Examination of Ear: How to describe

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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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Oral Cavity Examination : How to describe.

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Complete description of oral cavity examination. 

LIP

The mucosa of lips on examination is pink in color, shiny and lustrous. The vermilion border looks normal. There is no angular stomatitis, No swelling, no vesicles, ulcers scars or cleft lip.

BUCCAL CAVITY

On examination of mouth and oral cavity, there is no restriction in opening of mouth, the buccal mucosa looks normal with no abnormal change in color and surface epithelium. Opening of parotid gland opposite the upper second molar looks normal and patent without any redness swelling or pus.( If inflamed-On applying pressure over the parotid gland there is no discharge.)

No halitosis present.

TEETH AND GUMS

On examination of gums and teeth, there is no redness or swelling over the gingival. There is no extraction of teeth. Dental caries are present on xyz teeth / No dental caries or abnormal dental pattern noted. Gingiolabial sulcus, gingiobuccal sulcus and Retromolar trigone looks normal. 

HARD PALATE AND SOFT PALATE

The mucosa overlying the hard and soft palate looks pink, moist and normal. The uvula is placed centrally and on asking the patient to say AHH there is symmetrical movement of palate and no deviation of uvula is noted

There is no cleft palate, oronasal fistula, No high arched palate, no bulge. No midline bony growth, mass or ulcer.  

TONGUE and FLOOR OF ORAL CAVITY

On examination of tongue, the tongue is normal in shape, size and tone and bulk. No restricted motility on outward protusion, sideways movement and upward movement. There is no fasciculation and deviation of tongue on outward protusion. There is no coating, ulcer or fissure over the surface of the tongue. No ulcers on the lateral margin of tongue.

Opening of submandibular gland on either side of the frenulum on the undersurface of tongue is visible. There are no swelling or redness or pus. There is no scar, ulcer or swelling on the undersurface of tongue.

On bimanual palpation of submandibular salivary gland, there is no swelling or hard masses (stones).                         

Learn How to describe other systems and pathological conditions.

| Abdominal | Respiratory | Cardiovascular | Nose and PNS | Oral Cavity | Ear | Digital Rectal Examination | Ulcer |