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Inspection
External ears are symmetrical bilaterally, skin intact with no redness, lesions, or discharge.
Palpation
No swelling or tenderness over the ear on palpation.
Inspection with Otoscope
Technique: pull pinna up and back - hold the entire time, otoscope upside down while back of hand touches patient’s cheek.
External Canal: external auditory canal is clear with no redness, swelling, discharge, or foreign objects.
Tympanic Membrane: pearly gray and intact, normal cone of light, no bulging or retraction.
Whispered Voice Test
Have patient plug their ear while you whisper 3 random numbers and letters.
Able to hear whispered voice bilaterally.