Ear examination

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By the Book

From P

Conditions

otitis media Red, bloodshot, pus-filled quite common, particularly in kids can be acute or chronic chronic doesn’t have the associated redness, but there is scarring of the drum drum contracts, which accentuates tenting

perforated ear drum Hole in the ear drum appears as hole in the ear drum

serous otitis Middle ear fills up with fluid not inflamed / red / scarred usually tube is blocked that would drain the fluid (due to swelling or infection)

Techniques weber Uses tuning fork neural deafness – lateralizes to good ear conductive deafness – lateralizes to deaf ear

rinné Uses tuning fork tests air conduction vs. bone conduction (air > bone)