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Head and Neck Exam

Tympanocentesis (needle aspiration through the TM) and myringotomy (incision in the TM to provide fl uid) are the only methods directly demonstrating the presence or absence of middle ear effusion (Rosenfeld 1999). These methods also have an immediate and posi- tive effect on conductive hearing loss, which in AOM may be as signifi cant as 50 dB (Mar- golis and Hunter 1991; Hunter et al. 1994). Their role as diagnostic methods and treatment modalities has changed completely during recent decades. In 1991, Finnish medical students and GPs were advised to perform myringotomy on every patient with AOM (Palva 1991) and. | Head and Neck Exam Charlie Goldberg M.D. Professor of Medicine UCSD SOM Charles.Goldberg@va.gov Observation and Palpation Inspection face neck - Does anything appear out of ordinary in Head Neck - Bumps lumps asymmetry swelling discoloration bruising trauma - anything hidden by hair Note right sided neck jaw area swelling Inspection palpation of and R v L asymmetry scalp hair Lymph Nodes of Head Neck -Physiology Major lymph node groups located symmetrically either side of head neck. Each group drains specific .