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OTOSCOPOTOSCOPYYby
Professor Dr Hassan Wahba
Ear, Nose & Throat Department
Faculty of Medicine
Ain Shams University
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Anatomy
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Congenital aural anomalies due to defects of the 1st pharyngeal arch
Preauricular sinus
Accessory auricle
Tags
Absent external auditory
canalAural atresia
Aural atresia
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Hematoma Perichondritis Cauliflower auris
ear
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Herpes Zoster Oticus (Ramsay-Hunt
Syndrome)
Pain + Facial paralysis + vesicles
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Otoscope
examination of the ear
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Proper technique
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XNever examine patient while
standing
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R
LTympanic membrane
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Otoscopy (normal findings)
Hairs
Wax
Hump
KeratinBlood vessels
Collapsed external canal in old age
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Removal of ear wax
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Foreign Bodies
Bead
Bee
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ChronicExternalOtitis
(skin maceration
& keratosis)
Acute External
Otitis (hyperemia &
edema)
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TRAUMA
External canal clotExternal canal clot
HemotympanumHemotympanum
PerforationPerforation
Self-inflicted Self-inflicted perforationperforation
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Otomycosis Otomycosis fungal ball wet-newspaper like
appearance
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Diabetic Ear
necrosis & granulation
s on the floor of the
external auditory
canal
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Neoplasms of the external auditory
canal & auricle
Exostosis Exostosis OsteomaOsteoma
CancerCancer
Rodent ulcerRodent ulcer
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Acute Otitis Media
(hyperemia, bulging, perforation & finally
drainage)
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OME
Otitis media with effusion (OME)
retracted tympanic membrane, fluid level, some air
bubbles, no perforation)
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Tubes
GrommetGrommet GrommetGrommet
GrommetGrommet T-tubeT-tube
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Sequelae of non-
resolvedotitis media
Retraction Retraction pocketpocket
TympanosclerosisTympanosclerosis
AtelectasisAtelectasis
Attic Attic erosionerosion
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Bullous Myringitis bullae on outer
surface of tympanic
membrane
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Perforation of the tympanic membrane
(picture on the right)
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Tubotympanic otitis media
(central perforation)
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Atticoantral otitis media (cholesteatoma)(marginal perforation)
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Cholesteatoma scanty offensive purulent aural discharge from an attic or posterosuperior marginal perforation with
possible cranial or intracranial complications
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Mastoid abscess &
fistula
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Aural polyp pedunculated middle ear
mucosa or granulation tissue
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GlomusPulsating tinnitus & a red mass
behind an intact tympanic membran
e
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Otoscopic examination in Otosclerosis:
Schwartze’s sign
(flamingo red)
Usual finding is a
normal tympanic
membrane
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EAR NOSE & THROAT
by
Professor Dr Hassan Wahba
Professor of Ear, Nose and Throat
Faculty of Medicine Ain Shams University
1000 MCQs in ENT
by Professor Dr Hassan Wahba
Professor of Ear, Nose and Throat Faculty of Medicine
Ain Shams University
Text and references to help the fourth year
undergraduate student
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