Abstract: A dental/medical instrument is provided for use in diagnostic and related patient inspection/examination. The device includes a body having an integral speculum with a video image capture device, a power supply and a display. These components, and user actuatable controls, are integral with the body. The body is adapted for convenient engagement and manipulation by a user's hand to provide a unitary, hand-held device capable of illuminating and capturing an image of a patient, and displaying the image. An autofocus device moves an image sensor relative to a fixed lens array. Components of the image capture device, such as a lens and light emitter, are disposed on a nose portion of the speculum, which is modularly replaceable with alternate nose portions sized and shaped to facilitate various discrete medical/dental examination procedures. Embodiments also includes a tube and controller configured to apply material, capture data, and/or effect movement of the speculum.