Test ocular motility including primary gaze alignment
Ears, Nose, Mouth and Throat
Otoscopic examination of external auditory canals and tympanic membranes
including pneumo-otoscopy with notation of mobility of membranes
Assessment of hearing with tuning forks and clinical speech reception
thresholds (eg, whispered voice, finger rub)
External inspection of ears and nose (eg, overall appearance, scars, lesions and masses)
Inspection of nasal mucosa, septum and turbinates
Inspection of lips, teeth and gums
Examination of oropharynx: oral mucosa, hard and soft palates, tongue,
tonsils and posterior pharynx (eg, asymmetry, lesions, hydration of mucosal
surfaces)
Inspection of pharyngeal walls and pyriform sinuses (eg, pooling of saliva, asymmetry, lesions)
Examination by mirror of larynx including the condition of the epiglottis,
false vocal cords, true vocal cords and mobility of larynx (Use of mirror not
required in children)
Examination by mirror of nasopharynx including appearance of the mucosa,
adenoids, posterior choanae and eustachian tubes (Use of mirror not required in children)
Neck
Examination of neck (eg, masses, overall appearance, symmetry, tracheal position, crepitus)
Examination of thyroid (eg, enlargement, tenderness, mass)
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