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[[Vital Signs|Vital signs ]] can be very telling in a patient with death: temperature is room temperature or less, blood pressure is 0, heart rate is 0, respiratory rate is 0, and oxygen saturation is 0%. [[Physical Exam|Physical exam ]] can be very challenging due to the patient's lack of participation. <ref>[http://gomerblog.com/2016/09/ama-holds-funeral-service-for-physical-exam/ AMA Holds Funeral Service for Physical Exam]</ref>