M1 H&P: Eyes and Ears

Devin Nickol, M.D.

Eyes

I. Assess visual acuity

- ________________ Chart
- ________________ pocket card

II. Assess visual fields using ________________

III. Inspection

- Extraocular muscle movement
- Pupil symmetry and appearance
- Pupillary light reflexes and accomodation
- Lacrimal gland appearance
- Eye lids, lashes and brows: color, symmetry, hair distribution
- Conjunctivae, sclerae and cornea: color, lesions, moistness, inflammation

IV. Palpation of bony orbit

- Tenderness
- Firmness
- Smoothness of orbital rim

V. Fundoscopic exam

- Red reflex
- Retinal color
- Vasculature
- Disc
- Macula
- Lesions: hemorrhages or ________________ spots












Ears

I. Inspection: otoscopy

- Technique


- Anatomy of the tympanic membrane

II. Weber test

- Technique


- Significance

III. Rinne test

- Technique


- Significance