Physical examination maneuver

Physical Exam

Ear Inspection

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Video coming September 2026

How to Perform

Inspect the auricle and surrounding tissues for size, shape, position, and symmetry, and for any deformity, swelling, redness, lesions, or discharge. Note the condition of the skin and of the external auditory meatus, and inspect behind the ear over the mastoid. Move the auricle and press on the tragus, noting any tenderness.

How to Interpret

Showing 3 of 6 findings

Acute Otitis Media

Bulging tympanic membrane (eardrum balloons outward with loss of normal landmarks) on otoscopy
Rule in
Very helpful
Rule out
Evidence:Strong
Distinctly immobile tympanic membrane on pneumatic otoscopy
Rule in
Very helpful
Rule out
Evidence:Strong
Tympanic membrane colour on otoscopy (cloudy or distinctly red vs normal)
Rule in
Very helpful
Rule out
Helpful
Evidence:Strong

References

  • Rothman R, Owens T, Simel DL. Does this child have acute otitis media? JAMA. 2003;290(12):1633-1640. PMID 14506123.
  • Bickley LS, Szilagyi PG, Hoffman RM, Soriano RP. Bates' Guide to Physical Examination and History Taking. 13th ed. Philadelphia, PA: Wolters Kluwer; 2021.
  • Swartz MH. Textbook of Physical Diagnosis: History and Examination. 9th ed. Philadelphia, PA: Elsevier; 2025.