Clinical Examination of Ear - Clinical Skills - Dr Gill

[Music] hello my name is dr gill i've been asked to do an examination of your ears today uh before we go any further could you confirm to me your name and date of birth yeah it's i'll be talk to the 7th of december 96. thank you so in terms of having a look at your ears today that'll involve me literally having a look it'll involve me putting a speculum into your ears and seeing what the tympanic membrane your eardrum looks like also putting my hands either side of your head and moving you around on the couch and then also seeing how your internal ears are working would that be right yeah so to start off with do you have any problems with your hearing at the minute do you have any added sounds in your there's hearing pain in your ears okay so what i'm going to do i'm going to ask you to close your eyes and i'm going to put my hands either side of your um head and i want you to tell me if you can hear something being whispered okay so if you close your eyes please 42 42 okay we're going to do the same on the opposite side 99 99 excellent okay so we're going to just uh get this speculum and i'm just going to have a quick look at your actual ears so everything appears normal i can't see any odd positions if you can move your hair backwards please okay and there's no bruising on that okay so is there any pain or tenderness at the front there no okay and if i pull back like that nope okay so i'm just going to put the speculum in here we're going to go in and have a look and have a good look around okay any discomfort at the back there no okay do the same again can't see anything underwater if you can move your hair back please all right thank you can't see any obvious bruising there's no redness i'm going to touch your hair if you don't mind so i'm just going to press over the front of the air any pain or tendons there no and if i pull back like so any problems no super i'm just going to put the speculum in i'm just going to have a look around and i can't see anything that's all good so what i'm going to do now if you'd be if you're happy i'm going to step behind you i'm going to put my hands on your neck and have a look for any lymph nodes is that okay so i'm just going to step behind we're going to have a little look at the lumps and bumps could you move your hair backwards please okay so we're going to start off in front of the ears tell me if there's any pain or discomfort and then behind the ears if i tap there any problems if i tap there any problems no okay so just going to feel around here so i'm just going to check around here and just raise your shoulders up for me that's fine and back down need to go under around the chin and jaw and then up at the back of the head that's all good so what we now need to do uh we're going to have a look how your internal ear is working so again i'm going to step behind you i'm going to get you to lie back but i'm going to hold your head in a position as we do that i'm going to lie you down and i need to have a look at your eyes as you do that thank you so before we start that do you have any problems with your neck no super if you could swing your legs up please so i'm going to put my hands on your head and turn you toward me and then we're going to lean you back head all the way back that's ground we'll sit up and we'll come over this side and then all lie down that's fine okay can you sit up if you turn your legs around please so the next part of our examination uh i need to again see how uh your balance is so i'm going to put my hands either side of your head and turn your head okay so i just want you to keep focused on the bridge of my nose i'm going to put my hands either side of your head in order to stay looking at that bridge of my nose okay okay that's fine there's nothing abnormal there our final test i'm going to take the tuning fork and just strike it and i'll put this in the middle of your forehead when we do that you'll hear a noise please tell me which ear you hear it in is it left the right or is the sound equal in the middle and tell me which side you can hear the noise in is it left right or middle equal in the middle excellent so we're going to do the same again but i'm now going to check the ears by the side so if you can move your hair back for me i'm going to put at the back of the head okay tell me when you can't hear it anymore stop okay can you hear it now yes okay i'll do the same again and you should be able to hear the noise yeah tell me when you can't hear the noise stops okay can you hear it now yes excellent well that completes our examination of your ears i didn't find any abnormal findings do you have any questions to myself thank you very much [Music] you