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The following is the complete examination of ear from pinna up to the tympanic membrane to be described after the complete ear examination .
PINNA
On examination of external ear (both medially and laterally),
the ear looks normal in shape (funnel shaped), size (equal to dorsum of nose)
and position (The Frankfurt line divides the ear in upper one third) with
normal contour (formed by helix, antihelix, conchae, cymbaconchae, tragus,
antitragus and lobule) There is no gross deformity, no swelling or redness. The
pre auricuar area looks normal with no sinus, no pits, redness, swelling or any other mass or skin tags. The
post auricular area looks normal. The postauricular area looks normal with no
ironed out appearance, and no obliteration of retroauricular groove.
On palpation there is no local rise in temperature and or
tenderness both on the pinna and the mastoid. There is no thickening of tissue.
Circumduction can be performed.
EXTERNAL AUDITORY CANAL
On examination of the external auditory canal without
speculum, the size of the meatus is adequate
(normal 8-9mm, stenosed if <4mm)
containing wax and debris. The content is (Profuse/scanty in amount)(Foul
smelling)(Blood mixed). There is no swelling or any mass.
On examination with otoscope or speculum, there is no
furuncles, swelling or mass on the wall of the external auditory canal and
contains().
TYMPANIC MEMBRANE
The tympanic membrane on examination under speculum/otoscope
looks semitransparent glistening and pearly white in color with visible cone of
light and handle of malleus. There is no perforation or bulging of tympanic membrane.
There is no perforation, vesicles on the surface of tympanic membrane, the
mobility of tympanic membrane is not assessed.
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