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Otoscope/Auriscope: to examine the external auditory canal and ear drum; used during aural toileting, removal of wax, myringotomy, stapedectomy and to dilate the stenosis of canal Mouth gag - •Doyen's mouth gag: to keep the mouth open, mostly operate the mouth •Boyle Davis mouth gag
An otoscope or auriscope is a medical device used by healthcare professionals to examine the ear canal and eardrum. [ 1 ] [ 2 ] [ 3 ] This may be done as part of routine physical examinations , or for evaluating specific ear complaints, such as earaches, sense of fullness in the ear, or hearing loss .
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Diagnosing bullous myringitis involves using an otoscope to spot distinctive white sack-like structures on the eardrum.Ear pain is the primary complaint. However, differentiating it from acute otitis media can be difficult, leading to early misdiagnosis.The rarity of bullous myringitis, especially compared to acute otitis media, can result in common misdiagnoses.
Use of antibiotics for acute otitis media has benefits and harms. As over 82% of acute episodes settle without treatment, about 20 children must be treated to prevent one case of ear pain, 33 children to prevent one perforation, and 11 children to prevent one opposite-side ear infection.
Touching or moving the outer ear increases the pain, and this maneuver on physical exam is important in establishing the clinical diagnosis. It may be difficult to see the eardrum with an otoscope at the initial examination because of narrowing of the ear canal from inflammation and the presence of drainage and debris. Sometimes the diagnosis ...
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