'Say "Otoscopy" :)

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Otoscopy
Using the otoscope to look in and around the ear canal to see the tympanic membrane.
Look outside and around the ear for anything unusual like skin cancers or deformities refer back to GP for anything that looks unusual.
For Adults pull the ears up and back
For child back and down

Ensure little finger anchors the hand, so that if the head moves the otoscope does not damage their ear.
Looking for

• colour 
• transparency- opaque
• Shape is the TM bulging or retracted
• Integrity- perforations, bubbles, fluid
• Wax occlusion--ear wax is good for your ears ...cotton buds compact the wax ..
• exostosis from cold water (also called surfers ear)
• Foreign bodies 
• Does the ear canal look wet, fungassy 
• Fungus in Da Ear ...  Audiologists do not remove fun guy from your ears ..