1 21 st century ear exam ronald angoff, m.d., f.a.a.p critical issues in school health crowne plaza...

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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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Page 1: 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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21st CENTURY EAR EXAM

Ronald Angoff, M.D., F.A.A.PCritical Issues in School HealthCrowne Plaza Hotel Cromwell

Thursday 28 March 2013

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DI$CLO$URE

$$ I have no commercial ties to disclose $$

Page 3: 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

TEXT

Page 4: 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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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

Page 5: 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

Proper Orientation of Otoscope

Page 6: 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

NORMAL EAR ANATOMY

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OTITIS EXTERNA

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SWIMMERS EAR

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SWIMMERS EAR

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TYPICAL AREA FOR WAX TO SIT

Page 10: 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

NORMAL EAR DRUM

ANATOMY

Maleus short process

Stapes thru translucent TM

Pars flaccida

Maleus long process

Umbo

Light reflexLEFT EAR

Page 11: 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

NORMALEAR

ACTUALPHOTO

LIGHT REFLECT RIGHT EAR

ROTATED 90 DEGREES

Page 12: 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

NORMAL EAR ANATOMY

SHOWING NORMAL

RED REFLEX

ALONG MALEUS

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Acute Otitis Media

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Acute Otitis Media

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Serous Otitis Media

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Tympanosclerosis

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Tympanostomy (PE) Tube

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Normal Ear

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Normal Ear

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Plug USB into light and computer

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Click Start in Windows

Device will show up as Video Camera

or DMV

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

Focus with knob

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