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ENT

Ear case taking

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Complaint n duration

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History of present illness

Repeat complaint again

-duration

-onset-progression

-aggrevating n relieving factors

-describe ass. complaints

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History of present illness

Common complaints of ear disease:-

1.Ear discharge-type of dicharge

(mucopurulent/mucoid/whitish flakes)

-profuse/scanty

-smell

-blood stained/not(contd.)

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Treatment history

Medical/surgical related to ear

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Past history

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Personal history

Meddling in ear with foreign objects

Swimming

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Family history

Any hearig problems in family

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General examination

Palor

Icterus

Cyanosis Clubbing

Koilonychia

Lymphadenopathy Edema

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LOCAL EXAMINATION

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Examination of external ear

Pinna

Post auricular area

Pre auricular area Examination of EAC

Retro auricular sulcus (obliterated/not)

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Examination of TM

Normal/not-features of normal TM?

Retracted?- features of retracted TM?

Bulging?

features of bulging TM? Perforation?-describe perfortion-

site,size,shape? Types of perforation?

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Examination of middle ear

Describe middle ear mucosa?

Structure seen through perforation?

What is promontry? what it indicates?

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Test for mastoid tenderness

3 finger test

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Test for facial nerve func.

F ti l t t f

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Functional tests of ear

-hearing tests

-test for balance Hearing test:-1.tunning fork testsRennes

-Webers

-ABC testwhich tunning fork is used? Why?

2. fistula test

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Examination of throat

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Examination of nose n PNS

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Diagnosis

Right/left sided CSOM safe/unsafe

active/quiscent/inactive with conductive

hearing loss with/without complications

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Management

Surgical

Medical

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Reservoir sign

Quiescentno discharge for 12wks.