1. 1 21 st CENTURY EAR EXAM Ronald Angoff, M.D., F.A.A.P Critical Issues in School Health Crowne Plaza Hotel Cromwell Thursday 28 March 2013

2. 2 DI$CLO$URE $$ I have no commercial ties to disclose $$

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4. 4 GOALS FAMILIARIZE AUDIENCE WITH THE ANATOMY OF THE EAR CANAL AND DRUM DISTINGUISH VARIOUS CAUSES OF EAR PAIN IN STUDENTS DEMONSTRATE EXAMPLES OF NORMAL AND DISEASED EAR CANALS AND DRUMS REVIEW CURRENT THINKING ON ACUTE OTITIS MEDIA AND ITS TREATMENT PROVIDE HANDS-ON OPPORTUNITY TO USE COMPUTERIZED TEACHING OTOSCOPE WHILE EXAMINING EACH OTHER’S EAR IN SMALL GROUPS

5. Proper Orientation of Otoscope

6. NORMAL EAR ANATOMY

7. OTITIS EXTERNA 7

8. SWIMMERS EAR 8

9. 9 TYPICAL AREA FOR WAX TO SIT

10. NORMAL EAR DRUM ANATOMY Maleus short process Stapes thru translucent TM Pars flaccida Maleus long process Umbo Light reflex LEFT EAR

11. NORMAL EAR ACTUAL PHOTO LIGHT REFLECT RIGHT EAR ROTATED 90 DEGREES

12. NORMAL EAR ANATOMY SHOWING NORMAL RED REFLEX ALONG MALEUS

13. Acute Otitis Media

15. Serous Otitis Media

16. Tympanosclerosis

17. Tympanostomy (PE) Tube

18. Normal Ear 18

19. Normal Ear 19

20. Plug USB into light and computer

21. Click Start in Windows Device will show up as Video Camera or DMV

22. Press either button to take photo. Hold one to zoom. Hold both to flip image 180 degrees. Focus with knob

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