Wash
Intro
Good afternoon. My name is …. One of the ENT doctors, may I confirm your name
and DOB?
Nice to meet you
Patient
I understand you’ve been experiencing some trouble with …. So I would
like exam. You’re ear & your balance system. This involves ….. . Is that
alright for you?
Before I proceed, Do you have any pain around your ears or elsewhere?
Exam.
would you prefer to have a chaperone with you?
Ear
Insp , palp, otoscope
Balance
1- Focus on finger (Nystagmus)
2- Move fingers sideways (Alexander classification for nystagmus)
3- Head impulse test (suggest first) (saccadic eye movement)
4- Rhomberg test (proprioception, vestibular)
5- Unterberger test, at least 30 sec >30` (labyrinthine)
Dix
BPPV
Hallpike
End
It’s all done. You ‘ve done really well. Thankyou
Wash
Summerise
I’d complete my exam by FNE for PNS, neurological exam, formal
audiology, BP, Eply,s if Dix Hallpike positive