Ear Flashcards
Common Presentations
HOPES Hearing Loss Otorrhea Pain Equilibrium - Vertigo Sounds in the ear - Tinnitus
Dizziness
Discharge
Red flag
Neuorlogical signs
Weight loss
Neck lumps
Facial Nerve weakness
What is relevant in Past Medical History?
Cardiovascular disease
Endocrine - thyroid, diabetes,
Previous surgery
Medication that can affect hearing/dizziness/balance
Aminoglycosides
Cardiovascular - Beta blockers, diuretics
External observations of ear
Pinna Skin tags Piercings Pits and Sinuses Discharge
Internal
Discharge
Tears
Debris
Is eardrum visible?
Examinations
External Otoscopy Fistula Fields Facial Nerve Exam Forks
Where do you place tuning fork in Weber’s test?
Middle of head
Normal sign in weberes
Sound heard equally in both ears
Rinne’s test?
Fork placed in front and behind on the bone
Positive Rinne’s Test
Air conduction better than bone
Negative Rinne’sz
Bone conduction better than air
Weber’s - heard louder in right ear
Right ear has hearing loss
False negative - deaf ear
Bone conduction heard better because of skull cross over
What is otitis externa?
Inflammation of external auditory canal can extend to pinna
