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Cranial Nerves
 
 

Examination of the Ears

 
 
 
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Mastoid Tenderness

  • How to Elicit

  • Palpate over the mastoid process, and ask the patient whether the area is tender.
  • Causes of Mastoid Tenderness

  • Ramsay-Hunt Syndrome
  • Bell’s Palsy
  • Fracture of temporal bone
  • Mastoiditis

Periauricular Vesicles

  • Look For

  • Vesicles over the pinna and external ear canal.
  • Significance

  • Pathognomonic for herpes zoster infection (Ramsay-Hunt syndrome).
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