hello there and welcome to the clinic so today we're going to focus
on a few medical tests just using the pen torches i have available in the clinic.
so the first pen torch is this lovely silver number here
i have the bulb here
the circuit breaker there
full working order
this comes courtesy of the brain tumour charity there
right so let's use the first pen torch to have a little look inside the mouth
so open wide for me please
i just want to check the state
of the teeth
lower
and upper
canines and the molars at the back right side, lower left side, lower,
the premolars to the canines in sizes there and the flipping around
lovely and let's have a look at the tongue, open wide again
looking for any lesions, inflammation, scarring, damage, discharge
just raise the tongue now
head back up, open wide again, check the roof of the mouth there
and the inner cheek
a common area for swabs
excellent so that is the first evaluation with first pen torch
a little extension here for going nicely inside the pocket
okay so next up to check the pupils we're going to use a softer light, a little extension here for
nice pocket placement
there is the bulb
and we have to click the top
and we have a nice soft yellow light there for checking the pupils. look straight
right eye pupil
is the direct response, light in the right but looking at the left pupil for the consensual left
left direct response
so equal to the right, looking in the right shining in the left, so right consensual
and the swinging flashlight test
use my dominant hand there
looking for a relative afferent pupillary defect
looks fine
okay let's switch to
the third pet torch similar to the first one, we have a beautiful cream
matt-like finish
the batteries inside there and we have the bulb here
circuit breaker there
full working order
this pen torch, which comes courtesy of a very special company i've been using throughout the
pandemic for cataract surgery, spa medica. spa medica are a very professional excellent company.
right so again i'm going to be checking the eyes, the ocular health with this pen torch.
it's obviously going to be bright. going to be coming rather close. if you're ready please
first up examining the lids
of the right, the upper and the lower
any scales or flakes also blepharitis on the lid margins,
for any redness, any blockages of the meibomian glands
that looks clear. now we're going to focus on the globe now, to look at the transparent conjunctiva
and the vessels housed there and the white of the eye the sclera
look up to the ceiling for me please,
start on the inferior zone there looking for any cysts, redness, hyperaemia, discharge, oedema
cysts. now laterally look to the right here, i'm looking for signs of pterygium,
pinguecula, any degenerations
look left
same on this side as the nasal side but still lateral
just look down as i lift the lid
this is the superior part the sclera/conjunctiva
looks clear. let's move on to the left
just looking straight ahead for me please, lids and lashes checking for any milia
any chalazion, any styes closer to the margins and the lashes
any abnormal positions
trichiasis can be extremely irritable
okay looking up, inferior sclera and conjunctiva. so i'm just coming back
a little bit, the meibomian glands open upper and lower, to the right no evidence ptyrigium
to the left
the nasal portion here of the globe
and just look up again please
and look down as low as you can
there's no evidence of any sectoral hyperaemia there,
any oedema of the conjunctiva including the lids
excellent sticking with the same one for the
quick corneal examination, i'm looking for any signs of arcus or any marginal keratitis.
if you had a corneal ulcer, you'd probably have pain, redness, discharge
left cornea, looking straight
excellent so the pen torch did us proud there, a nice strong powerful piece from spa medica
okay we have another spa medic one again, we have the silver finish
pen torch this time, extension for pocket clipping
separator housing the batteries
good working order and spa medica details. with this one we're going to be inspecting the ear,
turn this way please
helix, lobule, the concha and the tragus are all included in this assessment.
just looking behind the ear at the mastoid process,
just ensure there's been no wear from your spectacle arms and sides and joints
a little bit deeper into the
canal, healthy levels there, healthy levels
okay turn to the other side now
okay i'll start behind the ear this time, mastoid process looks fine,
there's been no wear and tear, no inflammation
okay on the helix
work my way down to the lobule there
the concha, the tragus, the little folds, crevasses
okay and let's go into the ear canal now
just delicately, not too far
okay normal levels of wax outside there, there's no discharge and there's no hyperaemia there
okay lovely let's finish off by just looking inside the nose now
so lean back like so. i'll start with the right nostril looking at the openness of the passage
now history of polyps? nasal polyps?
good, breathe in and out, and the left nostril, keep the head back
looks relatively open there
excellent so all in all using all the pen torches everything's looking within normal limits there