Ear/Otoscopic exam Flashcards

1
Q

inspect ear with ___ and looking for

A

pen light

lesions, exudates, deformities, size, shape, symmetry

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2
Q

palpation of

A

entire pinna

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3
Q

findings for pinna palpation

A

tenderness, masses

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4
Q

pull pinna for findings of

A

(otitis externa)

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5
Q

press tragus for findings of

A

(otitis media or externa)

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6
Q

press mastoid for findings of

A

mastoiditis

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7
Q

otoscopic procedure

A
tilt head
held scope with right hand to right ear
pull pinna up and back
stablize pt head
stabilize scope hand
do not insert deep
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8
Q

looking for what during otoscopic in ear canal

A

wax, abrasions, foreign objects, exudates, lesions, exostosis

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9
Q

tympanic membrane normal color

A

pinkish gray

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10
Q

tympanic membrane abnormal color

A

red or amber

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11
Q

red reflex

A

normal

blood vessel dilation from heat of lamp

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12
Q

landmarks of inner ear

A

malleus, incus, handle of malleus, umbo, pars tensa, pars flaccida

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13
Q

perforations are

A

abnormal

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14
Q

cone of light normally

A

points towards chin/jaw

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15
Q

scattered cone of light indicates

A

bulging of TM

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16
Q

narrowing of cone of light indicates

A

retracted TM

17
Q

fluid behind tm is

A

abnormal

18
Q

acute otitis media

A

amber fluid in ear canal, fluid behind membrane

19
Q

acute suppurative otitis media

A

beefy red color, bulging membrane

20
Q

chronic suppurative otitis media

A

punctured tympanic membrane, purulent exudate

21
Q

what performed after exam

A

cranial nerve 8 exam