chap 17 Flashcards

1
Q

three parts of ear

A

external, middle, inner

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2
Q

tympanic membrane

A

separates the external from the middle ear

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3
Q

two parts of external ear

A
  • auricle/pinna

- external auditory canal

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4
Q

3 auditory ossicles

A

malleus, stapes, incus

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5
Q

bony labyrinth 3 parts

A

cochlea, vestibule, semicircular canal

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6
Q

history of present health concerns

A
  • recent changes in hearing
  • losing ability to hear well
  • all sounds affects (low or high pitched)
  • ear drainage
  • ear pain
  • ringing/roaring/crackling
  • feelings of spinning
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7
Q

personal health history

A
  • history of ear infections

- past treatments

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8
Q

chronic ear infections, trauma, or earaches can lead tot

A

permanent damage

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9
Q

lifestyle and health practices

A
  • loud noises/protection
  • swimmer
  • ability to care for self
  • ability to socialize w/ others
  • last hearing exam
  • hearing aids
  • care of ears
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10
Q

assessment of external ear

A
  • inspect auricle, tragus, and lobule
  • lesions, discolorations, discharge
  • palpate auricle and mastoid process
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11
Q

assessment of inner ear

A
  • using otoscope
  • inspect auditory canal
  • inspect tympanic membrane
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12
Q

what is normal appearance auditory canal

A

pink, smooth

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13
Q

what is normal appearance for tympanic membrane

A

gray, shiny

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14
Q

whisper test

A
  • better ear first
  • cover ear not being tested
  • 2 ft behind pt
  • whisper 2 syllable word
  • have client repeat back
  • should identify 3/6 words to “pass”
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15
Q

weber test

A

conduction of soundwaves using a tuning fork on TOP of head

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16
Q

Rinne test

A
  • air and bone conduction using tuning fork on mastoid process and moving to external auditory canal
  • can sound still be heard? SHOULD BE HEARD
  • air>bone
17
Q

Romberg tes

A
  • equilibrium test
  • stand w/ feet together arms @ side
  • start with eyes open and then close
18
Q

older adult considerations

A
  • elongated ear lobes
  • harder, drier cerebrum (occluded more often)
  • coarse, thick ear hair
  • eardrum may look cloudy
  • presbycusis common
  • conductive hearing loss due to cerebrum or atrophy of tympanic membrane
19
Q

presbycusis

A

difficulty hearing consonants and whispered words

20
Q

risk factors for hearing loss

A
  • aging
  • heredity
  • occupational noises
  • recreational noises
  • medications
  • illnesses