Ear Pain 5: Otoscope Examination

Queen's Meds 115: Family Medicine
Ear Pain. Part 5 of 5

[@elizabetha8565]

That's one patient kid!

[@tblixky5512]

I see what you did there

[@virginiegat4310]

@@tblixky5512 kvdxldjd zejwulqiw eh f dxve ils bshwhx shxhzvznxb.zid

[@kaitlyncocuzzo607]

What a great kid!! His face when you mentioned shoving it into the whole canal killed me. Hes so cute

[@reco45rs]

Thank you a lot for sharing. as a medical student, I find this video very useful. Greetings from Saudi Arabia!

[@msharialzahrani3031]

I'm also from Saudi Arabia and I found this video very helpful too, 6 years later! You said this as medical student 6 years ago. What are you now? :)

[@softie473]

Hi ! Are you still a medical student 6 years later ??

[@giraffejuice]

@@softie473 probably not

[@softie473]

@@giraffejuice I know my comment is silly I should delete it sorry

[@glitchynikki]

oh my GOD THAT KID IS SUCH A CUTIE

[@Concerned_Robot]

Go marry him then! 😆

[@charlottecharlottet1]

Excellent tutorial, very helpful, thank you so much for explaining a thorough, sensible, sensitive (to the patient) and safe method.

[@fdboucher]

Excellent! That kid is really nice! In small children, I do lift the angle of the handle a little more, so it's not my fingers that rest on the child's cheek, but the heel of my hand (hypothenar). On a lying infant or toddler, this provides even more control. Right ear - Right hand, Left ear - Left hand… Thank you for this excellent, detailed video.

[@shelliewhalen9131]

School Nurse. Thank you. Very helpful!

[@JithinBhagavatiKalam]

That cute giggle at the end. 😊

[@ismailhamza8274]

Satish did so well. Helpful video.

[@Fdadani]

Great Vid! Always love watching the pros at work.

[@reizu5436]

Aw the kid is adorable

[@janevasileski6047]

Good explained, and the safest and the very best way.

[@Lifegoals4me]

Sateesh is precious! Great video!

[@nunchukgrl2]

Thank you Satija (sp) for being an amazing patient model

[@marcosbinda639]

There are otoscopes that dont let you see the eardrum clearly unless you insert the speculum quite deep

[@mikhailmobius2308]

Thank you so much for this Dr. Sylvester! I was wondering why it was so difficult to visualize the whole tm on a pediatric patient. I just need to bend their head a bit.

[@dgkinase]

Awesome video. Thanks.

[@daveb3910]

Thank you very much

[@ashleykipling3854]

Thank you, I showed my 4 year old so she's not scared of the Dr later, I believe she has an ear infection

[@isackngoma9538]

Beautiful explaination

[@aftermathmatix]

Daym he really pulled that ear hard

[@americanhearingcenter]

Very helpful!

[@frances4773]

very well explained. Thank you

[@mrnanji1]

why check behind the ear-What does a cancerous lump behind the ear feel like? Lump behind ear: Causes, diagnosis, and more In some cases, a lump behind the ear may be cancerous. A cancerous lump is typically firm to the touch and fixed in place. It may also be painful and produce discharge. It is best to contact a doctor as soon as a person notices a new lump or experiences changes in an existing lump

[@MrAnakindra]

Shouldn´t we be puling the auricula downwards and backwards on children? Or is the patient to old?

[@brandonten-fah782]

I had the same thought

[@Musicdemocracy]

only if they are under 2 or 3 years old

[@brittneysherin5160]

So helpful as a new FNP student

[@lukekintsukuroi2383]

very nicely thought; thank you MJ :)

[@rebec7063_]

Very helpful, thank you, very clear

[@lenaalsaleem3769]

Thank you so much, but many times it’s difficult to see the TM, because the external ear canal is full of wax and hair, how to solve this problem?

[@nishantgogna270]

Very helpful! Thank you!

[@h.a7688]

thank you quite informative

[@ilkinond]

cool video

[@metalgamingwarrior2714]

Great intel. Thx Doc.

[@michellebuckley6915]

Why pulling UP in a child ? The preparation for the NCLEX says not to pull it up or May I’m confused?

[@AlexMBJ]

I realize many professionals have been taught this method, but, please forgive me, it's always seemed a sloppy way of handling the otoscope. A sure and safe method is to grip the head of the otoscope between the thumb and first two fingers, letting the middle finger extend past the speculum to rest securely against the patient's head as you approach the canal (the 3rd and 4th fingers wrap around the otoscope handle). This gives extremely precise and safe control of the speculum in all cases. A right-hander can keep the otoscope in the right hand, there's no need to switch hands between ears. And in the video, when the doctor switches to the right ear, it appears he is no longer letting his knuckles rest against the patient's cheek as he places the tip of the speculum at the opening of the canal. Again, please forgive me, but that just appears a bit unsafe.

[@MjSylvesterMD]

Thank you for your comment. I believe that there are several ways to safely and effectively use an otoscope. I must admit, I could not replicate your grip based on your description - perhaps you can offer a link or a photo. I bet we can agree that any grip that allows fine motor control, a good view of the TM, and protects the patient from harm is a good grip! If the user is more comfortable remaining with the dominant hand for both ears, so be it. I must admit, given that all medical students must switch hands for the arguably more complex skill of opthalmoscopy, I find it odd to recommend using only the dominant hand for otoscopy. But once again, if we use control, effectiveness and safety as a guide, we can't go wrong! Good catch! It does indeed appear that I have let go of my bracing finger on the close-up shot. I will put that down to the distraction of video work - and will hereby officially recommend against examining your patient while attempting close-up video!

[@AlexMBJ]

MjSylvesterMD Thanks for your kind reply, Doctor. I'm sorry I don't have a link to point to, a picture would be worth a thousand words-

[@marcosbinda639]

I tried an otoscope and the eardrum wasnt in focus unless i got it deep in the ear canal

[@fdboucher]

Be mindful that some otoscope lenses may be focused… Yours might have been out of…

[@ahmedabdelaziz6954]

Thanks :)

[@maha_salim]

Thank you

[@udaykiran8061]

Thank you sir

[@WhyDoIneedAhandle-]

HE'S SO CUTE OK bye

[@shahbazalikhawaja1587]

cutei satish

[@kpopworld4071]

The kid is adorable

[@jsv07018]

can you do a video on eye exam too?

[@ExioElioCabreja]

COOL

[@joseguzman420]

Is that kid real?

[@joseguzman420]

Yes, or no

[@EliteTVman6442]

@@joseguzman420 yes

[@Setyoko2024]

many talk..