b. Assist the physician to remove insects.
Instill mineral oil drops to smother the insect.
(2) Turn the patient's head toward the affected side to facilitate the drainage
of the oil with the insect.
Use a blunt loop or forceps to remove the insect if it does not drain out.
c. Assist the physician to remove foreign bodies of non-vegetable matter:
Irrigate the ear.
Remove the object with a blunt instrument such as a curet or loop.
d. Assist the physician to remove foreign bodies of vegetable matter (peas, for
Use a blunt instrument to remove the object.
(2) DO NOT irrigate the ear, as vegetable matter has a tendency to absorb
water and swell. This will cause the object to become further impacted and more
difficult to remove.
1-27. OTITIS MEDIA
a. Otitis media is inflammation of the middle ear, caused by entrance of
pathogenic organisms. Pathogens may enter through:
The eustachian tube.
The external ear canal, through a perforated tympanic membrane.
b. Signs and symptoms include:
Pain (earache, headache).