Hello, welcome to the clinic
So today I'm going to be focusing on your ears.
The biggest portion of today's assessment is dedicated to the whisper test.
Towards the end I may perform some visual inspections of the ears, maybe perform some
audiometry as well
So we have a vast array of words of different categories to check today.
Whisper a portion of words on this side to this side, back and forth from the different
categories
looking what we have first, we have some numbers to go through okay so
I need you to relax, keep your ears wide open, I'm only going to say the words once okay.
So if I just come to this side
99
42
88
66
33
and for the other side
71
58
16
29
22
I'm going to move on to some colours now, say them back to me please
green
pink
black
blue
purple
yellow
red
Orange
silver
bronze
okay we're going to move on to my specialty now.
We're going to say some or whisper some words that are particular eye conditions, don't
worry if you've never heard of them, I just want you to repeat what you think you've heard
please
Glaucoma
uveitis
hyphema
papilloedema
keratitis
proptosis
enophthalmos
scleritis
and for the other side please
rubeosis
pinguecula
entropion
ectropion
exopthalmos
retinoschisis
cataract
so that was the ocular conditions section
just recording the results as we go along.
Now I want to do some words that contained silent k, are you ready
knack
knave
knead
knee
knickers
knife
knight
knit
knot
knowledge
thank you
We're on to some silent P words next if you're ready
receipt
pseudo
pseudonym
psoriasis
psychotherapy
pneumonia
cupboard
coup
very good with the silent P words thankyou
We have a small section of ASMR classic words here
zebra
sandwich
honesty
double vision
Chevrolet
clinic
we're going to move on to some food items now are you ready?
garlic
ginger
tomato
bread
cucumber
cheese
prawns
rice
and for the other side
wheat
strawberry
raspberry
broccoli
avocado
onion
porridge
tuna
excellent work there.
Okay we are about to be a little bit more specific when it comes to food, we are going
to cover some types of cheese next
are you ready?
cheddar
wensleydale
mozzarella
feta
ricotta
camembert
emmental
gorgonzola
halloumi
Swiss
I hope this test is not making you too hungry
you can certainly pick up your cheeses there excellent
the next action of whisper words is dedicated to medical tests
tests six on each side please here we go
opthalmoscopy
retinoscopy
snap back
ishihara
reflexes
vision
saccades
hearing
weight
height
okay lets wait for the traffic to pass
ausculation
tonometry
now we have some literary words to cover next, six on each side and that should conclude
the whisper test
sibilance
onomatopoeia
personification
euphemism
paradox
hyphen
hyperbole
apostrophe
ellipses
plural
conjunction
assonance
marvellous work, out of every single word
we presented, I'm pleased to say you only missed two words, that is excellent, two on
the right and two on the left strangely enough
right because you did so well I'm going to
have a little look at your ears with some
light
lets start on this sideplease
okay any pain or tenderness on this side?
and what about down here?
that one's a bit more diffused light here
going to check all the external structures first
the Helix, triangular fossa, across to the tragus and the lobule there
no evidence of discolouration, pigmentation or lesions
on this side
I really want to have look at the ear canal now please
okay through to the
medial motion straight away, there's the tympanic membrane
No signs of any pathology or wear and tear
lets just inspect the fellow ear here
I didn't notice that this ear is slightly smaller than the other, but it's only slightly
and that's absolutely fine
okay it's no apparent lesions
look behind the ears
Now the tragus, the lobule, triangular fossa and the helix there
lovely let's look inside this ear canal, through to the eardrum please
okay if you're ready it's not going to hurt
no signs of any scarring, discharge a normal level of Wax in this ear
yeah a little bit deeper now, we've reached the tympanic membrane
It's a nice pearly white colour, certainly no plugs inside this ear
looking absolutely marvellous, so you have excellent ear health
no history of any ear operations?
damage?
infections?
is there no history of any hearing loss that you can recall?
no viral infections?
now let's finish off with some audiometry, we're actually going to present some sounds
rather than words
all you have to do is tell me whether you hear the stimulus by saying yes
okay I'm about to start with a lower frequency, I'm going to keep the volume at 40 dB okay
so I'm just going to hold it of the ear like so, say yes if you hear this sound please
now I'm increasing to 1000 Hz 40 dB are you ready?
did you hear that one?
or up to 2000 Hz here
and I think we have a 4000 Hz
definitely heard that one? that's fine
let me just repeats on this side please, are you ready
and the next one
2000 Hz
okay and the final one for you today
are you ready?
if you can hear that from here, marvellous
so you've heard of all four frequencies at the lowest setting of 40 dB there
your ears are also visually healthy, normal levels of wax, no scarring discharge and damage,
performed admirably at the whisper test and equally with the audiometry there
if you want to I could put you down for a two-year recall for your next ear check-up
obviously the usuals apply, avoid any loud noise exposure, avoid cotton budding your
ears, those are the gold standard rules of thumb for maintaining ear health, all right
so I'll sign you off here.
Maybe in 2 years I'll see you again, thank you