How do I document normal ear exam?
Documenting a normal exam of the head, eyes, ears, nose and throat should look something along the lines of the following:
- Head – The head is normocephalic and atraumatic without tenderness, visible or palpable masses, depressions, or scarring.
- Eyes – Visual acuity is intact.
How do you examine the tympanic membrane?
The otoscopic exam is performed by gently pulling the auricle upward and backward. In children, the auricle should be pulled downward and backward. This process will move the acoustic meatus in line with the canal.
What is the normal color of the tympanic membrane?
A normal TM is a translucent pale gray. An opaque yellow or blue TM is consistent with MEE. Dark red indicates a recent trauma or blood behind the TM. A dark pink or lighter red TM is consistent with AOM or hyperemia of the TM caused by crying, coughing, or nose blowing.
How do I document a neurological assessment?
Documentation of a basic, normal neuro exam should look something along the lines of the following: The patient is alert and oriented to person, place, and time with normal speech. No motor deficits are noted, with muscle strength 5/5 bilaterally. Sensation is intact bilaterally.
How do you describe a normal eye?
Normal: Eyeballs are symmetrical in size and position. The eyeballs are in the same plane as eyebrow and maxilla. The upper lid covers upper portion of cornea , when the patient is looking straight.
What is Otoscopic examination?
Otoscopy is a clinical procedure used to examine structures of the ear, particularly the external auditory canal, tympanic membrane, and middle ear. While performing the otoscopic examination, the provider holds the handle of the otoscope and inserts the cone of the otoscope into the patient’s external auditory canal.
What does a dull tympanic membrane mean?
A dull or absent light reflex from the eardrum may be a sign of a middle ear infection or fluid. The eardrum may be red and bulging if there is an infection. Amber liquid or bubbles behind the eardrum are often seen if fluid collects in the middle ear. Abnormal results may also be due to an external ear infection.
What does a red tympanic membrane mean?
A common finding is a red eardrum which may also appear bulging or immobile. A red eardrum is almost always accompanied by other symptoms such as a fever, earache, or ear discharge. Middle ear infections are often caused by a bacterial infection and usually treated with antibiotics.
What instrument is used to examine the tympanic membrane?
An otoscope is an instrument used to visually examine the external ear canal and tympanic membrane. Eardrum or tympanic membrane is a thin layer of tissue in human ear that receives sound vibrations from the outer air and transmits them to the auditory ossicles, which are tiny bones in the tympanic cavity. 0.0.
What is instrument used to cut the tympanic membrane?
During myringotomy procedures (also known as tympanotomy), fluids, pus and other buildup is removed by a surgeon who uses a myringotomy knife to create a small incision in the ear drum and/or tympanic membrane. After creating the incision, a tube (commonly referred to as a tympanostomy tube) is inserted into the middle ear.
How many layers are in the tympanic membrane?
The tympanic membrane is comprised of three layers of tissue: the outer cutaneous layer, the fibrous middle layer, and a layer of mucous membrane on its innermost surface. The membrane is held in place by a thick ring of cartilage, a tough but flexible kind of tissue.
What causes tympanic membrane perforation (TMP)?
Infection is the principal cause of tympanic membrane perforation (TMP). Acute infection of the middle ear may cause a relative ischemia in the drum concurrent with increased pressure in the middle ear space. This leads to a tear or rupture of the eardrum that is usually preceded by severe pain.
