Focused exam: Cough shadow health answers – assignmenthandlers

Thanks for saying that.

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 Washed hands.

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04/02/23 3:08 PM MDT

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 Measured blood pressure

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04/02/23 3:09 PM MDT

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 Measured heart rate

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 Measured pulse oximetry

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04/02/23 3:09 PM MDT

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 Measured respiratory rate

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 Measured temperature

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 Tested lung capacity with spirometer: FEV1: 1.549 L, FVC 1.78 L (FEV1/FVC: 87%)

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04/02/23 3:10 PM MDT

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 Inspected upper conjunctiva

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04/02/23 3:10 PM MDT

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 Inspected right orbital area and sclera

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 Inspected left orbital area and sclera

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 Inspected lower conjunctiva

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 Performed otoscopic examination of right ear

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04/02/23 3:11 PM MDT

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 Performed otoscopic examination of left ear

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04/02/23 3:11 PM MDT

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 Performed otoscopic examination of right naris

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 Performed otoscopic examination of left naris

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 Inspected mouth

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 Inspected front of neck

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 Inspected right side of neck

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 Inspected back of neck

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 Inspected left side of neck

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 Inspected anterior chest wall

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04/02/23 3:12 PM MDT

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 Inspected posterior chest wall

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 Palpated frontal sinuses: No tenderness reported

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 Palpated maxillary sinuses: No tenderness reported

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 Palpated lymph nodes of head and neck: Enlarged and reported tenderness on the right side

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04/02/23 3:13 PM MDT

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 Palpated supraclavicular lymph nodes: Not palpable

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04/02/23 3:13 PM MDT

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 Palpated axillary lymph nodes: Not palpable

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04/02/23 3:13 PM MDT

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 Palpated fremitus in anterior upper chest wall: Present and equal bilaterally

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04/02/23 3:14 PM MDT

Danny Rivera.

Ninety-nine.

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 Palpated fremitus in anterior lower chest wall: Present and equal bilaterally

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04/02/23 3:14 PM MDT

Danny Rivera.

Ninety-nine.

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 Palpated fremitus in posterior upper chest wall: Present and equal bilaterally

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04/02/23 3:14 PM MDT

Danny Rivera.

Ninety-nine.

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 Palpated fremitus in posterior middle chest wall: Present and equal bilaterally

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04/02/23 3:14 PM MDT

Danny Rivera.

Ninety-nine.

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 Palpated fremitus in posterior lower chest wall: Present and equal bilaterally

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04/02/23 3:14 PM MDT

Danny Rivera.

Ninety-nine.

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 Palpated chest expansion: Both sides rise symmetrically

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04/02/23 3:14 PM MDT

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 Auscultated breath sounds in anterior right upper lobe

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04/02/23 3:15 PM MDT

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 Auscultated breath sounds in anterior left upper lobe

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04/02/23 3:15 PM MDT

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 Auscultated breath sounds in anterior right upper lobe

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04/02/23 3:15 PM MDT

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 Auscultated breath sounds in anterior left middle lobe

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 Auscultated breath sounds in anterior right middle lobe focused exam: cough shadow health answers

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04/02/23 3:15 PM MDT

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 Auscultated breath sounds in anterior left middle lobe

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04/02/23 3:15 PM MDT

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 Auscultated breath sounds in anterior right lower lobe

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04/02/23 3:15 PM MDT

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 Auscultated breath sounds in anterior left lower lobe

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04/02/23 3:15 PM MDT

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 Auscultated breath sounds in posterior left upper lobe

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04/02/23 3:16 PM MDT

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 Auscultated breath sounds in posterior right upper lobe focused exam: cough shadow health answers

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04/02/23 3:16 PM MDT

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 Auscultated breath sounds in posterior left mid-back (lower lobe)

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04/02/23 3:16 PM MDT

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 Auscultated breath sounds in posterior right mid-back (lower lobe)

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 Auscultated breath sounds in posterior left lower lobe near spine

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04/02/23 3:16 PM MDT

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 Auscultated breath sounds in posterior right lower lobe near spine

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04/02/23 3:16 PM MDT

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 Auscultated breath sounds in posterior left lower lobe on side

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04/02/23 3:16 PM MDT

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 Auscultated breath sounds in posterior left lower lobe

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04/02/23 3:16 PM MDT

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 Auscultated breath sounds in posterior right lower lobe

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04/02/23 3:16 PM MDT

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 Auscultated breath sounds in posterior right lower lobe on side

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 Auscultated voice sounds in anterior right upper lobe

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04/02/23 3:16 PM MDT

Danny Rivera.

Ninety-nine.

Danny Rivera.

Ninety-nine.

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 Auscultated voice sounds in anterior left upper lobe

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04/02/23 3:16 PM MDT

Danny Rivera.

Ninety-nine.

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 Auscultated voice sounds in anterior right upper lobe

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04/02/23 3:16 PM MDT

Danny Rivera.

Ninety-nine.

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 Auscultated voice sounds in anterior left mid-chest (upper lobe)

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04/02/23 3:16 PM MDT

Danny Rivera.

Ninety-nine.

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 Auscultated voice sounds in anterior right middle lobe

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04/02/23 3:17 PM MDT

Danny Rivera.

Ninety-nine.

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 Auscultated voice sounds in anterior left mid-chest (upper lobe)

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04/02/23 3:17 PM MDT

Danny Rivera.

Ninety-nine.

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 Auscultated voice sounds in anterior right lower lobe

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04/02/23 3:17 PM MDT

Danny Rivera.

Ninety-nine.

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 Auscultated voice sounds in anterior left lower lobe

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04/02/23 3:17 PM MDT

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 Auscultated voice sounds in posterior left upper lobe

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04/02/23 3:17 PM MDT

Danny Rivera.

Ninety-nine.

Danny Rivera.

Ninety-nine.

Danny Rivera.

Ninety-nine.

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 Auscultated voice sounds in posterior right upper lobe

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04/02/23 3:17 PM MDT

Danny Rivera.

Ninety-nine.

Danny Rivera.

Ninety-nine.

Danny Rivera.

Ninety-nine.

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 Auscultated voice sounds in posterior left mid-back (lower lobe)

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04/02/23 3:17 PM MDT

Danny Rivera.

Ninety-nine.

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 Auscultated voice sounds in posterior right mid-back (lower lobe)

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04/02/23 3:17 PM MDT

Danny Rivera.

Ninety-nine.

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 Auscultated voice sounds in posterior left lower lobe near spine

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04/02/23 3:17 PM MDT

Danny Rivera.

Ninety-nine.

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 Auscultated voice sounds in posterior right lower lobe near spine

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04/02/23 3:17 PM MDT

Danny Rivera.

Ninety-nine.

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 Auscultated voice sounds in posterior left lower lobe on side

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04/02/23 3:17 PM MDT

Danny Rivera.

Ninety-nine.

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 Auscultated voice sounds in posterior left lower lobe

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04/02/23 3:17 PM MDT

Danny Rivera.

Ninety-nine.

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 Auscultated voice sounds in posterior right lower lobe

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04/02/23 3:17 PM MDT

Danny Rivera.

Ninety-nine.

Danny Rivera.

Ninety-nine.

Danny Rivera.

Ninety-nine.

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 Auscultated aortic area with the bell

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04/02/23 3:18 PM MDT

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 Auscultated pulmonic area with the bell

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 Auscultated Erb’s point with the bell

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 Auscultated tricuspid area with the bell

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 Auscultated mitral area with the bell

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 Auscultated mitral area with the diaphragm focused exam: cough shadow health answers

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04/02/23 3:18 PM MDT

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 Auscultated aortic area with the diaphragm

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 Auscultated pulmonic area with the diaphragm

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04/02/23 3:18 PM MDT

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 Auscultated Erb’s point with the diaphragm

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04/02/23 3:18 PM MDT

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 Auscultated tricuspid area with the diaphragm

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04/02/23 3:18 PM MDT

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 Auscultated mitral area with the diaphragm

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 Percussed anterior right upper lobe

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04/02/23 3:23 PM MDT

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 Percussed anterior left upper lobe

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 Percussed anterior right middle lobe

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 Percussed anterior left mid-chest (upper lobe)

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04/02/23 3:23 PM MDT

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 Percussed anterior right lower lobe

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 Percussed anterior left lower lobe

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04/02/23 3:23 PM MDT

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 Percussed posterior left upper lobe

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04/02/23 3:23 PM MDT

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 Percussed posterior right upper lobe

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 Percussed posterior left mid-back (lower lobe)

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04/02/23 3:23 PM MDT

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 Percussed posterior right mid-back (lower lobe)

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 Percussed posterior left lower lobe

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04/02/23 3:23 PM MDT

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 Percussed posterior right lower lobe

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 Percussed posterior left lower lobe on side

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 Percussed posterior left lower lobe near spine

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 Percussed posterior right lower lobe near spine

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 Percussed posterior left right lobe on side

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 Measured diaphragmatic excursion: 3 cm

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04/02/23 3:24 PM MDT

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Danny, we want to make sure you dont develop an infection and become more sick by taking you through the different that can prevent that and the focus will be on your risk factors. Some of your risk factors include you being close to a sick friend, exposure to cigar smoke, having touches your face with uncleaned fingers. They may sound a lot but by working together and mitigating your risk factors can be easy and effective

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04/02/23 4:43 PM MDT

Danny Rivera.

OK. I get it!

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To make sure you dont become sicker, I will talk to you and your father and what must e done. The three of us will collaborate and agree to your health goals. Then both of you will repeat what you have learnt to be sure you have understood all which should be done.

Educate
04/02/23 4:48 PM MDT

Danny Rivera.

Alright.

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Does the plan sound good to you?

Educate
04/02/23 4:49 PM MDT

Danny Rivera.

We can do it! I love learning and I’m really a good learner.

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If you don’t have any other question, we can start our discussion.

Educate
04/02/23 4:49 PM MDT

Danny Rivera.

Okie dokie artichokey.