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Haj. It details the evaluation of chest deformities such as Pectus Carinatum, Pectus Excavatum, and Barrel Chest, linking them to conditions like childhood asthma, rickets, and COPD. The examination also covers visible pulsations in the apical and epigastric areas, which can indicate Left Ventricular Hypertrophy, Cardiomyopathy, Tricuspid Regurgitation, or Abdominal Aortic Aneurysm. Furthermore, the document addresses other visible signs like superficial dilated veins indicative of Superior Vena Cava obstruction, and skin discolorations such as bruises related to Warfarin overdose or atrial fibrillation. A significant portion is dedicated to the characteristics and radiation of murmurs, including those from mitral regurgitation, aortic stenosis, and tricuspid regurgitation, and their variations with respiration. The presence of added heart sounds like S3 (Gallop Rhythm), S4, Opening Snap due to mitral stenosis, and prosthetic metallic clicks from valve replacement are thoroughly explained, including their causes and audibility. 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