|
Constitutional Normal
|
Constitutional Abnormal
|
|
Otologic Exam
|
Post op exam Y-Right; N-Left
|
|
Normal Right Ear
|
Normal Left Ear
|
|
*RIGHT* Ear Abnormal Text
|
R External Auditory Canal
• • •
|
|
R Tympanic Membrane
• • •
|
R Middle Ear
• • •
|
|
R ear treatments
• • •
|
Right ear
|
|
*LEFT* Ear Abrnormal text
|
L External Auditory Canal
• • •
|
|
L Tympanic Membrane
• • •
|
L Middle Ear
• • •
|
|
Left ear treatments
• • •
|
Left Ear
|
|
***OTHER ear comments...
|
Tuning Fork Exam
• • •
|
|
Facial Nerve Function
• • •
|
Facial Nerve Comments:
|
|
VII normal
|
Dix Hallpike exam
• • •
|
|
Normal R Neurotologic / Neurologic
|
Neurotologic Comments:
|
|
Normal Head and Face
|
Head and Face Comments:
|
|
Normal Eyes
|
Eyes Comments
|
|
Normal Nose
|
Abnormal Nose
• • •
|
|
Normal Oral Cavity / Oropharynx
|
Oral Cavity Comments
|
|
Normal Neck
|
Neck Comments
|
|
Normal Chest / Respiratory
|
Chest/Resp Comments
|
|
Oto Microscopy
|
Exam Free Notes
|
|
Data / Results Reviewed
• • •
|
Data Results Comments
|
