General inspection
alert/ conscious
comment on size [need to plot on growth chart]
commenting on respiratory rate [RR=20, other vital signs normal]
clubbing of fingernails
checking throat/or nose (polyps)/ or asking for ear exam
noisy breathing/ stridor, wheezing
signs of distress;
grunting
flaring of alae nasi
cyanosis
use of accessory muscles (retractions; suprasternal, intercostal, subcostal)
chest inspection
shape of chest or symmetry /antero-posterior diameter
breathing pattern (thoraco-abdominal)
scars
chest deformities
palpation ⇒
wash hands/ use hand sanitizer
ask for permission to examine/ interact with child