1 21 st CENTURY EAR EXAM Ronald Angoff, M.D., F.A.A.P Critical Issues in School Health Crowne Plaza Hotel Cromwell Thursday 28 March 2013.

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Presentation transcript:

1 21 st CENTURY EAR EXAM Ronald Angoff, M.D., F.A.A.P Critical Issues in School Health Crowne Plaza Hotel Cromwell Thursday 28 March 2013

2 DI$CLO$URE $$ I have no commercial ties to disclose $$

TEXT

4 GOALS FAMILIARIZE AUDIENCE WITH THE ANATOMY OF THE EAR CANAL AND DRUM DISTINGUISH VARIOUS CAUSES OF EAR PAIN IN STUDENTS DEMONSTRATE EXAMPLES OF NORMAL AND DISEASED EAR CANALS AND DRUMS REVIEW CURRENT THINKING ON ACUTE OTITIS MEDIA AND ITS TREATMENT PROVIDE HANDS-ON OPPORTUNITY TO USE COMPUTERIZED TEACHING OTOSCOPE WHILE EXAMINING EACH OTHER’S EAR IN SMALL GROUPS

Proper Orientation of Otoscope

NORMAL EAR ANATOMY

OTITIS EXTERNA 7

SWIMMERS EAR 8

9 TYPICAL AREA FOR WAX TO SIT

NORMAL EAR DRUM ANATOMY Maleus short process Stapes thru translucent TM Pars flaccida Maleus long process Umbo Light reflex LEFT EAR

NORMAL EAR ACTUAL PHOTO LIGHT REFLECT RIGHT EAR ROTATED 90 DEGREES

NORMAL EAR ANATOMY SHOWING NORMAL RED REFLEX ALONG MALEUS

Acute Otitis Media

Serous Otitis Media

Tympanosclerosis

Tympanostomy (PE) Tube

Normal Ear 18

Normal Ear 19

Plug USB into light and computer

Click Start in Windows Device will show up as Video Camera or DMV

Press either button to take photo. Hold one to zoom. Hold both to flip image 180 degrees. Focus with knob

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