Ear Examination

REMEMBER TO DO THE EXAMINATION ON THE UNAFFECTED EAR FIRST

Ear Examination

Procedure

  1. Inspect the external ear using gloved hands (with the aid of a head mirror and goose neck lamp).
  2. Palpate the external ear.
  3. Do otoscopy. Use the largest possible speculum to allow better visualization of the tympanic membrane.
OTOSCOPY
  • 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.
  1. Look for any damage to the ear canal, any unusual discharge. Note the landmarks on the tympanic membrane and its appearance.
  2. Perform the procedure on the affected ear.

Normal Findings

  1. No visible lesions on the external ear. No erythema and no drainage. No gross deformities. Symmetric in shape. Equal in alignment.
  2. No tenderness upon palpation. No palpable masses or nodules.
  3. Otoscopy: Presence/Absence of cerumen. No erythema of the internal ear. No exudates. Tympanic membrane intact. Cone of light appreciated. No effusion.