REMEMBER TO DO THE EXAMINATION ON THE UNAFFECTED EAR FIRST
- Inspect the external ear using gloved hands (with the aid of a head mirror and goose neck lamp).
- Palpate the external ear.
- Do otoscopy. Use the largest possible speculum to allow better visualization of the tympanic membrane.
- Using your thumb and index finger, pull the pinna of the ear of the patient.
ADULT: backwards & upwards
CHILDREN: backwards & downwards
- Insert the speculum ¼ to ½ inch into the ear canal.
- Look for any damage to the ear canal, any unusual discharge. Note the landmarks on the tympanic membrane and its appearance.
- Perform the procedure on the affected ear.
- No visible lesions on the external ear. No erythema and no drainage. No gross deformities. Symmetric in shape. Equal in alignment.
- No tenderness upon palpation. No palpable masses or nodules.
- Otoscopy: Presence/Absence of cerumen. No erythema of the internal ear. No exudates. Tympanic membrane intact. Cone of light appreciated. No effusion.