Otoscopy

Question 1

What to look for: Ears

Answer 1

Inspect the auricle and surrounding tissue

Observing for Deformities, Lumps, Bumps, Skin lesions, Cauliflower ears, Tophi or Discharge

Question 2

Ear Tug test:

Answer 2

Gently pull down on the ear lobe, or press
the tragus to see if it causes pain

Pain – Otitis Externa
No Pain – Otitis Media

Question 3

Examining ear with Otoscope

Answer 3

Position the patients head so you can comfortably see
through the otoscope

Straighten the right ear canal using the fingers of your left
hand to grasp the auricle firmly but gently and pull it
upwards, backwards and slightly away from the head

• Insert the speculum gently into the ear canal,
  directing it somewhat down and forward &
  through any hairs.
• Switch hands when examining the left ear- by
  holding it with your left hand

Question 4

Looking for at the canal

Answer 4

• Earwax (Cerumen)
• Inflammation (redness)
• Foreign Bodies
• Swelling Blood

Question 5

Also looking at

Answer 5

*Tympanic membrance
*Cone of light
*Malleus
*Short Process of Malleus &
*Incus

Question 6

At the tympanic membrane i am loking for

Answer 6

Colour
Shape
Light reflex
Perforation
Scaring

Question 7

Anatomy of the ear

Answer 7

Pars flaccida
Incus
Pars tensa

Lateral process of malleus
Handle of malleus
Cone of light