3/14/2018 Otoscopic Examination

OTOSCOPIC EXAMINATION

To examine the external auditory canal. To evaluate the

middle ear through the ear drum.

Method Of Exam

Author: A. Consultant: J
Chandrasekhar, MD Stankiewicz, MD

The otoscopic exam is performed by gently

pulling the auricle upward and backward. In
children, the auricle should be pulled
downward and backward. This process will
move the acoustic meatus in line with the
canal. Hold the otoscope like a pen/pencil
and use the little finger area as a fulcrum.
This prevents injury should the patient turn
suddenly.

Inspect the external auditory canal.

Evaluate tympanic membrane
Note the color (red, white,
yellow) and translucency
(transparent, opaque) and
position (retracted, neutral or
bulging) of the drum
Identify the pars tensa with its
cone of light, the handle and
short process of malleus, and
the anterior and posterior
folds of the pars flaccida and

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