How should the clinician examine the ear canal in an infant?
A. Pull the auricle down and out
B. Pull the auricle up and back
C. First in the sequence of a physical examination
D. Child should be lying in prone position
ANS: A
The otoscopic examination is described in detail in Chapter 6 (Ear, Nose, Mouth, and Throat). The otoscopic examination should be saved for last in infants and young children because of the distress it often causes. To examine the inner ear in an infant or young child, pull the pinna down and out. For examination in an older child, pull up and back as you would with an adult.
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