Transcript “There`s water in my ear”

“There’s water in
my ear.”
60 y/o man presents for follow up of his
diabetes and hypertension. All is well
until the end of the appointment when he
says, “Oh, by the way, Doc, I feel like I
have water in my ear”
No ear pain, URI symptoms, hearing loss,
tinnitus, vertigo, trauma, fever, recent
swimming.
124/78 87 T 98.9
“Do not attempt to remove a large
bug or insect without killing it first.
They tend to be wily, evasive little
creatures well equipped for fighting
in tunnels. In the heat of battle, the
patient can become terrorized by
the noise and pain and the
instrument that you are using is
likely to damage the ear canal.”
-NCEMI.ORG
Removal Techniques
 Irrigation
 Suction
 Alligator forceps
 Hooks or curette
Removal Pearls
 Swelling
 Viscous lidocaine
 Don’t make it worse!
 Batteries are bad!
 Reexamine the ear