An ear examination tool comprising: a handle ; a spacing element coupled to the handle and extending from the handle, the spacing element having a distal end and a proximal end ; a speculum mount coupled to the handle at the distal end of the spacing element , the speculum mount configured for retaining a speculum ; a smartphone mount coupled to the spacing element at the proximal end of the spacing element , the spacing element configured to maintain an optical separation distance between the speculum mount and the smartphone mount along a central axis of the speculum and the speculum mount , the central axis extending through the speculum when it is attached to the speculum mount and wherein the speculum mount , the spacing element and the smartphone mount are configured to provide a first optical path from the smartphone mount to and along the central axis of the speculum mount, while allowing a clear space for access by a microsuction device into and through a speculum when mounted to the speculum mount, from a position between the speculum mount and the smartphone mount and at an oblique angle to the optical path , in which the handle extends from the distal end of the spacing element in a direction generally orthogonal to the first optical path in which the smartphone mount comprises a cradle configured to releasably receive and retain a smartphone , the cradle including at least one aperture therein positioned such that, when a smartphone is mounted in the cradle, the ear examination tool provides the first optical path extending from a first position of the smartphone mount corresponding to a smartphone camera to and along the central axis of the speculum mount, and a second optical path extending from a second position of the smartphone mount corresponding to a smartphone light source and oblique to the central axis of the speculum mount, the first and second optical paths intersecting at a point distal of the speculum mount . a handle ; a spacing element coupled to the handle and extending from the handle, the spacing element having a distal end and a proximal end ; a speculum mount coupled to the handle at the distal end of the spacing element , the speculum mount configured for retaining a speculum ; a smartphone mount coupled to the spacing element at the proximal end of the spacing element , the spacing element configured to maintain an optical separation distance between the speculum mount and the smartphone mount along a central axis of the speculum and the speculum mount , the central axis extending through the speculum when it is attached to the speculum mount and wherein the speculum mount , the spacing element and the smartphone mount are configured to provide a first optical path from the smartphone mount to and along the central axis of the speculum mount, while allowing a clear space for access by a microsuction device into and through a speculum when mounted to the speculum mount, from a position between the speculum mount and the smartphone mount and at an oblique angle to the optical path , in which the handle extends from the distal end of the spacing element in a direction generally orthogonal to the first optical path in which the smartphone mount comprises a cradle configured to releasably receive and retain a smartphone , the cradle including at least one aperture therein positioned such that, when a smartphone is mounted in the cradle, the ear examination tool provides the first optical path extending from a first position of the smartphone mount corresponding to a smartphone camera to and along the central axis of the speculum mount, and a second optical path extending from a second position of the smartphone mount corresponding to a smartphone light source and oblique to the central axis of the speculum mount, the first and second optical paths intersecting at a point distal of the speculum mount . <EOS>