Dhar chapter 1 Flashcards
What is audiology/why did it start
study of hearing.
helping profession.
started because of armed forces need for HL help.
the VA
most important employer of audiologists
biggest externship people.
pay the best
biggest expense is Tinnitus ($1.7 billion)
Audiologists Today
16,000. 78% female; people who practice are masters holders, aud holders, phd’s too. Science doctorate (SoD)
Audiologist Competition
Dispensers (family owned, belton u) SLPs for AUD rehab cuz medicare doesn't pay Physical therapy (vertigo/balance)
2 major professional associations
ASHA (American Speech-Langauge-Hearing Association)
AAA (American academy audiology)
Smaller associations for audiology
ADA (Association of Doctors of Audiology)
ARA (Association for rehab audiologist)
Organizations Audiologists belong to
ARO (association for research in otolaryngology)
AAS (american auditory society)
Where do audiologists work?
Hospital, ENT, Private practice, VA
Electronic industry- HA, Cochlear, equipment, headphones, etc.
Schools
Universities as teachers
What other industries could audiologists get into?
Architectural acoustics
sports
tbi prevention/knowledge
How much will graduates make?
$60-$75. ASHA says $60. after 10 yrs $90.
AUDs aren’t part time anymore. CAREERS!
can buy franchise, get placed if you sell certain HAs, AUDIGY
My global of all tests
whole system can be evaluated with speech test. Not only test because doesn’t show site of lesion. also need to figure out what the problem is tho.
Site of lesion
where the problem is. also needs to figure out the problem tho
Differentiate diagnose
speech doesn’t tell site of lesion, diagnose one thing from the other.
Ex. running 2 tymps to check if its cerumen blocking vs perforated ear drum
Conductive pathway problem
youre locating the problem in the outer/middle ear zone. The point to be taken is that the faulty middle ear has a direct consequence on the speech
sensorineural loss
cochlear problems (think about what audiogram would look like)
Auditory neuropathy
All of your nerve fibers have to function in synchrony for them to work. In some people this synchrony is lost cuz the nerve fibers don’t fire together.
Ossicular chain discontinuity
A 10 db conductive loss isn’t gonna do that much. So you need a bomb to go off in your middle ear to have speech recognition problems. This makes the point that probs in different parts of the auditory system have to be of different magnitudes to effect communication. Conductive has to be massive problem, inner hair cells—if you’ve lost 40% youre in deep trouble. The farther up the system, the more complex the input processing gets, therefore they matter more
TBI
two hemispheres of the brain get separated by the corpos callosum tearing (tissue holding the brain together). Use speech synthesis test. First half of a word in one ear, the other half in the other ear, repeat the whole word please. This is done to test for binaural fusion for CAPD
Tympanogram
check TM and ear canal volume
global communication ability
wont tell us where things are wrong on its own. By combining knowledge across these tests we might be able to pinpoint the problem and what should be done