Auriscope examination

Question 1

Before starting what should be done?

Answer 1

1) Screen for pain
2) Ensure patient is comfortably seated
3) Select appropriate speculum

Question 2

What can be seen anterior-inferior aspect?

Answer 2

Light reflex

Question 3

What can be seen anterior-superior aspect?

Answer 3

Anterior fold

Question 4

What can be seen posterior-superior aspect?

Answer 4

Posterior fold

Question 5

What can be seen centrally passing forwards?

Answer 5

The handle of malleus

Question 6

What is found centrally at the superior aspect?

Answer 6

The attic

Question 7

What is the region most superior and anterior referred to as?

Answer 7

The Pars flaccida

Question 8

What is the region most inferior referred to as?

Answer 8

The Pars tensa

Question 9

What is the “ear drums” true name?

Answer 9

The tympanic membrane

Question 10

When examining what are you looking for?

Answer 10

> Colour – pearly grey and translucent (normal) / erythematous (inflammation)

> Erythema or bulging of the membrane – inspect for a fluid level e.g. otitis media

> Perforation of the membrane – note the size of the perforation

> Light reflex – absence/distortion may indicate ↑ inner ear pressure e.g. otitis media

> Scarring of the membrane – tympanosclerosis – can result in significant hearing loss

> Cholesteatoma – around the superior part of the eardrum

Question 11

When would you change speculum between ears?

Answer 11

> Confirmed infection

> Any discharge was present