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ENT • CLINICAL PRACTICE Ear examination

Reprinted from Australian Family Physician Vol. 34, No. 10, October 2005 4 857 Ear problems represent a significant proportion of cases seen in primary PRACTICE both in paediatric and adult patients. The majority of these ear problems can be diagnosed on the basis of CLINICAL examination of the ear alone. This can be achieved simply with an otoscope and tuning fork without the need for further tests or delay. The purpose of otoscopic examination is to evaluate the condition of the ear canal, tympanic membrane and the middle ear. However, the ear canal and tympanic membrane are not easy to examine because of their relative inaccessibility and the need for both magnification and illumination.

Clinical practice: Ear examination – A practical guide Using the otoscope The otoscope is always held by the physician in the hand that correlates with the side of the ear to be examined, ie. the ... and by physically trapping debris. The ear is a self cleaning organ as epithelial migration gradually moves cerumen toward the external auditory ...

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