Ears and Eyes

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Ears and Eyes

• By
• Donald Hudson, D.O., FACEP/ACOEP

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Ears

• External Examination (Auricle and Mastoid)
• Size
• Shape
• Symmetry
• Color
• Position
• Tenderness
• Odor

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Ears

• Otoscope
• Speculum
• Position
• Patient
• Scope
• Auricle
• Up and back

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Ears

• Otoscope
• Canal
• discharge
• scaling
• redness
• lesions
• foreign bodies
• cerumen

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Ears

• Otoscope
• Tympanic Membrane
• landmarks
• color
• contour
• perforations

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Note fluid behind membrane retraction
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Retracted Tympanic membrane
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Bulging Tympanic Membrane
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Bulging Tympanic Membrane
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Bulging Tympanic Membrane
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Ruptured Tympanic Membrane
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Ruptured Tympanic Membrane
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Drum missing, chronic
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Drum missing
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Eyes

• External Examination
• Orbital Area, Eyelid
• Conjunctivae/Cornea
• Clear
• Foreign body
• Ulcers
• Erythema/Exudate
• Hyphema
• Pupils/Iris

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Eyes

• Opthalmoscopic Examination
• Examine
• Optic Disc
• Arteries
• Veins
• Retina
• Set Up
• Tiring
• Pupil Dilation
• Method
• Settings

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Eyes

• Opthalmoscopic Examination
• See only small portions at a time
• Red Reflex
• Fundus
• Yellow or Pink
• Vascular Supply
• Focus on vessel
• Branch away from Optic disk
• Arterioles/Venioles

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Eyes

• Opthalmoscopic Examination
• Disk
• Margins sharp and well defined
• Macula (Fovea Centralis)
• Central Vision/ Color
• Difficult to examine

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