Abstract: A speculum configured for attachment to an otoscope attachment of a medical examination instrument is provided in an embodiment herein. The speculum includes a proximate end, a distal end, and a speculum body extending from the proximate end to the distal end. The proximate end is configured for attachment to a first end of the otoscope attachment, and the distal end is configured for penetration into an orfice of a subject. The adjustable speculum further includes at least one flange, wherein the at least one flange is adjustably positioned on the speculum body between the proximate end and the distal end to limit a depth of the penetration of the speculum in the orfice.

Abstract: Disclosed herein is an organizer comprising a unique structural configuration to house and store both non-perforated documents and perforated documents. The organizer comprises a ring binder that is associated with an expandable compartment that is arranged peripheral to the ring binder.