ears and nose

symmetry

equal in size bilaterally

auricle position

pinna in line c lateral canthus of both eyes

external ear

smooth s lesions, color consistent with facial color, no discharge present, non tender auricle and mastoid process

external canal

small amount of yellow odorless cerumen, pink canal walls, tympanic is shiny pearly grey, no nodules

whisper test

able to repear 3-6 two syllable words

watch tick test

able to hear tick approximately 5 inches away from ear

weber’s test

hears vibrations equally, no lateralization

rinne’s test

AC > BC

external portion

color consistent with facial color, smooth and symmetric, no tenderness noted

patency

able to sniff and blow in each nostril while the other is occluded

internal portion

dark pink nasal mucosa, free from exudate, intact and free ulcers, nasal septum at midline

sinuses

clear frontal and maxillary sinuses, red glow on transillumination, non tender to palpation