• Pharmacology
  • Allergy, Immunology, and ENT
  • Cardiology
  • Emergency Medicine
  • Endocrinology
  • Adolescent Medicine
  • Gastroenterology
  • Infectious Diseases
  • Neurology
  • OB/GYN
  • Practice Improvement
  • Gynecology
  • Respiratory
  • Dermatology
  • Mental, Behavioral and Development Health
  • Oncology
  • Rheumatology
  • Sexual Health
  • Pain

CLINICAL TIP: Surprise! It's an otoscope


I've noticed that many toddlers find otoscopic examination distressing, in part because of the surprise of the speculum entering the ear canal. Just before I insert the otoscope in a toddler's ear, I speak softly in that ear. Then, as I pull back the external ear with my free hand, I use the thumb of that hand to gently depress the tragus, providing a subtle lead-in to insertion of the speculum. This doesn't get me 100% compliance, but it helps a lot by eliminating the surprise factor.

Andy Bernstein, MDEvanston, Ill.

Do you have a Clinical Tip to share with colleagues? Let us know; we'll pay $50 for each item accepted for publication. Tips sent by mail should be addressed to Clinical Tips Editor, Contemporary Pediatrics,5 Paragon Drive, Montvale, NJ 07645-1742. If you send by e-mail kbardossi@advanstar.com please include your mailing address.

Related Videos
Natasha Hoyte, MPH, CPNP-PC
Lauren Flagg
Venous thromboembolism, Heparin-induced thrombocytopenia, and direct oral anticoagulants | Image credit: Contemporary Pediatrics
Sally Humphrey, DNP, APRN, CPNP-PC | Image Credit: Contemporary Pediatrics
Ashley Gyura, DNP, CPNP-PC | Image Credit: Children's Minnesota
Congenital heart disease and associated genetic red flags
Traci Gonzales, MSN, APRN, CPNP-PC
© 2024 MJH Life Sciences

All rights reserved.