Ears Flashcards
Anong lobe and CN for hearing
Temporal lobe, CN 8 acoustic
Anong part ng ear lang sakop ng sensorineural
Inner
Maintains ear pressure, vibration for nerve impulse magtravel
Tympanic membrane
Smallest bone in body
Stapes
3 parts ng ossicles (SIM)
Stapes
Incus
Malleus
Anong hearing loss ang may defect in labyrinth
Sensorineural
Anong hearing loss ang may physical obstruction
Conductive
Pt usually hear better in noisy, anong type ng hearing loss?
Conductive
Ket maingay di makarinjg, type of hearing loss?
Sensorineural
Pt usually speak ___, sensorineural
Loud
Tinitest ng rinne test
Air and bone conduction
Tinitest ng weber test
Bone conduction
San nilalagay tuning fork sa rinneβs test
2 in away from ear (AC)
Mastoid bone (BC)
Normal sa rinne test
AC> BC
Normal sa weber test
Equal, no lateralization
San mas nakakarinig sa CHL amd SHL sa weber
Conductive- affected
Senso- un
Palatandaan sa conductive hearing loss disorders
Puro naga start sa βOβ
β’ Otitis Externa
β’ Otitis Media
β’ Otosclerosis
Aka swimmers ear
OTITIS EXTERNA
inflammation of the outer ear
OTITIS EXTERNA
Dx test for all ear problems
Otoscopy
Paano paghawak sa otoscopy
Pencil hold
Paano mag pull ng pinna
Bonakid βpag 3 pataasβ
Normal color ng tenga
Pink and intact
Position sa otitis externa
S lying sa affected para drain
To dec inflammation ano mngt sa otitis externa
Warm compress for 2 mins 3 times a day
inflammation of the middle ear dt blocked eustachian tube
Otitis media
Bakit mas prone sa ear infection pedia
Shorter and wider E tube nila
Otoscopy normal sa otitis media
Transparent pearly gray
Otoscopy normal sa otitis externa
Pink intact
genetic disorders which causes abnormalities growth of tissue surrounding ossicles
OTOSCLEROSIS
OTOSCLEROSIS hallmark
Schwartzβs sign (pink eardrum)
OTOSCLEROSIS may ringing of ears?
Yes tinnitus
OTOSCLEROSIS conductive hearing loss Progressive or rapid?
Progressive
Surgery OTOSCLEROSIS
β Myringotomy
β Stapedectomy
Define Myringotomy
Incision sa eardrum
Stapedectomy tanggal ba tas pabayaan na?
No need replacement, prosthesis yon
Otosclerosis Avoid activities that increases__
Ear pressure
To dec ear pressure in term of blowing ano gagawin
Blow nose one at a time tas open mouth
abnormal endolymph balance caused by obstruction or malabsorption
MENIEREβS DISEASE
Meniereβs Triad
Severe Vertigo
Tinnitus
Unilateral sensorineural loss
Mngt Meniereβs dse na vitamin
Nicotinic acid or vitamin B3
Ano tawag sa paglagay ng shunt MENIEREβS DISEASE
Endolymphatic sac decompression
Surgery Meniereβs
Labyrinthectomy
MENIEREβS DISEASE position during attack
Supine
Pag nag Labyrinthectomy makakadinig pa
Di na
Nagpapa trigger sa attack ng MENIEREβS
inc Na, alcohol, smoke, stress, caffeine
benign tumor of CN8
ACOUSTIC NEUROMA
ACOUSTIC NEUROMA Same clinical presentation as __________ pinagkaiba lang may __________ ito kasi affected ang CN __
Menieres
Facial deooping
CN7
ACOUSTIC NEUROMA dx
MRI
ACOUSTIC NEUROMA TREATMENT OF CHOICE:
Surgical removal