otoscopy

Question 1

tymapanic membrane assessment

colour?

Answer 1

colour should be pearly grey / translucent

erythema suggests inflammation

Question 2

shape of TM?

Answer 2

flat
if bulging then increased ear pressur e
if retracted reduced ear pressure

Question 3

what do you look for with an otoscope?

Answer 3

colour
shape- flat 
light reflex - anterior inferior qiadrant
L- 7-8pm
R ear- 4-5

perforation
scarring

Question 4

summary of ear exam- otoscopy?

Answer 4

“Today I examined Mr Smith, a 25-year-old male. On general inspection, the patient appeared comfortable at rest and there were no abnormalities noted on inspection of the external ear.”

“Otoscopy revealed normal tympanic membranes and auditory canals. There was no evidence of hearing loss on assessment.”

“In summary, these findings are consistent with a normal examination of the ears.”

“For completeness, I would like to perform the following further assessments and investigations.”

Question 5

what can screen for hearing loss

Answer 5

Audiometry and tympanometry: to screen for hearing loss