hello there welcome to the hearing Clinic I'm SRP I'm going to be checking ear health
and hearing tonight in a sort of a random order
that I've developed to try and help you relax. Just give the hands a little clean.
okay looking at the procedures tonight we're going to start with audiometry,
we'll inspect the ears, palpate the ears, perform some otoscopy, maybe some ear cleaning
if necessary, might do a hearing check with the tuning Forks if we need to take it further
and I think that should be everything for tonight, so with the audiometry
essentially a hearing test on either side,
I'm going to be plotting the results on the audio graph here
right and left there. Don't worry about the details, I can complete that a little bit later
but I'll just be scoring your hearing on the graphs there okay so we go along
so there will be some scribbling notes, let me just add the date at least
right for the audiometer this is the device I'm going to use
I'm going to place the cup over the ear,
you say whether you hear the beeping sound, it's just a simple yes or no to both sides
going to begin to 500 Hz
60 dB so I'll create the beeping sound just say whether you hear it please
okay
okay and let's drop that down to 50 dB now
okay and we'll drop it down further 40 dB now
do you hear that one? excellent
right let's increase the frequency
start
the higher volume again, we are at 1000 Hz now do you hear this please
and what about this one
okay and next
very difficult one
okay we're up to 2,000 Hz Now 60 dB ready
50 now
and 40.
okay that concludes audiometry on this side, let's just take some notes
hearing wasn't too bad on that side thank you, let's move on to the other ear
okay if you're ready, tell me if you hear the sound please
and now
and next one 500 please
okay
let's go up to 1,000 Hz
say if you hear this one
good
next
and the final one at 1,000 please
okay up to 2,000 Hz now
okay are you ready?
one more to go
okay not too bad. That's audiometry right and left
let's record that one so we had frequency 500.
the frequency of 1,000 three different
volume settings and then we had 2,000 Hz there
excellent
a little look at what we have now
I'm going to spend some time just visually inspecting the ears now
just relax feel free to close your eyes if you wish
okay if you're ready otoscopy will come a little bit later
no
apparent external lesions
no discoloration, pigmentary changes to the ear
okay nice structure
okay no apparent lesions
okay lobule thankyou,
helix, concha
just
compare the two there
excellent thank you. spend a little bit of time
just having a palpate of the ears so just relax here please
okay any discomfort there please?
and how does that feel?
okay just behind the ear there please
thank you okay and for the other ear please
okay any discomfort here?
and what about there?
just behind the ear, any problems there?
okay thank you
General observations are fine
symmetrical, no apparent lesions, no reported pain or discomfort
okay I think we should have a little look inside the ears
really want to have a good look at the medial portion
there so we're going to go a little bit deeper
okay if you're ready
inside this ear
okay just the lateral portion here of the ear canal thank you
just ensuring that there's no damage, previous scarring
and I'm going to go deeper to medial portion there
to the tympanic membrane
pars flaccida there thank you not signs of any tympanosclerosis
not too much in the way of wax build-up as well probably a normal amount, a normal healthy level
just coming back to the lateral portion there slightly
a little bit more wax there there, going to give that a little bit of a clean shortly
and for the other side please
okay Concha and tragus, let's have a look at the
lateral area there okay just a little bit of wax there. no apparent discharge, lesions of scarring.
it's going to go a little bit deeper to the medial portion it's going to be very delicate there
all right again normal amount of wax accumulation
and the medial portion , the tympanic membrane is healthy
pars flaccida
no evidence of tympanosclerosis
lovely I'm quite happy with the medial portions of the ears, laterally,
more towards the beginning of the canal, just going to give them a little clean with cotton bud
so it was otoscopy
I'm just going to draw the image here for the records
okay lets have
a little look at the instrumentation we can use just to clean, I did say
I'm going to use a cotton bud, but I do want to incorporate
this little scraper here just to begin with, let's give that a clean for you
okay just relax just the lateral side I'm going to spend a little bit of time just scraping some wax
excellent thank you
just inspecting there
okay and for the other ear there, lets have a little look
okay and now the Cotton bud please
excellent
okay we're getting there
thank you
okay so that was a little bit of cleaning there hopefully that should help things for you
okay we may just do a little bit more hearing to complete things,
we'll use the tuning for forks let's use two different frequencies here
okay lets try 128, I'm going to ring the tuning fork, just place it on the head, sort of like a
vibration, let's see if you feel it more one side or the other or whether it's equal okay you ready?
equal thank you
let's just change to this one now different frequency
equal thank you. Let's just ring it next to the ear, tell me when you stop hearing it please
okay and the other side please
hear that? tell me when it stops
okay and we'll just repeat that with the or the tuning fork here, are you ready
tell me when it stops
and the next one
excellent so we've reviewed the ears, we've done some audiometry, checked the hearing
right pleased to say everything is within normal limits
and I think
I'm going to see you again in two years time for another check-up, any problems just give us
a call and we can always book you in sooner, whether that's hearing loss or ear pain all
right or any injuries to the ears thank you so that's everything I'll see you next time