EAR EXAMINATION OF
INFANT OR CHILD
You must note the shape, size, and position of the ears.
Deformities may well be a pointer that kidney anomalies are also present. Low
set years may be associates of other congenital anomalies seen in certain
syndromes such as Treacher-Collins syndrome, Apert syndrome, carpenter
syndrome, or Noonan syndrome. Such an ear lies below an imaginary line joining
the lateral angle of the eye to the external occipital protuberance.
It is useful to examine the ear drum. Mastoid bone should be
percussed for tenderness. Hearing should also be tested. A valuable bedside
test consists in observing an infant’s response to sound. In normal hearing, he
will turn his head to the direction of the sound.
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