Causes producing improvement improved health, dry air, Right ear left ear.
The distance at which the watch is heard the watch brought toward the ear. Ordinary distance in health from three feet thirty. Tuning-fork ghostwriting service conduction sound through the bones. Patient's own Meatus quantity and condition cerumen state the Membrana tympani surface dull or shining, transparent or opaque state triangular bright spot if more or less concave than natural.
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Examination posterior nares and Eustachian tube. I. If ever troubled with erysipelas, and at what age in life? II.
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If cysts were ever formed and the ear disfigured by VII. If there have been any tumors, and their cause? If carcinomatous, and their different stages? I.
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If the memhrana tympani visible? IL The diameter the external meatus? III. If the lamina the membranes the meatus are IV. If the entrance the meatus protected hairs? V. Shape the orifice the meatus ? VI. If there the natural projection the tragus? VII. If the meatus can properly explored? If any foreign body in the meatus? and its character careful inspection ? Symptoms the patient at the time whether cough or vomiting occurred, etc. and whether there giddiness or congestion in the head ? IX.
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