Guide to the examination of the ear and hearing : for the use of students / by Thomas Barr, M.D. ... and J. Stoddart Barr, M.B.

  • Barr, Thomas, 1846-1916.
Date:
1908
Catalogue details

Licence: In copyright

Credit: Guide to the examination of the ear and hearing : for the use of students / by Thomas Barr, M.D. ... and J. Stoddart Barr, M.B. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    GUIDE TO THE EXAMINATION OF THE EAR AND HEARING. CHAPTER I. . ) THE ORDER AND METHOD OF EXAMINING A PATIENT SUFFERING FROM EAR DISEASE. When making an exhaustive examination of a patient suffering from ear disease, the following order and methods are recommended to the student. Preliminary Enquiries. The patient usually mentions at once the symptom or symptoms for which he has come, such as dulness of hearing, noises in the ear, pain in the ear, discharge from the ear, etc. We should then enquire as to: 1st, the duration and course of his symptoms; 2nd, the previous existence of any ear trouble; 3rd, his own opinion of the cause. In regard to the duration and course of the symptoms, we cannot in many cases get definite or reliable information as to the beginning of the trouble, unless it began (1) as an acute inflammation, especially if followed by discharge or dulness of hearing; (2) in connection with a zymotic or other general disease; (3) with a sudden change from good hearing to marked deafness or tinnitus.; or (4) with an injury. More frequently, especially in one-sided deafness, the condition has existed for some time—it may be for years—unnoticed by the patient, till he finds, perhaps quite accidentally, that he does not hear the tick of a watch on one side. In other cases, the occurrence of tinnitus first draws attention to an ear where there has probably been defective hearing for a long time, unknown to the person. Again, in others, the hearing defect, slight at first and slowly progressive, is not G. A