorial wa Sram sre, cere te rt al infer vem avo ete he eve ery and vn), fan ary sewn wih person ere ans ef sene of Ue, nto of pot eno inet 2 (Sih Humps) te eu eet wel eel an) rr ere dai nee seen art Ameen oe ei aie fe bh a ec, ral a soca sc my wean sa a efecnoate igirmce, Tha pt fil tan a eyo orf way ay ag te AES A Oa clon, Ketan csc maa ng SO Fae mi Ca sng ot egret Gd se) of a9. ail ems ‘etaverns Goa osc ah sabe yen snc nen 18 pnb ht in i rca etl cans fon Ye wm ms aijstve mnfesins : 10 | The Respiratory System ‘The win componets of semen of te ero sytem fo hone dour ah pe pay (ra) fsages, We che, bon feos at the ig anf et ge ht nome Bod ves am) -ANATUMHCAL AREAS le Ae jc e maine aly of he ee 1 POSES engi of Lanse pment Sone inca) 80 eho sa fo ‘Sinn (ewope kl ih ings mee) acorn {Dance om which tet the ea incr, an (0 pes velo toate othe hot ene. “Tesi of ie seve ceva ener is prominence, ely Heed at tac bck» pn fan ich to coat he horse spines don Ceri tes tna, tech ata aeaificil ae eipfal a aiing secs ee spe ne hae isan othe est a Fr is ie Cee ete i ec nem Sl the veal ine Bede hse, ceria aay ery [inna cr ruc ne accal atraltel clavicl (r my) terre, iy, ‘Sosa iil cn be sie ny, may pero al vis eel of ins, i ie ap a the allowing bn xen one tea Fig Ho 102) ae tawny Su ‘inte eadFil ier ne bens et ee oer ac Ca a ‘Miedema nt ArmA ‘ he Gh corviok verses descends Sv 9 He (PE eam a ee eee reer ae Sete oe sept pec Ct ower pf he pe eens ft a pet am i pt te ape och set ea en sp eps oe ea on Sowers he put ss ner be etn ey mn eye ee le Pee ee ee Pe et bog et Eee. eee eer eeeaeriearte eae ee Se eee Beast eee ore fae aay ee ste er ne oH te aio heal bh oy 2 Be coe ae Bee aa enerece ee Sroenni ave aermes (rctns Tone dew hashes ply te coresundeg segments of he sit et ang The ape sues he sgh ope and de abe 2 0 Ge ef vps lteter wl have torn cnepotng och the upper and mae sine at kn The per dvs ster x sot opal ecare vides i two ems, vio Poor al Ane Te fra ar st upward ne see {ving in he eka and he Pseror france Lingala owe de ‘Sto afer cps in the Super sed te err beacons ne ve branches sly the corp segment ae ep te ‘Te arenes ote onc ed te spn of te el owe sine fo a of he ih ace ht tren anch nes fee in (is tans tet ier abe at hen ene mall ond ta ‘Thee ta we pons fr df of he gs (1) Mechel factors {Pe toes ma ges tap pies of vas ies an pel ‘cece om a3 ee Sam ‘ronyak Srl prices as noe ng wee yas mec noe ‘ig ad spe: Prices lng remedy maces wc ee a a inact ch es the ce opus tows le 2 ‘amoral tection. a) Chena The el gfe waters oo, ‘rvs cera so speci chal saan whch fester ‘Sn (immu ga se ppl mecogtule andr an EET La eerie lenient ceed ice zanna etn. (1) Cellar scan: Paget ols pei ot ‘ouling an desoving nas nanan rw lr newness Respiratory moc we seus, Adee eaten dope on em Ovo fee easo eaennes el vn tare a ‘terme hg volume (6g. COPD) sft wap muscle ce, Dphrce is he wont ingot ingeary mal, Ls coaaton cans foc the dtgnatic mm, dlr of to anes alse ‘evan of th oer i epumion oft ier toe orcs mune. A weting ang wae, extrait ces ae Inspires we egy Abdominal mae ctl mls of expen. Neck maser (uelaly seroma sels, Had expat ‘sox: that Thy ae sceuory mack wuch fms tapaeer eae fi ue npeary mir capil ee iage e functions aoevy ah Newrogale = MND, GB ryan, spe mune of eri ee ice ago, ore, mati sets wate pooh Nee ee gnaion aera gv Ente--anben msec 7M ae Mca wh) (eg tron swe, axa Seco CS Me yop. maori yay SLE, ae icy AS acento kena os, hypmtomaemah "cca ene Pa with eerie rane sot me se weaines hee mle, bulbs ayia, imped cough mens Te SAE ane wih errs promannt epmptin f exe_ aPD et when eights fen ras Wel whe = SOM ESNIDSSG ee imran sen iy fren sva Ie ee ith esi, eing the wpa aves oar noche nt he rs aig is. (Gene XAMINATION ‘eto aang forms tial examination say ea ens wl ne a be nr mh il a ove oa eno eit (dagen “Gon sve lesa vbaion fhe ea pee ys oy cn: Peas wih spay dues nha aon cere are ce cage mt cor gle by wring Dens on i ort cons tne we Hnage hen he ovr Cre tay ote dagen, Pts wih mpyacea ay tan uae: eros egal ere pont wa he enh end tye calle of ie vas Tso The gers sh be xen fo ting, pir em nt ne ea ayiane Coban oft Sg Clon wih abe end ee ey fe wit mlb cca seein ih fit in amr cconriepathy Ce. OMY, aon fle ten, WA voce lignes HPO sy as be ee in nkocic: sp “nue hand tab side tein, be as atin wa “AD Bog omar ay ao exer wit he an a occas eas mse YP od by at ae i fen de ea ann ch oie from IVP i cleat he 1 re hor ake (ves pein sch mit Rn rth When esa eons non, te pe ‘ean eee nae ge a IVP ges vad ing ein sine ie Se Ths ake eration oJ cu be ei ‘xe wi sy cn VF ed ot rae = fone! yuan SVC ches do te oweig ta meas of pos a ssi a es Repro anand at ly ‘Seay ort Tere ity ree a vhs Nd resem fal by 30 igo oe ag Iepntag. When meing Be co melita ey sl tient esi Ti pees tress nese lal woe sre {a pun sonal W Kar ghee emiag cyte i ces ota ken eae eee ‘Sere ran ha hn ean so web pee rence, Severe ponent dhe aan id ppc (cd peau co sos per iene mete in tone (Spats tl ype Po wih pai snc rapa ae Sam eviee ere Ee “alge mn nee oa ee cir tue eng esi eid wie ng ap The ‘cha spo sult pps wih pres eu i Sex Deno mletone of mein ee nie Fema eect eee theca py cee ae ee ect ain 0) Tae ere ‘ity tn mins ol md Tatton sony dy piven eae EXAMINATIONOW THK CHEST fo aan, et pat me fp Fe ern tn nt ee eee a Sirus rece meesareauiema gat Ss nagmeeeeyegeriee sere ‘the postin of choice for most cases I is i thatthe pt be siti i. eed“oe the otf the ce ass eps a pe se st ‘up confor ren ack si espe ak on" Eason hl be pvr sat he hs ten he at ask pa oe Sion = Sarin of ti ate tay love chet ‘arnt of te fom sd ies mcr perenne eke 1 he case a treo spon of te ces iy aie et sn te hover on he bo nd set he pe! png Tato i Feet pw edrhe e Asaacry ew of i wie fe ea al ‘feces an be one yebving i unpaved of te The amp mile ta ower rnc fe eat 0 eos mite ‘Spc nual fee snae dees. ala. ect a ere ‘he chew of th combet fk on nected nie. om ae eh e ‘he sye oft sd or ing ean baa oe whe sr wal of “The floning Sotto mt estat bse (1 Sian chape and pe hea) Pac fay yn) my he et ch eg ‘recente. ) Resi nomen be re fen nl 9p of epte “Shc spy maveons oe oe eh eine! econ ‘sme the uot engi ston of be cen mcs rep ‘ow eas fr) Pontes he pel te) Degdrgmamores ( Nalaonl stneeaons, ache eng! nape sie psa, ‘Sev igh use sad at aed clas the ee al To {eu movement fhe sno on tsp, pet tid bh at ted neve of pro sent apices acon de swe oxen of fe sno va ingame mp pete he ra sas ‘Stal coments up. tee bs dpa conacton, ‘Sn, Shape and Tp of Chest ‘he nr cht Te rr My acs te oto Dery sgmmaa clipe seers, fate tance ng Bese a PSRs ioe nso 7 rg 1019 lial reac gee vt doce cag hte le ance Sigg ic omc sd ee pp mg cat Fe ‘tbe bing ore ne mt ta oma asonml ight enn wits os mcs be a ie te cis ny spr te nn a es ew fe ee dena SCA op of mace I nny ate hd te om econ he cat i car re 100) trooper mt al ers ng at at [Srl spe fe fen es of cee hehe Shot mye weap did by ped ow ike ‘Tus is ae party seems nd pry Segoe seston Ne tony fameved of te te ‘The abner cht. Ay soormaity of cnt ef chet mast | etd ctly as may expan he presence ype scrap ‘xamsuton, all he wo theme ard een of presen pst chase ‘n-snomal cnt may be ie yey or mati aoa, Symetreal yp shrmal chest (1) Lome iat ce. Tis sa congue sa nano ype of cat, with «| ‘ede topo dee te stm bg ce he inet ‘The “ates ofthe chest depends emf he nl Kwan ctv uation ofthe col ete, A atc say sce wah an ‘cK, point ay a cles, aaa sd intel oe, ‘ow mol pcs and ete sail nl my be econ kts ‘5 ciahod, conc asa info Perptedmlewey ete (2 Alar et erp chestnut. Feqly eeed wth | leo. of chest he al chew i cre by a de ponies ‘he vat bordes of he gla stags winged tps espn ‘0 he chest. W'S df ned ety a th se, (2) hon bres (Cen Nose pecan) (ig 1016 Hee thre i ' mated forward rttson of the serve ad det costa cage tne {286 othe el ttt. the ein Paes foal ce "eel pad i sc with sighing othe fot fornia ime reef i the soval nein cnet 1019) sh tcc ‘gets intr ae i tia Hoth fps tan he at tae either es congenital anomalies. or aceon i shrnie asl or ‘msplanege leit, rraey dc les i. 4) Rachie ct ity chs. In ei! ke the Bes ae wily ofan able eld varus pests an pele Coy faces nich eipne to ickaty drs, ae defi au ety nt the ps ad lung lesing to apie esa wit he ches. an he fl of te ain Sphapnt sachet. Mere ta one vty alo wl stated ‘whe rch chest The wos port) Pee ew wih own Proton of the seri Ci Ket eater pate crown wath fowa ‘Porson othe sem wal Sistine Ce ngs the rio pont ‘tet. (i ronan evel as rans olepesion ‘om theses of teaser om terse ng he ona os space ane contin: Haris’ ves ant ote cv teens of he apm. and ed tothe pln ft i! tn of ese Machen Hin ocr sx congetal amul,9e of leh eehesInet in cit.) Wola grove lag depen o tr |] Se ore semua, ie Wo veing of the neon! iby bette te give reste niin th che. (0) Ricky vray, beni eolgemente the || Sceacooa artelaions pray ofthe ant tan th ie whch ve fae o 60 105 of vl wt ple knobs, os on eer idea he tera: | eto or hea in te oper pf he han ec he eri, wt {ae lover coe ae state re atta) Ahan haped depen of he over en te seam ye aschte whe okay pe ches () Barrel cst (ogee he) (Fi, 10.7, In one smn |) ce reset de gm peices he dace ce ‘come clinic rhe aay iar co saton (Pg 10151 Te 2? ras cng {te etoposide chen aed un brn, Sirectagataralcatstom {fewer ine pr th re le tt tcl rane he per thoi sine Hyp these ae we {Sui he rome mee es tay sea ono pean "tpn. Te assy cles espinal wily pom sod Iyperoohied the lls open lend. He ok se and ck al he ‘pacer foseeTatend tc let hogy aly ato ith the peop nppsem mpd erty ls ure che my be She alge o es sever kyo ey of spine, hone sna (6 nach (Ret et pct xv cobble a) (Fg 10.18, xaggersion of he na low’ vet Lower staf th eran may be 8 familia hed cars; 2 eeapabona emt cable, secon ticks chldhod Depend oe ee of eer, net rest nay he ested as ing of ceo or ame” ype Th pe Of eet Stet cncally af m0 saan snes iste emg fons or dspice he bat oo her ie. The congenial ay fan tee ft 0 dtc oticates of over segments of he ou o ‘rapes foam oe agar. Te bsp! vrs. nary ‘Geto he comti pss of Be soe agit te Loe uO he emo, reuling i x avn oof hi af theses Pe des common a Man seme she pt hack spc CCetneabeermalter sugested are aot cr paltoaiy ery ans, ‘promos degen ofl sb wrk aves th rps, or ASD. tint eS te ry ee pind ct Tig Md tse asim Beocmaseacs tc cs a <0 Seca hh in A i(ew wy sane see py Sine ere en Nid aed ‘Seu teal cog tse th pc i Re (0) Prd st Ti aw wy cin ny et ace Minton etek mcd vaya anaes ep ae nasa fo to a ee ttm may west eam mc wh ea ea (2) do my oh apn ie eo | siden waa et en ea a ‘Sop ee btn or on woe tate enn ct ay msn no sates pone fai oh my be pee po ma (ah cp chee 8 et ab et tin Fee sc acy on eed cen eotpn Sop ha Asrmetial typo sharma ces "Asam fhe rs nye syn) tory one 2) amber talpng x pennce fc) wo Mateo omc ches 8) feelmusic bch wall Ausra nero esi (Migng of ti chest wal fe sosmeted more raquo ae wade ot 1s morass posse to deme wel Gea he cet seas tly sheng he ein of he at Ts be seed as) {icc y comparing he moreno fhe to es he chat dang foe beng The se wich ayo ree eves 8 a ena the aie ak 0) Soma carvatare. Arye of he hora i coms ad coating ‘xcompaniment sf cle o byphcabeticiemty othe spn 1013: Tints) n eoabc of geng see to conceal pail sess ouch laces, Srna king of inabre tat sue bes. Ings and bic veel (2) Unter bugng, Promise foes fe chs with Hates a ‘ot innpates aghast wk pel fen we eon funy Ye due 1 maga nase atfeing eng ple, or campesany Ferg of one fm. (6) Ualaerldateaig or retract (i. 10.20) may et ein Iuberlos boi oan. cal of ng cody to Bons Sseion, lengstoting ploy o walters wang of muscle In ete aber patents (4) Loa king ocd promeee may be da © sori eum festa isn. rs cara earganen ngyema ong was oh ie ct wal copes ah ln ie fh, aay all uence sta Cg 1021, pn Stony se Upon ceiver some (ig. 1022) (5) aca reat. cai ating hing fhe et wal may | be dae tna beclos, otoffnp rol standing pty. Unda escn or lw ef Spc einfnlvi fe ese Fe) om onesie suger cal plone becaos, Rephotory Movements ‘Normal repro. ts he te recto in acs i soa 1 22 er mina: ent hghe s wt M er coed td Tic, bey 30 or mor pla wn Tete einen ey feces, etn et by enero, cence! on ence: Th ri fenmen tral rep my tsa ep Sg eheme en tettconciontes, whl priabchentng i cinmon sry oe Norm ipeoe ia sive pce, depedet ow men con of Irreltcc, dghns an aban sc, ot ec ih pd fda imoveuet of he se ng epson ad epwad eenca She ira No expan dro a ape Ser hd, x» pene pes, soc! wih ima nd domme vee he i alg i of eso ae ‘he repaid rt peal ot 4 (18 ens aoa 7 pale boas pr mma). “Te of Breath, neath depends rey ome sex od geo te Inne the cco hes psy a ern respon he esp ‘overs il ine pe a of th os te ye of ein ng Geertd sz oar hovaceabdoninal ot coral men sd laren, | pain is tay abn ni deed oh the dag. be De Iweathing beg debe as ablanbal hamid daphopmati Nol ng epaton ete sie ent novels: ym nd simutoeoa he exue an! pend can of chew a en ‘evn wih ami deg opine reac of be ler trl es nym cated mene ce sera ino te os‘Abcam: repeat, Abwormal rate and depth of repiration Amira py i my be sysicopeal a wh echoaea xeon, or Fagen fever tad ‘sass of de Bes an bea. 1 may be coment ie se of he nfl shoe beatin fleet perc Ace egy por 5 swf 1 a plypocea er tachypone. A decane pty et ‘tected in masse fin. ait of expan im ‘Sesine dices anced with hypoetatolnm, i warn asco, Sela inact pres, hie om, sthow egy, ‘igh capary fw esa cat be mnie yk hens press ton, This ee pers of sow expan wt ert ap pram: In eos whee the igs ae poy sense (Groin ii ad Pultonay oedema) th st ecole tallow bean Abnormal yh. The regula hyo mma pation be dared phyloily Gung econ! crue An gaa rua) Sym my Seen epi soma nko termine ind pte (0) Perini treating 9 pa vay 0 repay acy, whee pucoran of Iperpnocs or deep bese arse with pase apes fesation of frenthing. Thee are two nan arc a bese Weahing (©) Cheeses reais Wi Sep ep, ese poe Saudia ge. el oF Man se nd hated by 2 yl wag nd wan icy movers din pln of raion. (0) Biers treating. a rae typo fence exthg. esl sc ih esings od chartered by perio of apcca bee several allow fon ep inpeios 2) Spas Braking ishing reat five ihing The hare eaten tno of ied cet egusan nd ‘suf ints Each inci om al sat fel he dese 1 te» dcp exh canto kong be ese. Unie tle flame ete ‘ohne inal nator fe ee lege ma ‘stlly seus at ret an the const sen sxe trae aad eee. Acoma sighing ws ecu apyy Hei aes al somes afer is woe ches wall sepa. Prologatn of epiatory phase The espero ey ps, ‘may tay ond prseaton ince Ofsnatieleso of te oper espe lary of lous and leah Inga iam otic wa Fable to cus undue ponte oh mary ee ‘epic with o wot way o rues tenga curve ce ‘elo the vel othe rym ad paul bomen empyn "be cpr phe wl roped and heey ie oe alld ‘animate breathing or when retin. Penge of bh pty nes maybe moe ace eo, tart pots, Gate eee ‘crcl tough caleba Keon eng Pura ip breathing Some pt wise ne sng swyctntin ‘sul oth mth wh ae ie Ths cee pt Ey he evens ola oe beach al whch oll rw tn pes frei ein ee Egat roe ty Altered respiration atin The srl rept ope ae of Iw may be alee eae Is case of psuona an tnt in CHF, peiay ren iced with bart take sto may Deon To oF [1 2 Hay Intronhaprumins hao may e101 The ac pps bel ‘he of pial pena, whew th ado may becane 19 or 106 orm adaminhraic ating A sain noir mal ype at teeing i a tonan er of tani er ele tye of ego men raha nested for tee oda Ws arial teeting ina wena megane of hoo news, such a ate pry, nalpuncy eats fhe dra ie he Bicones of Sl ean fas cc rages te pouty Oars ech aie, pone speuzay mise tm etn o dpc py agen of oma! reting mys beats of te or ttn ‘2 ety thre pe of apron, sea fe nem ac as ‘pps ina female ppc esi desc pps pr ‘ty, ancatrly abo edges pe fabig sma hd sagpes he post of diy pry or ncral mle pre Rapid slow bresting (helene) an oc in esti eng dee, sere chest pina ttl apna Alan breathing sa isl ptm of esting i wih tt cp sthalow teat ose rly apf du pris, Cane Foray oreo amen dae. ely tie mdi ee Apteutc breathing. Ac pe of pica ya ae tf lmpton or moe commonly te on eaptery poe ating 3 sci sien alerting ns exay pes nell th ther ote of ‘sep yh, egeive Bf demiead prey con ech ot pie eve Seer. Tiss cing sued ae wo esrton he ayes oct, ese inpinury hse of ore ifaw aig spon Larne Sri somevtat Mapces d cay oegn Dy ssa Iayese rfl, Lnagel Spa gees oe Dil pray of vcs Tacha srior ler i phan agen abso wh ‘endo eta aiid coughng wel erm hacion ‘fe men of th che by x slg groin rohit Sores wid alert the whcet i Serine sys dene{aie a beating pec oe prensa pian nay be pl | Allow and tee nay be suaen ch nese ing pew ad aes ae teh ‘Shep dsarierd beuhing, Ds 2) Ape: Compe stint ito or atest 1 sen (Hope: 5 edo now fact TO cooing in sre (C) Obese: Conta repay lot ozs dsp ec Naw, 0) Cree Resp ef it ih stent atone) Hype An ba cm PaO, os Ong Shy watt ci spiny event) Prac breton. Wea ater wis) Amos pone nds (espe tune de) Ne ‘tapped typepmst eps pr Dour sep > may once Sra xe int ce). ‘Thorne ent Marco. The mavens fe hci wal ing rien may of he ue of expsta sad word rove) st esr hy peso, bth hig it fro dep Weaing ee long tee) oh Ire or anid ot noenent onal) ane ovement tet ‘ipmine or ypanidove meres Ince) yan oa Slovene indice of nese o ete af move ote: 3) onan doe dele esta ing mnemen ce et () eel teeny of worl ovement ce expin, 6) her econ (ing Into ce tlgig ean expan 7) over ft scl ele Ah eval margins an (8) Botvowrof he azny ue of expt ‘he par evens of sme to fhe chet on ihe to ses ‘te compared inte allowing ede wpe spl res mle owe Armacmates other events (1) Mert ania of expunsion Overall movers te Hb cage hic! Wy: (9 Hypa (ese ere expat meee he ‘ests pc ty upanc-dore movenen.() Retced uimnary angle A ros) Rati val coins, gh ih Inpinory ces eg yates ph 2) Inequaly osynchrenaty of movement. Yen he 9 af eb fore ssa syncing ue cod bean he le hat fo on i scot ny ay dod i wl a Seon broken I exe oval nrc Suen pinay of eo he lcd si pe bot diated anode of mavens ta it Sly or Spo mover (2) Unilateral diminution expansion. Thc mayb eo hing iene ‘por sels, comin ng clo everest pe I inlet nd presaare, Distro vem ed ely Se _ why oh ape or pic oe spe ear ei eon Sicetim a he vere taggin, bones, bois ot alas of (3) Ultra neeae of expansion. roe! ptr mee oe sides ronson on See of avenent aye i cmpery ela ig ate aly ccm Accel fr eoligm fe eppste Ime. ty rec ep ee sig ie ‘nerpace soma tag pnt: xcenive Inacsal arcane intone whet er sogess cereal csruton asi ayaa ‘phone or haperafiaioe of te a when ttt puma) cleyse {Ceca to onchla ebsrecton) a lei flog on a sie (© Dimloaio or abenr of rex increta eat. ding spain egrets masiveplewal etfanon oF emion pacar. In eeion tment ated id he est my be ie i» en of ‘ao fal pion (7) Overacton accessory meses, Wheneserbypeie rica ares smite Erle conpes ordeftion rng sion, nec ethen nd emgsenn, cation of te seer tle of raion, name te ‘Seow topes and ober neck macen, may be ned tpt is SSramy ciwig of the speed tpacile fone Sa ih ‘sya tahoe pes, Wh pili, he aco ft ow od a ‘Eten sige ere each thevston active hy expansion ‘ot perth by hwo ces tus Inia of tne he me ‘ate cro pee. (8) ovement of nal margins Te lowe mt bro te acc meyer by hep ot onl pias etn the sab, ‘et er epgne mii ih besser of nfo srg nth ence ‘era he wn cna mie mone cua sug supa, tome oe ‘ar pil bg eed oral aprapn sewer theca pall he ners muses. Ine price movement of he otal mura ington be eee te peso of sigan es abection ad may consi 3 weal fie ins trees pc Deten rpvomet of nee Bt eta sar Di [pinion engeve of neal ob depres of the ptr, 2 "roa of os pol soe, pn carkae eave pea ft ocumoa or tpypea. When he apa ited o pss owe ‘Scum snc lon he eal mara Names sg emi eve ‘teeta ple he scent mc tial atrialtm mote pew ee pane mere ‘sri aa Si we te ai aa ‘Ada Onervatine Pasion of aper impube. sper Ist he ea goon fe xi apes, cies of wera ea maybe ded eo ther sie (neti) by ra of ge pt, Asay pce plans tse of tes et fing tose elle ant ty fot Be ie of lesion pated nese of pra! ean, cys (roca th apex Det oman el ous inca of sumone ‘Sermamasedsgn C's in Uns monizece of te clr be! of ‘te seroma ce, onstage (Gr test shit) wo at side, In Sef eens ang ‘rode ce Te pt fh i te rr a nd in he et sit a fe eT! Sen ef eee wm ated chest vl. Prominent or gue a ve Gt th ces se: ene of SVC tc ih ely nora of and ‘ew gem a. 1123) ened eda gs oss yen Sonal ‘Sees alm te eval mais npr gine stg mad ont {ince of engin se po cl ingens. Sig of hyperinfaton o e het. sis re ess of ove be nd eof cna mules of pti, ee may serve dha he sls {He ithe aha dee pean al paycae ‘flow dapengn- nd ere filing feel og ens ing expo Plating vesicle Vibe ad pulsating suboncoes yess ang the Ines td oe te bck ecco the manu een nf uri of the a Publi bes pile sg anus crt cbs wl (nei sme) my Be camel hy a ate acy, scat EW Po ach 36 Sympmsaroes) or engyern msn eden a ees wal my’ rst congete rat le ce mtb angen eben alarged pots Vise enue oop eteseck le supra st pail cn ig dst ed cel Senta eu il is ded on newton bees etn oe Sa ay rn oe lpn, baer coteing a Gigs of ipso, pel provides sina strain gms ospiatry movement spans) Conv papain feo sis ‘tech In okey nner fo shove wreak comparing th le mepiriny maven! oT per, mie sd lowe me Meco, Fue upton fe wpe oso pe ons fhe age he sit ons to wt he he et ao Te nine Paces fe de ne {te ageless or ei! the hats ane eee et mui he ‘met Ti etn of be Oui fen fo aon a he pant bet, Inacoes the dere of expsson 0 he esd I pb cute he as ‘tthe examiner lot ore he to cic ft The expan oe {tical ese en tess ty ong Ue ev! nc he nl re Hd ‘Sin Sep neprain Fe pst fh mle ander oe he gt 4 ae fe examiner pc! symtoms of chs 50 Eby oid eps ess tebe on ivy eta ere oor ot ‘ig tp aspron ape toe deg expanse he hg 2 Compete te fe es il nt nr en ail -Arsneonity of mown fhe abso km th to ds, Sting commpentne ution, vibes og ey ef movement o oe ie Pepe med ant yi ee of te feo ot anc fae dg, pc ro in ap ee eae fae ae ‘Medistnalposton, Dipl! of Be median eeu ht sd by sds offre pou may be sued by aan ote pti oe {ee tt so he as nw se ch WeArex ans. Dupticoment ofthe pes sat be dence by pulping ‘stn he pl of had de ih he ages oe com ‘pes bea eiston (Jvc cada es) ae he main nev (2 tat of be hwer near, Posten ce MACHA. The ince mot eae cora in he ck, wh ‘se Fa sol te etc i pon te pper mec Met. (0) The nies eet of eta ig hand. when pe deals ‘churn te sper nsch ral ecu ee he mae ‘When tec devine oes the ger ser slong the wher se te each te reste pes Bg ta i (A alee ‘tio ef eectng che devaon ist ene the ya fee De Semomustol and trachea raheem ct) ther se ah ager I rcs ea ee pe ec ey a era plcemet of te aces te man oa of a i of pt sedsinam. Tas my fe of dprosic guinea tp ‘fra al ese lo, Lata dace fhe ech on a ha ‘Eeepine or meting pesca sips aver te ap pon of an Pe SESS ernest tm Cowes of deviion of measur, Te medsinun may Ye pled de 1 alae lingo ong, perl eso se py ae fee ft menpnson of mg) may be pal by pew tse preva, tage mss ihe line oul eer tes Ford (or ait) Siptcoment The ces maybe ey paced ae, by meu set ‘ewe decent wth inpiaton. On fil nie oan orm ejects. the diane here the supe mc 2 he lowe mai te seed args 3 wager east dunce Sms wi se. The dee Isparta ipl with say Shaton ug svat he ‘te lade ote iu, ean operation if neh ep terrace papi he neck in expen boamar tn th ge bn he yr age may deowete ches decnt npl, aly ‘ring tconncson of fe dawned Gapregm: Ts ener, ning of ‘mater onan ioral guess piratin a ke of ara Anes a sbrteed sts fone or two ng tre) wee Sd ‘lage and epper toe af steam yal gn of pany Hypa tite ste iil oc ens cl fei i Ue econ of woke tom coal away the oe ell Mero. The ean paces ete he pl eh ahr is ad (epi on ded prec on some sree ot wll le mao eet some ine tae, sh aati” one tener ‘od ver gia eer langage, er unbeaten See ‘oie, epg he ines a pls of tne conan Inve ofthe sage ‘ens fewest a, sens hand met be eayed aa ‘he cicon fis sg isaltonecesay Wo aparece ama on he ‘wo sec ofthe chest Asa oreo fos cor slots el ‘So ery slit Although Kk lennon prion fer los cis extn ts mettle pcs lo cing {TV became he po tpoucsyoF TV bern dere hx ml shee wt san nd bel mpi sh nse TV eng ‘cmv oe ion) redved TVP (upping lor cp TV ‘epee pil pc incre ove conte pring thay soya te ptf eta a acca reed ng bt eer ‘clad ang x ih pra cole wich he wee ma nat Sccnl soug he lent wea ered y lel id pecs Perrot wanton in meaty sab mark vation of | ‘sa emis common The dese fet Gaps on Yat co, such as age sen. lume wp of vee kn of chet nal concn, Ste of oe vaste of ch wll alps, Vc ests sly fet a ‘in mls thn false of he reer ve an pep fe ace ‘te frme. As kets es wake hie ha al et eet ts tt tin a dng roo ten ‘aa erty oe nye ea oud seling Any tug, swing or poi the chest nt be ewig tors, ede. een, ttn, pt tn ‘i. oct tenderness. Loc tener over oR oF mee by sage ‘rae ecu. etn sry dept or tec owt heme, se ply oF poms. an ove the pein cl ream mar ‘cele tena ‘adams on cnn of owe pt of 6 wer wih seo ts sein 1 em ws ot he i ome oe te cam mow a apg sy Crops Th is tension of res of iin he ae ss | lef oer ie chs wall succor e nail) copecn ‘rinse estes saat repien wth ie en cr oe (Ses wl es sin of ofa emptyRocha emits on of pn of rc bo i onl ‘wes ertysema or chats ea psig tah te mao a ogc may pie tron sods ele shnch Whee ppc vee st alts vibe se wd tom thecal ee, Xe lle ‘Renae ices of enchi Stucton Papa rle Raks rks ae mot sods pie! within the ct, te ret of mr taening ph tonto omer ed wit sc Wien seem Io, ewe. ug, Ming. lpia or come kn say be pole eto rome. When pew sic we eugheed by inlnmion,a| ey per hey iene etn snd, We thee suns re cere ‘by plate shoes cer the cet wal he pees is dows = 9 ‘contenu pape yma elargument. The psece ans casero ay yap slueneat mt te mts ying cl tebe We cere nc ch ine GE wih the index Ger brnen the lava nd ral ie ‘ememua Ty othe ps ea it be te ee im de la tte muscle ad ate deeply vee erent of be ith Hb. Oder ek aad ‘lay lade Saud so Be ped atte oe eggs Aap err mh ky ono im ek Tien re em hae eh a os esti pil yes tal ee ag sero Rata ie Ae fi wah val ge ate oe ere ati event of tebe ag peti tsi reo sue ee ay Seo mnt ‘ses is ht ee os ne oo wit an rent a ‘Regnery oe wc bt tenes ie ‘esa i te rei ig a eT a ar i SS es ete a se Pencusses ‘omracr. The base pips sa tse of pease bate sey bout dat with The main pert of eptrypecanson are (1) 1 Seeine testa underage ach at go p,m te pe of san oe ee sl sea af rstance esate dung psn ganic ‘eras a (2) deine or die te Bone Don ge Caperapnea! peruse amination of te respny sm by pecan demands consider ‘oss. wning and shyt sent om) me percept ef nd ce fren charter ad ch, (ce perp he oe ‘erties exceed Methods o Pees. Poston of pai. Te ay be paced nb ig aking fumes oon, Trace! pose set ved xcept i the ee of eter fr merbod pues, who arto i stor sand. The eae cde ssc. ong eadpeeiy of compute proton ofthe 0 ‘Ses of eback ie wpe oe big me ome) durian a onion by he undetyng ses ech hfe peel ne ig ‘town poston thn the at he peered nh han ea poston ‘ee suey psn stows etary fom he pit ew of eH, ely rove tring Bot pad eae. Fora examina, bree, he siting wp ptr ay be rege | ion of che Foe pasion the font wal othe chent hep @ Saloni the xine with he hyb pitcoglty se, wd wih the ser symetica. For perc ofthe Bk th Dk hy frais ‘i the ead lsd ow te eho, the ser sig sl Ms te xing, thr cose er ware he ip, Dug poof th erat a ceisler hie her Stone ams at of treet Wile the alee eine peed. the is murcted o atithde ont Ge hed. Dieta f prs estar st prio to ape of th longs hr lances ay te ad a sung ocd), etWeare aston the a ie, ad ty oveng owed Wearever overt de ove me ot ans Syme ese {he two sles of the st a compared itnpace by mong, es the Itcr wal nen te sulle a aly slang he ae wal bck, Noel Aireacs of ercsin me he wo Sis, tou Froese e ea, ‘mach od pce on he and ern he it se a be hepa id Soh retin et ers over hones, teh ah a spl, rms es epente han pscusin alent ieripacs we oer ie tercplr snd itaplia ‘eos som mss a cone (1) Tpit hte if the hi Finger the exis’ et Pulte rt apt cet wal sot esp eos Ieee be ner cht wall The wee eke o fa che al he fier mst be he pera with which de cn fe apd he ce pecs The te ingest ear ef ar ib i 0 iv tephra 1 te ress (2) Te plese which the Hid ager ofthe ean i a, kp Peel righ ange sok mst Wh wid hen fe pit get Pepe hse pal el mo he Bag ©) The pciion are mist be sd the pe figs eng ihn Aneel er he ke. orev ein of tc ae. The movement rrcsion toga hen (ich ap cpl else) ad ot Ihe eo oF nga except nue of ene prin The free ofthe sake mst te val sesecing 18 ep fhe rcs te tise or eran ting pened ee of he che al Mhe west we ches wal co, hs so ama mon fe en ft te nv! prec ofthe ese Aira pad by eiieag pcre co te pacind npr ont chon wal sverige [eum San be wore forte penal te fone te athe ‘oui teeny enough to et acer nd sail ate Te or ote ke ep sly cna en xing sania ahr ket Me cs 4) Percnsion sod roe fom reson dll areas o fem srt” ess sonst” tes wenerer usin, he etary epson sy sng of et bg ber in is in, 0) Whe ceticting the ore of of, ch Het eH, be og sis the plese Ger nD ep pra othe expe poo ‘at bree Ding pecs fs cat tar, whenever pose, w Bp caer aerate cn moje ha gest os hs oF Shr muy henevee pore mecca ding perouion of te ito et (0 The we eased et ees epi om he wo x nae wer pet vonage of ste Be et Mat fe dee eee cn of pa chen were ee rit per i i ni pom od nS a ohn al ej Be bom See Pr ears eee ees Shermer aster See meee Seeeinn or iaeees Pore weawenenes me eee eee Soe 1 impatience 7 sigs anyone ce nalts een eae SER TID srt yet s me rent thn eto ‘Se fer kot meen th “star Laon ate rer’ ny on Shctwiserslstne Pr Som nan Soe promo we ‘Aime pr eres nts Aton psf econ en te ie (1) woman oes aa gee wt Sherman syepeny, yee esas, ‘tease ae acs oy an) ‘Beltane est tim cast roman "ymeey Cypriot dn ene, td satay oer ts ten toe ce re ‘hem chs ae ha ve spon of he ces (Na ve seo cman corals led be‘avty in te Tang. or 8 fecumattorse (ip 1028) ‘oald be couse. The fovsles metalic opens faa be rd ver ae obaeonserphysom Subeympany (Stodaie ‘sonane) (FE 1025). A Iyperesoant me, wa bony tay, wl hear jest above the level of 4 Die effin pani mobo ten ‘itor cotiance cing PLEURAL EFFUSION the ne pray ie $5 Sel award we 6 Zn of una te ns prosumer reson we) An leat apache arma eg ease and Imp as be iced one norma an fe ty emp i chs nfl Inston ig porssscn. Pali! ype rexonmne ay fe eoutcted ira case of empyema Fig 10. ef nara cone {meunotira lage balls or compat cyan (re 1020 ey ov Sheet ae ere ng pd by Fe 184 Sep, Ey Impede, Whe of hla mes cpt sa in coin ne hic se irrch ewe te pach of casa or lip ange ect ened Sh py af eg sng me ninth ae tay Oh oes ph of a cs le ul ot, ning ft, of geet dee doe tnd sete my bent vt come of spent Sims of th ogo ng, lene pr eee heron inion o ug Bn oer a app elvan sab cond wih perl br dng als wl cove Smee tu tp ipo (te Oc ek peas. Fam Abente lf. 1029. Apeonson omy det porn doeyg mehr ences Sal te entccciedosmay onset tee were cernsvdsns ance con otis siete bet ‘prema sca cu gsc dnp ey he ean ‘alt negro Th ony ok soe {Roc wort fae wipe ena Soy ues: Tg tc nono ce ge files Asin prac nny don, sca cen wou tes pal Ate el poo an vin ancien pomasng ae ea Pinna egr one wil circ wer png atte Tsay Ime win wre ua vse mid tmcninhegchecnsasTie of rin wie Casa Ta ‘yaeaiie (Gas comatng tiow voa sobymgany tore peal ein coat speresonae Presoabon Reson Neal er re Iie Plnenary ros, mesos ccs ‘r calipe bal Falnensry cotati or lls (ce fei Toa owen ees ‘pte me Perl fen, ey Massive pont inno ea ‘ter sara pre te rcp rem Tita iy ppc ome, Sich cr be ccd tely ore Seeiianis s chlanty eree's cee tao is fu ve tenga fae cca ih 9 encase 1028) dae tein seen ela onthe ey Brovchunthtegh the tartow pea or ‘comuzatin Thecnchab tara ash inte y chee tna ory gett thn knee ced Ads aso htc “Ample rascal adel tt ha te atcaly repeat hy percsng ee ie sana “ied wih nyt doers pun ‘oe tae cay ef a gl Te ele el veel = poe eee ‘viv wut co tro soba, then yd i Ss Se nn aha er ae oe Ioana or ene fing, ered to ropa posing Th of fact valve detainee upper 8 al ft of he ap [cole the ter bre (bal erin) sod he srr bdr et ey med re nee ee et ‘Ser dsr) Toe rmge of excrscn oexpenio fi ng et se ‘exc be damned by peas cer he hl othe pert of Ae lng tonne deep pon md epson ed pcs. ‘ic percent isthe grail foeaie | een th perborate te Naraly, oe ‘pe ore iste 3 oS crs above he dail eter sae, big a net ‘terat Wghe on he se, Das te epcarcar one a ema on oh seg eine pln Wher lx (Gute rea Oe hora an ened fee ay, Spe epee ‘A i of ng recut oe esi il pcs mpc exh i ea Seat wi cares me er mS? ‘Sst egret rn me ap as ‘ty of et cin, a's ne Bal percenin, Noa, ding get eating. be ower be of ne ‘eoeace comes the ssh inte tacavaa e ghhthe idly ine dat in the cpa tay bra ely owe eet (othe ke an othe ih lee we De ede be var ger ‘cen and Hower ey nea an in te Pein te omer ft lan estates ight percussion ail an ean peso me fck (Secu ote ter mouse A cae moe tom vest reseance t lose terry ihe, asd ‘hy cm he is) orn ester esas Sgn) ny the et side because af Tate's cs of tray wien Peres fone ‘verte ches sre dla ners ba ie ng esse ‘The lower boner of the Ing resonance ted to be depresed ia ease of geared raed ns of hing Tate ela he consolidation, ascites, masive atkhominal tnour or pleural ee ‘genet nes cto Ne seman Bp pn sae sx diy apnig ttn, es eee ‘Are of aie ln tht side techs etry ere ne dines exenting Wane fh fine secre on ei toeJntion 9 he miei ie wt he eit tepse Te pcs hn ois en cased ty te saint het “Aes of ler dies: Ove the Sweep the sigh se of the ches swine oe cn rout exes les eres ‘poston wad esd y the ance Tee ‘Area of rei ass, A tlre of ess finite sone, ‘hci in the ye, siya rea "he open at ie Treader ae (Teabe's sar spc) At be ome ae fh ef amg meio nimony foun ered bya in, pte a orer 8 ‘ima tended oe pees ofthe somich. Tht wea Donded ‘Bovey pany reac et by Ine dla en Be i yee ‘Mtns and tly tee coal maa dep 0 tn cos ‘ibe omach Betsey a leprae maybe ro len et ‘ui being) Be gle fs ca ca to omg of ten Refacin of toh aria a Her dallas ces is Wooton of te uns Shifting nen ah cso hyo ye postrs he perder of ulnest fame spy fin nd ras otal especie fe [oto he Wisp ens astor cans ie toe he ul wih cane In poe fe pe The per bre a des ‘ined ty prune esters wal wah rape ti pening he ep pace oer te ll we athe mee ‘Sou egeesuin ove he one (revo el are, terse sede we ‘Set aoa an eels al ln evel io bees There [can ca bene ty presaing Js he ew pot all fetes rains’ Asin ales my no end ice of meee aad Pear ton: bt ave vith ah echt aden ang it to Henny tt eve yg he stm es i ‘Sit afc ng wa moa wae Re ft fe DOr Goes ty nk Ye ecg se ew ee ie bere pe as pees na yo ee a ama a ie ie Th nd a i Ment toe eth eto Seo sm ag moar, bee 8 in savas se ost or oe eng Seb ae Sita teeter rt? om ry yt aed “cn i thn a Mr ai ep ‘Same oon act oo al on ly a ot wai tt news Sot (t's bc rind ae ee i em sic stn tas ened ve pt ne ne’ Teng Biss eatte aed orpate mie eee ya SEE Pte Sent ig car ng situ to ae tp ta tn one eee pl a Th SS at ct oop eee oreo pt Soa a So i = ‘Wir ont rem An ogee 6 mn pene sting ters ph omen oft taped ween ete ‘Sesprtenaes ste att hace mg bed oy eh A pw Ga prc to oS ew re in aE i i ne ut ein ri tt ot it pes ie i emt oa ee te a eal aay peplnyey ered kasper ‘frit le hacen away Son pees nay way doom omen ee So myn! sa i ef py eiAin he cn fication ye, ciation of a gs il oe Iniommtns thay ote he cls! meee pil exaainn tn a patent. For ascent gs he Mes pst rae fects is ei ihe ang oF soning: fer exact bck he fan ig fun, with eal ene a sr conse in al resins ota amino n he recut cringe panne ede prove pnt eof aera es ‘eke ale inhi hing one em es nth es nase tuning in ted coms natal ath ne of moan os be Sarge ‘ppeof cielo maybe pry ppd ner ey fr nein ee ack Met ethnic mrmal pet tingly rove indegete fern pope sey nf many sod eo t be al 1 forced 0 eep weabing gh te met. ae nee the a Yolo sey it ‘wot sna spe was‘ ee provi, hypecapas. The core! ‘ae testing nt Sly expel or ders 0 he ff {clan Deore suc firey sar ay edo eine ‘hike ees he pen! of damon: ay fo fy, fm cig te prods faves mde fom he Meas (rd) na allow or nec mane mail) tease ons Wee ite efi eon o flow nto abst he came thd of ect be mye edi eet nthe res fn ceva he ‘ep impo owing mach + poste, being ely Teed to by he ‘amin wid eth, Tis mebod eBowever Hy exh bo abd Sommortunmun ts mcesan vee seni he lowing feanees ding aneanon ofthe rapeoy sje (1) samc dtp of twetsond rer yma aso tr he) ses ag ose ae (rabid sondi sel ehrcer of he eal sommes tne of bse Sel hier ve Norma reat Sunde Fags one. The repay ama i oposte sme, wally mae po to eames he rpc stmt al the eae saa it 1 inte peo ln The flowing eee ot be secre nthe leet the heath town (3) inensy or lone (2) lay orca, ‘ter muleg bony, Mowing wl) comperan of tpi a prey mens fe sun re peo iw of es don IES and ph peer or aber offerte ps, ewer ington taderpre() oe cart, ach ar praca sey rete ‘meer () pence of ter sols or acompeninen. ose eancenen (125) Noma eth cn eer by abet tow in per ays Le in the pry a ag ree of the gs \egoecymge of 20 0 2]K0 Hs o le pe su). The cbc NA Asis sud 6 wasn ph the Ings ecg he aber Aopen els and sole, ver puted sound (20 10400) be ‘vescaarreahing sn quite comes The malig neways an aloo ae eto {tir and wn anes tang sndlapse ery rtrd Sais seen sone oor “yee the iploion af en sender hecho 3 ‘aly set we Bene fe te alt has Ben seeped hat he tern ‘escuarteang ak etude oy oral beh ae cae ores asian ms NE. The en ofthe eh sounds ed er Be hes a epee er AD EO ‘fie lane unr te ses, () te tate opin the two et Sy te ang at sho wal Thassoon att sng bts ‘el cela ke consoled gl he est wale he solany ‘Svcen bosch! tenga scat ns head rey Oe eae (One ober hand. sot ried ate inert tevecn he a a ‘han el cy ti snr plea en nak “Types farm breath saunde (1) sar aig ote men anf he eit 3) tach! or Pathol Wrenner te eas. aches Too csi spew (9) roe mised eating ho ond the wpe par the teow i i i Fort daveb ‘Gee wont. A cela code of bos his Ben oud coment a acticin hedge representation Yes Types Oath se {gs 1029, 100) Neal be ype a he ys pes nay seman and he downey element, Whitt ng ech ute “reins oun nig ad tech sh ouaes re ‘he angle hetween the poke a domsike represen the pe othe espa Sound ‘scr brea sound The pe of cig Hee a et Ih the cay pe of expan Fives tn mgeson of a expen the 103, ‘cussacrrencs. The min carters of wesc eth sons me: (0) qe of sued whch characters seg “ery bull teat o eens hd} ay per ety fs pty Some si eng much ue ha text) Som) lange dion {esr sos, eg eet Ne nes eg 8 Be expos S| {the wer ich the expay sol coe oth of he py ‘iene os pane boo io a expt san ay ete Hoeve. ht teeing ety of sce ain is maaly a abjectne igresin et fhe enamine, Wt ne eevee ison ané expr ound maybe ate in pts who eo ‘Sel he be or vt ser es inp Drm. Vee behing, which tip of srmaly arid ng eects hell over the cot beth, eee the fang we) ‘ver he lan, aces and ver ae eee (2) nea 4 he ‘py of he srs tis fore onal Yeneb lnmaury, Tee loons of veka shin i worm al oer be chase ‘uscd pry cs al Chai In thay a incl ‘pam and over he sper pot of He et wall of he cst New the vet pangs of hens a ve hs cp pnts tea se only somewhat "ar, Smimhe “a Maze emer Ty seni vew ice he tine of Lees, hs ten 2 site the vena copomen Oe vss ol oe 2 ‘ron of he ane was by te eating cent 9 i Acorn 1 omer se f apt he rel cud. it vet dv one tothe aes es mei tooth te ain of ober umd pore ‘Sepa of om atrow tamil ete he nde veel) and eer vol ul ‘Atbugh he cl nsion fxg aligns tc inition (esto 6105) toy dren sac srr a a pron a ‘oor 4): tie de oh cal ote ede ngs beg mai (te oar of expen rating nt on alow pics expiry sod, “Tracheal breath sounds By rhe! teins mas eres sou dt torn ath ve ern sage sacha th ny and Whe ‘Rthugh nr othe Weta cae sie on a tic ony ‘Maeda hoch tathng, Wal Neutng aly loa a eat ‘Nemchi euhg.tlag podcd i ae a ysges. This aaah ‘ound cht by se nai Sco pase of be Wench ‘ower amie tb hg frp es led hea of eum ‘cde ciaon he aol ne ng sven. The ext ed ato proton ser use in ea og or bag than gee, Bae ‘tin ee ako acne alae ent Tat ae han aon e102. CCumicrenscs Te tale tracers of tet behing cc ‘won etn) ie (1) Mow" olow” cea gay) a ‘inn sud sesh age nto than the pn: (3) 4st free ineval went pry aed expry soe al a IO ‘ahaha n pooh an onder in itn tn he spr “Tiel (0 tnt) hing ste leet rm vec eh ‘yr cra owen quali, 2) aterm) kg dan (eennary sum) aie ch a sai ad (3) sete of» pose tetmee inition nl expanDrums tl rein i omy sbi over the ayes chen nd Merrion, rch tel som aed the in ano moveme ota Omagh the nanow ae the hai The lone pi oe son hing tpt stot hte aperore ting ering ngiraon (reamed spr f the eel con. ronchoveieel eth ands. Ape of eating, nme in hrc setecen vnc nd tae fr Breil eating new fs copone hue, amd the varying prpomdtse of oe er eer lent (vescuar e treme clin cance of boehovescaar hin eet iced on ate secon raul epson te te eT onthe te ar fader ou, ad ger I pick th spony {ood er dias "tow chest ian erate pe isan of veel renting), te ity enhance Pet shold be eos ‘once euig 8 nmler ve an ul he wpe Fac of the ean athe il aut eal pines been he soi, time ve be lag opcs, pricy on he ight ie Mooeor oon roshovessiar be ul ass wen wl xnaning tng sue ners tcc le bons ad th hw nal hs combiing ie neces of eh Ys ad Dos ype of being Aor eth nds ‘hye or sma mn cis. The ot imp Nites of abel sexy sounds a: (I teal ves beat sonmd(2 bentl eh ‘min and) twchoveraar ch ound, Uno vate tea ‘oeathwunds sc etanorg andthe eh oun my tins te he in doe ‘Mere orriescon. Abel teh se Rea hey we bao ented aa fey a abnor. (0) Abnornalgvestion of test ound scan minty in rsa 0 sinmy de etftton of Yolo vito hem wo aig rence i hn be weathers oer eos ps with crn eh oF ‘Stina, ond beat sous canbe Pe a! ke mouth wt 9 totcops, oF en 4 die {@) Abra contacts Abra inc cnr paca eth sosmissonmaly Ts eta lng ounce» ticket oud ‘Shine ta sta ng wees the orefie lag feoyena as ‘sen wn cmc Te apa sis of an lason whee tc he feiss sound ey roc te Unig etapa he merit of teeth (ound ocd. Ammons race variants, Abo f eel ehing ae pendent onsen finery rn of ono ah pases of ep aspera bade sods. Altova ate. he beth sev nw cece fins hrs abs tay Prologic nce eased naan aig sates fetes ‘pereeiono oper, be eth ois Fear a oad. in women, be tea sounds frequent at han fe econ the ore eof behing (9) Palguals tan peor caged ‘aang may teased barely In ater of dynes boat, and thse oF erally n ce of pulmo takers or compensate ‘emi nthe et of ang (rp os ng ing rete none y is ‘neal ein prada seve kyphosis toca cbr. ‘lot Sc roms, the ely ang (or hey prt of he ected {ih) ems oto emphyeonatos(ompemty eng) ad py. ‘ape vaca be snd compra opens) ex). imine ote breath soa tag ening ts ei cats fe nenty of evth sounds may be Youco. Ts ab (1) Pon ‘Skt sae tet td ug het Deen he spor, murmacan {bagi ot in sich cae By roring Wo fed hag Distant beth founds ny be esoced wi & isk ct wal er cbt. 2) Pale “snes of ents sade may bed (2) Defect pret of spray ound may et ws (espa ne ry Hens, perce {flection af tsp it) weakoew of prise repre mck ‘nate sneer pli i) dined excaron of the dghagm it hse ass ot adorn tame) os est se ‘emp o ng bs) dese avo cgey si play ‘dor oc! sae of tr pens: (0) dete Now of a ugh he SSrpmage, sm once oot ofp or oss of the Ube cr ‘wot (0) Delete camaro the epee mmr my rl fe (action of he plum rch ar ple efsor, herons poems. lend pls or ait of plea ( patloaltcenng of chest ‘ru nlgame afisie, ()ne peyton ‘Ofc murs cies of bl eth sounds enone hoe he commonest i luca, Pal hy wheter fhe iar fa nase este iba gual condor of sound ad Ia arpa for he tose tous sais ataly th eet” lp tae, sees te efsion itis meer fr Cae of rman ofthe eusery mara Neat Freie alg ciel or snr x mo of erry Ore ess of Pe ‘Me maybe, eral cin ef War pe the sie ‘Ament breath tnd, Nova espn sunds may cape sen in an + luge peal effi, hyetbrn, pourra. o ae of angola, sory 1 complet ocelson of «tanh. Absent a iamtoe ‘Se sour numer cee Sept he dep fhe ‘mma lng veto sera ye cama eso, nl) then of Thicke fh cmathieu! ten he ea rn (he spay arma sd te we feet al sted te en th Su eh et wl ed he tag ye Sa po bath aingniy Prolonged explain. Norte rin Be expr snd eet ‘nid of tat ofthe Testor sound Although tpi of bowel o Teenchovedee tet preg ef the expr) said my ln we (Weweraioe wid vacuo tehing ince of cay Wheclow infin (Goal nel and Kean bechin uta a emg. WHI [rlwsy tees rong of erin eet els ests ‘lang tae in ath ts empl it ae 9a losing ve ‘he expr oy he nee as ler oh es a oe ‘tes by he maoved cis, Asta breathing, te i te, Wi i sl eae rbot, the beh sods Sl fo te chasers The ex aed ‘econo bly yn and wiry manele he apis ‘Som! vem orl rst al soe wih Pench apes wath souds atthe ment (Nosy rah sai AL ee epy teeth nna ils he mou, An mene ear th ue ach be wun ene dig batang te apertpey wast an he ot few pont of roe With mrom swaps brah sous ab be bend eer seicope sir ochew aly rod dex of he sve ot Shays crcton ps slog shane ets oe empha ee {sin The tundeh ts fr Ds rod the pte mae enh sO, Dele muse hace sch «mses 3 ‘ower dest ad href ls ales ow). uae te dre ef eb i tt tat clon neem OF) es ate lie fee mere font moo oe ce ne eet (Ges seats cf ect ie ms va er pote es, (ivy ng wnt ps ny oa eel i ee dn a i eo eity eaces sate pe 8 Seo ey snus tere (iad sy a ee pee bp a mn pa ine SESE Spey ent nn ne ote nour wa oo re Pooratipeenenr penn iatnan wararererepeeeninehd ‘rete eu eh wy ect (55 wal Sea ema np nt ter ety al pe ‘3 inspite pew cae Wike wt neni rom ething Pei la Dwg. enh oly ao tie Steal being” td nvm one lager agen: ach a he hts yo fen fram he Le eg ss nem a Pash bo 2 Herpes: ths isbn of eng pods win rarer i ura. "Txt oun. when btn aye ver the hes eye nee etd. CCuscranuncs Te crc fetes of oni eth sounds at (4) stig ihe pays) pte eres pon sa ee {Gt very hur and hippies expt sw (mares ponion of ‘pit (Be ater tig al length ge a vn): a) 2 ‘Eiooctve character or Quy, vr Sevcrted ar “Sowig" “tbl” States “putr aad celia by whip he ye Brosh being gn of omun, at somctine al overpay cle, artsy the ue ae ot fie are aes of Ione calle tse te sping ene rns estat Lowe oe ‘Sige wih ttc cstadon eb ger eo opel esi te nce Suns fat he Be coated Ura ales lng w he sitio te ohe ral) Mave ce eouct Nomaly te Inyegsel sn de by ea colt feign ns the areal "eng veclt ‘tum When sal ete eg an repay comotn € g. {te poietic he se wal without eto Coe Seldied tone time Ov te Si cr caput othe wayne psa or rence (viele anion or wal) pens he nate or ph of be Irenchid eth som wicber caver, acim pcol Or eA Tang [iy begs of the mate ages oes ae Bes Te {Scere or lwp bows reaig ‘Tym werner Depending a th ste, tae fhe mse tesa i ltonip ase ngs tench resi ys ‘tsa 0 est aed pc Tay be eer oe (enagueraedmra Ione o anf msnihd) dee 08 nso tem. ome (Gov) edn pach Hie dna depen he ach of1020, When W /NEBEE won rene versa oop ota ‘onTuauiA catig. wf pei "oom" pau itd by betig nt he hello seen one's Rend ee y wehbe te Sate “who” When teed over te Ba CAN ite log (th une eee Sal (2) open psmotoee o© (8) a ences det oe we be i tc Ep oe eee te So sec ca ete eae Sete eae ee SSR Sd cts Sir ce ee Bee ae ee ee ee eee eS eer s ee eee ween Te piensa eee Seema ei papery eee re eee oer aes ay pares Sao areata raees ate ee Gales items meanstarsinin oot Fe ent ieee eee Rosters ar serio onnean et cette to ae ae eine eR edad onl ein cy tn ees ad tier etn, when han ose chet seat an nee tof ‘lacy ofthe ned hn os sone ces ees feta, eal aroma ions hag a yal ang Aho eating it chal vc of ih ped ena eg with 1 dtc “ech e™ or atic auth on be ita iy ty Boing ict mee owt fate ee pen sa ue 2 swt ndotne ct fhe caviy in elnino 3 eect omen wis toca ne cae tea le, By coting or ifr crn inane ot pice reece tal ral snd input fk eke gay Branchveiuar breathing, Normally ts hea one the pr af de ste a nt beef rou) tte ler psges oe he mccain goer Inca of icon a techn When hed {nyt ce ove ie ca analy neste fea. The cones ote ‘rise sae ate chil bres eg se meat er maven an fy w mec nla eg ase, wheter comers bral aca nm, Macro. Whe comoliton ong it snp (umount by treat of aoa! tn tie ply anced wh ee of al et) ebro sod Ws ruse fos mony Mal hes trates acer “in ati omic iy, ey in yaaa (Su ding atin te tee ny ny hy Mt ta ‘Seopa fe san" ene aS Sul do ‘SE ocean Sey re = SeesAdvts (Ade) Sams Aveta wun a uly paced wie he ng se, si pases or pu Tse tes nvestinn sms st be ay igi (ald envanco (eo peru rarer sos, wih a sly at {5 fly soy ecg. Te tater ay cane (1 eal connor 1 chot rte secondary t in went lesion uncle san) 2) {stn of he hore gun te incr) doa apeston ‘chaise apf the st val scaly thincbned inns wth {romnettn, ()etaneos mis rom aie “Tere the pris added sod whens (oto sun), cracls scans ered) 2 ple 1. Wheres Whee (onc ory sundae snc nia ound ana ow hgh mroned srw: bw eifeance edhe nan whet they we fe 1 he ty toe the hs Wale he pt depends oe nthe ow 1c er no the sia the aes le. Whee ea ‘Soc aeons opie became ney tora a ae op ‘ree sy mre eve one, en rr hineays ena Move oe ctr Te gt sagged am He ed win imarumet (2) tome) soning wer the psig of aries te all (rnd Awhen podced ai fred ps eit whch opening ey tls ae je eucing: me vite geveng or ese. Tie can Sen ‘option an expan, more eon te ater 7h vey la is nn fem fs ae Types whens ‘Woes may beta aig cow pinto expiry st mea snl or mali he ph + whens oe a moe he ie of he nc os wc tegen ar ped pon th ee of ma (te bench soa fom ih he wurst wiceog mais Seve msc saring sl eng imap chord Monopbon ines nsf sale ot of svelte ang ab edged (0) Moser ero wet 0) Fd amps where, Ths 4 singe mane on of coat pt, ei md ate hea pin shee! tra elt of ar psig highly eg» bas rowing — {ig 1031, comely om ‘enh carno Raely tay beac to enon oe {frie ty or gh and sccadiog a pracipal ronan In re aie {oar peta ‘atin, saowing ts soos £2 fen chinge he ate of puns. where 40) Frnt tonto (Gg: ptt) feeraly ona fa cory ore ‘echelon romeo ter) (Bh Rando monroe whee These nn Ses oe {Bich whch may be cre an vesting Hoga rah oe ‘Tey sgn ain ak ours eg rol sea oy bench race. Manopboni wets esd hel enh ob bad wi he maiden Anenteen i as ry nope mal en ped Upieygeal ral tin Sas over i an we Sd ee (Goat) Tome yrs sod’ Unite nese, corn oqealy wdfn bth {espn al expo beac (a) es ial faring fc tnt ays abn a) wav ae mae nas ese ‘Sarge (0) Te tang ile dco ig son sah te WS Se ‘me alow ton i aie dame dng fe mop ee 2) Praca wm iar pan: wes Te mt ‘ste of dite ph sae msdn: Westy jasc pie oh eu by «male kt epsary ao) Pollen ol ore {8 osaton of seve ge fem sioeaneusy wa the pl "tba by coneston of the ences nng comic of nth ae and ‘cheng of ele of cus Bese of expiry manny eave fhe ca be alge une of wae a expan tan pram, Spc (mtn wheres weed exon nana abd COPD. Wien ot Shecuied wih imprury whee aay apgeciee of epich he cet swaps te nrowe iy te postive pes whic 10 Be ened enya ests ns SEES Stan dette wa of ang nd ence ae hi a ro, TRS fing aves The mean of poco same a aS ‘lc nen psec tach we. Stine nie of wien fiw obtacon, pts do wl where a Stim Renal wien sry omen rere very Low al ‘SiS'ytucmed de nu yuodoce any sons an there may ao be phys ‘ition of nil sen rd mes co at tn tse noe sie pe ec SOREL ES ae i ne tt ie pao "Genes ale, repaints re ine sa, sap oe mis ud ‘Noceoocnerio the ps ks ccs have ba sl te Som wi REESES"tuah ied se srogy and hece hae ten cal mt ranean as th aor expat ae ce may nt mepeson ony, code cased bo bubling gh id nha dates of meptions (2) obey cua PRA Ley tony sa plenary iets 8 whch ee 0 (ee mceens (4) Ras fees ghnopeewangcan sows Ct Reta Sales ror comand tm te ste pate ot welaton Jing ase eae) ole ae th sme psa odvolte omsins a eS Cals we ar a te dent ng cs Bea dere Base ‘So Shar ore eng epg y ood ose ht pray defies ei FE Lie nan stp spen seys ant cling tl Frcs se and he dee tse andg he phe ens sectinthu ae igh tse i omperdpenent, thee ae! xan Fe nit levee echoes pan elon a cae a han te rt Cre urn he mph tte OO MoE Sie agenda by ep otdog i sn ‘Ce ar pd! by sping sen few. len Crees te ens tet th sen euasion f peae e = et uray to nical cngnees of ng, sch cnn Soe 8 rnp sony es Tas sm when 4 BY WG Sps nen mete a allows Fes of gn py 0 SHEE EG ele whee aver omain cowed wl ne age SPeGtine Carles we sharers 0 peu, plenary Ho seme et pinay cones Consent al hese semen Somes ith mobs sarssye ae ca. cone pr of coa SME inpen,Arsnaicn poe the ng pulls om ex aoe ESipepen be gs ln wning he any vie he may walls sei et rss in Tevet esc witha cle and 4 OR ects uy be han sear he of he peasy cowed Sipe peo ap at leg tain pce Baa cree wih bingo i crn Sos eis bones Procice of showers of bitline Bl eras in ie inpintion i 8 sate of feeig vet sharia they cme ero rest fren pean wat nike he rls of pulmo eta eh my 0 Fete pin). ey 6 mt clear on coghne “iin rn in eo en ir of crete Concer lied wording ein and clare Mn alee ‘many, onset shal he tnd oc hwo fess ei (2 Iurfon‘souneto\ ote (piso cea o ean els ‘hn hse rele becane tres hier ny be hor ouput ian {atin expen, can ena e ted © 2 oman ke, eye Ie ‘eran ny pores ccs (ig. 1032) of onc lst ploy esse (COPD) we sn. pen sro dle parts fan ae rE Qecmee te ces cn am lpr senaye, They oe sen. cil the ‘Tach waa etre dependent. Crackle ht clon coughing ly 1 fe ‘Getto iney srw: in recienycurls secretly cone Simay beat nye inition Te ete ape a te pening wp af ager nrwaye ow tegaece cording To the celine ‘Sey holy th rape mechs dr he esis exc ‘Tc we samy tw phe, ete at emo wes ph the chest wal, {et poste denen epLaren sous ig, 1032) cma Ge alesis he fe pat tt vars overall oes eng, Tey ae Spends ges Fees ug ode rhea lng haces whe hal ne ne ‘expe, pte wid tng avec leanne fr recs tesa the hes psn, Inga ote. ps! change ae Stet bese fin he eral pecs fh ing mt mee sl te i erent stg oon St “They muy te aon xpi fa evn celltes ang eg when he te sm ee twitter sha beng fara ering Sve. SL a SMpnamoen nei Cola seg nh nin rag gone ste se ee Sy a xa ane rahi ere was src. Tey aise wot ype aye apr Sand Be wap eens [rarisectte dl to lger ane ria sitwsy oe Bye pee chi dr espeton Th ay rag cog ts pel ow tthe exieauy Sy h epee bt Iepeden of gre Cpe sexes ine ee vay cn gente cng ateg Mowe These ated hy soshing Crctewbern Acre iail tng x wheat eh towers the endo pation expe natn Tepe jt pet ‘irony win acne at epee wills ema Gos consi re Ice hd bse shear. Tha apport ear cha e sway ap ‘penta make scare ani ie wher Sse a np peeve m poe Secon commana cexsimcaron of tte, Since the Rewer soe wenioned lenin fas ay nti xa he it iin oS ‘ae te wat ten Corse es (Bing rls}. Una ongoing within begets oe "otf ne ls ech ig compon'y atthe cad of ‘pon ay Son oe tente heard without Setcope re wit he bas Coane res nay te band 0 sonanoation of Je, ne ma ons een Son asin fbi menos, Fine crackle (Crockling adc repions| Ceopant ‘esac etn chara ae was tea ral dying ma fark guiy: Thy iy tie ling betven ese ‘SS toctager tc fnew other separa send ore a ec tn th He mre pn Co ‘Sua von nan apc oud wich end pcr ansey orev Tile cnl at tprton eter sg i shone red mo a iage compe Shamir the vey satpro Cpanel li, nak ‘foe scentned ye at of coupe Tie oe usw ae pon Er iby ancora een ftp ye aching of 2 we ferrin cnn aly lay gi eae a Cpanel carci of he fn tag of pcumn in apis) ean pment beri clipe flexi a, rembils palo eo of racy ton rene we ne Hehe nthe as Cpe my eatin ine techs Mite eciecope wah hay ac walls soace of Sago eer tt ca he n'y shoving a oar by poling iawn wa lo ae Med race Cilla ois Wenn sod fou ses neers aes wally ei il sie cho Foci and ocr fu nc, ins a a estessettee ae he a es sn tes Se ml he a sana ecey vce Pea se ciate Co nih Pee te ti es SE aon cee ee eet eee Shy ty ew ed oss ome ote ay te ra gn tas na a teeta: pela a te ein one) ben i my nd a. crate wets oS ee ned Se it aks ry an ey es hin ye cam aro ewan most tp it gre tty ey Se Mek 2 Parl eb Pel sn te es aay of etc ind ‘ofiginaing in the pleural sa ae Maser cin, Nomaly. he pt ple ses ech an oe ‘ee vce pu eo proce inne ay ete he tm layers ote event of nation th ple on ce dy leigh to inflamed ast rogeted Sree pews na ach (er ing et he tarncris son mh ‘cg My i i ot ig. Ay ‘smo co ey ey ed a ee ‘Sc. The comin te of per con the er Pat thes, Ne ‘aptemato the arcta oe he Peco pei atl a i we At fines the it sou bed tes oe re ches Raye apc ‘mpuinay esr wie ye wk fe (Cems. Teper ton sods cil (1) eig”cr orang Inq tony scl spray “or tea ‘sew eter" sud hat en srl rend by cg eal of Bide ea the bc tf Boge abel mth he ip he (her ond 2) iemapn opty ite) gue fd ey ‘iaewgh te sun ayn ne i my) peice Site sao ech ns ip he at oe cet hme) eae by nese pear of he ‘lesen on th chet all cag fre spreximaton of he toner Sera (6) aul sulle ing th yas of expos sep al ‘ing the ptf patent exeasce woen he pic saree ‘Scuttle net cache (7) oly ued ae tuts of Covgae Gate ales which ies matey aoe aly cami asm ical ple even te pte (10) qe esce ih fan wd tec endeese (1) tensed o iad arson is, y the 2 ‘ced bees. wo appear gaia Saag real or allow ee, Dron. Aldgate, uly digitale fom all oe ary ‘momen teehee coe may a me. e cee wi es ‘Sian, mace su or purpencl ecton suns The flowing fetes ae of aun atnguting co al nce ete ara con rab ‘Goer or rer Tee sper lo Noto pero Ina CConious sound Ieroped aant Hear ve eid we oar ovr wide Rona wc by Iced or abolned by caging ogling Pre of chic of Frere of cece Sasa ies th sound "races fos ‘No pinche eensfetta eodinloee Sitnieiatnarscceecrsios Sucemaio plas (ippocricrseuso) x ping sand i ca be ead oer te tht cr wih testbed {0 he chen wal et se dazce fom kg, 18) vien he cot of he {sshaen sty the exariac ith is The tad ea eed enh ‘ote appeal by tt wet an ty ven be fe bye canes tad ‘ommally bard ote he hen mich or in), Fed wh fe aed 2 soccssion sh over he chat alge loi beng idee Ci) Maid an tpl avi ot ox openers) enon of siomach econ aoe bom ty oe be gms ge ‘avy cong da ir then. Geing soma al eed paneer as a ins ee 1 kite sn rca sch une whe huts Tos a es ead ‘nly he ofthe emu, ding expen nd wih he pat eng ‘Me Ie The vom ue w sc uncon of he heat aera Cae ‘td peng» sl ove ai pk) posk Ossie ecm cing und prey afer song) yy ue oe het ‘at prodacing a ware nasal idoyacamsrt Rays king so ny ‘eu ro sping» pce ool cela sth sgh i. Tie ‘ck nay bendy eas ce with mover. Medina rch Hanna's ie) omit exp epi wth ‘nt sided puter. sys rating ane my Sherdog hh ‘yl ontario nd ite mies {ih pinsiting fin Iau eh fom sn teneer hy the se ‘lean o th het sen ea snd vparitn of et plowed ge Sth ou rept su ae ower tags tinal saga nl nay be head Fosubobon nen fetal enc bs “gine a ing, lower eexftage dae, tent stomach, mcumepricosim with ce! etl apa eg ene, ns an st ay iy 3. ay cot ‘ite amc re enn i's ce” Noa tas her an ced “cing” sua, le ee ches oh ng tg ptr fog ic oping ie mscane 2 Sess mata hay nas ‘Senn Gueg opone te lage sled ey ad ot Fs ea sri Beh Aes See esi Spin Bn erences ‘tae recta he ag oft stn i ea oe ng ‘tone apa tg, tanh on espe cs Cogeco ss a sneer Si i yom ba oe (amir pour ago ang tnd ae oy. a “ra ‘ole Sounds Vor Resonarc) by vocal rscrase (VR) mar he ou Rear oer varus prs fe test ding the AH poh ce pot, bons mae Hye on ‘ice igre vie ate tamil amg Haar pages al hough he ing pcx the chstwall eat ea dary ancanry sound pms, eee a eit“ wie soi "hsp ase Sued Veal resonance isthe wseallnory equivalent of the papay ‘nomenon ce yor em th sae ie gaver he mde of pct, emus, econ and sberlin anced wth ete perme Spoken conde vice sounds oie on” eine win te Ian by vaio fe veel eos: eran tno or vein fe Tange weed” ee tendo bed by olen, sung as ooing chamber snunn wth e l ek yg cave: epensing om steton hae an eof hse maine ‘hie, tes of etn wanelengh ate cenly aaa. ts mening te ong tance fhe pre sa Star neta or mia ‘se aio elle bat ese degree bythe thas la spe ing ‘oman. The prot of sce ssealah cient gic Toone The toe ofthe va cd, wich ancompane ito ‘fhe he sot she ei rnc nl cco play alae ‘sr mo sean. Ne sound ae wally ter herd oer he chen an onc and over Ie Bon tan over te snl oes Ti = cane loaned arp of renin of ach cund gh a ge e ec dependent 1) ry yn) pen ces wal.) cae tnt) apne store