Ears, Nose, Mouth, Throat Flashcards
0-2 months
Startle reflex, calm down to mother’s voice or soft music
2-3 months
Change in body movement in response to sounds, change facial expression to familiar sounds
3-4 months
Turning eyes and head towards sound
6-7 months
Turning to listen to voices and conversations
Vertigo
Dizziness or spinning
Tinnitus
Ringing or roaring in ear
Equipment
EAR
Tunning fork
NOSE
Penlight
MOUTH
Gloves
Penlight
Tongue depressor
Inspection of ear
Ear is equal in size, bean like in shape and aligned with outer canthus of the eye
The auricle, tragus and lobules are free of lumps and skin lesions
Color consistent with the face
Palpation of the ear
Palpate auricle, tragus and lobule
Apply gentle but firm pressure to the tragus
Cerumen
Ear wax
- Dark brown-yellow
- Sticky
- Flaky
Auditory Acuity
Wisper test
Weber’s test
Rhine test
Wisper Test
Stand approximately 2 feet away
Client has eyes closed and you whisper one or two syllables in ear and client has to repeat
Weber’s Test
Using tunning fork to evaluate sound waves through bone
Placed on the patient’s forehead and ask the patient which side they hear the most
Rhine Test
Compares air conduction to bone conduction
Placed on mastoid bone and the patient will hear the tunning sound. After it fades, place the tunning fork by client’s ear.
Normal findings: weber’s test
Sound waves are transmitted to both ears
Abnormal findings: Weber’s test
Unilateral conductive hearing loss: client hears lateralization (sound is louder) to defective ear
Unilateral sensorineural loss: lateralizatiin to normal or better-hearing side
Normal findings: Rhine test
Air conduction is normally heard longer to bone conduction
Abnormal findings: Rhine Test
Sensorineural hearing loss: bone conduction and air conduction are equal
Conductive hearing loss: bone conduction is greater than air
Ear infections
Otitis media
Otitis Externa
Inspection of nose
Nose is aligned, central and symmetrical with two nares. Cilia present.
Skin consistent with the rest of the body
No lesions, lacerations or lesions noted
Pink mucous membranes
No drainage/discharge
Inspection of mouth
Mouth is central and pink in color. No ulcers, scaliness, cracking or ulcers noted. Mucous membranes of are pink, healthy and moist. Uvula is midline in the back of the mouth.
Client has all 32 teeth without cavities.
Palpation of mouth
With gloves, tongue is moist and warm with papillae.
Inspection of Neck
Neck is central and normal complexion in comparison to the rest of the body. No lesions, masses laceration or lumps noted. Trachea appears midline.
Palpation of neck
Thyroid felt to be midline. Lymph nodes unpalpable without any nodules. Carotid artery 3+ with regular rate and rhythm.
Bruits
The sound of blood flowing through a narrowed portion of an artery
