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Crepitus Crackling sensation with palpation. Diaphragmatic excursion Distance that the diaphragm moves with inhalation. Dyspnea Shortness of breath. Femitus Vibrations on the chest with talking. Hemoptysis Sputum with blood. Kyphosis very bent over posture. Orthopnea Difficulty breathing when lying flat. Pallor Very pale skin color. Paroxysmal nocturnal dyspnea Sudden onset of shortness of breath at night. Purulent Sputum cloudy with bacteria. Rubor Reddish skin color. Scoliosis Spine that curves to one side in an area. Tenacious Very thick sputum.