assessment

Personal Details*


Examination*


External ear*:


Canal*:


Eardrum*:


External ear*:


Canal*:


Eardrum*:


Procedure*

Left Ear*

Pope Wick Inserted?
YesNo
Right Ear*

Pope Wick Inserted?
YesNo

Prescription required?*

YesNo

a. Antibiotic drops

b. Antibiotic tablets

c. Pain relief


Further Management*