You have asked...

How should I conduct thorough ear examinations in my patients?

The expert says...

A thorough physical examination of the ear should include 3 independent parts:

  1. Pinnal and preauricular skin examination
  2. Otoscopic examination
  3. Tympanic membrane assessment

1 Pinnal & Preauricular Skin Examination

Examination of the pinnae to assess for primary and secondary lesions can help formulate a list of differential diagnoses and diagnostic tests. Lesions found on the pinnae may also suggest conditions such as allergy, inflammatory/autoimmune conditions, infections, and infestations.

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