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this video shows how to examine the ear the examiner has already washed her hands introduced herself explained the procedure and obtained the patients consent so which is your better hearing ear my writing and have you got any pain or tenderness no and can i get you to give me a smile by asking the patient to smile you can look for facial weakness which is one of the five cardinal symptoms of ear disease the facial nerve runs in the medial wall of the middle ear and may be affected by pathology in the ear all right thank you so im now going to start by examining the better hearing ear first inspect the external ear using the light of the otoscope to help look at the colour of the skin and the shape of the pinner look for other abnormalities such as tophi and congenital defects and remember to check for scars common surgical scars include the end oral scar between the root of the helix and the tragus and the post auricular scar behind the pinner next otoscopy is performed to visualiz