Final 48 Flashcards
Tympanic membrane
Should appear pearly grey
Assess history
Ear infections Balance Tinnitus B12 deficiency Smoker Diabetic HTN?
Assess drug history
Gentamicin
Diuretics
NSAIDs
Chemo
Conductive hearing loss
External or middle ear
Sensorineural
Inner ear or acoustic nerve
Weber and Rinne test
Tuning fork
Tests for conductive or sensorineural
Weber
Fork in middle of head
Sound equal in both ears
Rinne
Compares air conduction with bone conduction
Normally heard 2-3 times longer by air conduction
Auditory brainstem evoked response
Assess hearing with patient who are deaf
Electronystagmography
Central and peripheral disease of vestibular system
Caloric testing
Evaluates auditory nerve
Water or air infused into ear.
Normal response is vertigo and nystagmus with in 30 seconds
Dix-hallpike test for vertigo
Whip them up from laying position
See if they have nystagmus
Furuncle
Boil
Perichondritis
Infection when you get ear Pierced
Mastoiditis
Middle ear infection that spreads
Meningitis
Earwick
Used to instill antibiotics
Acute otitis media
Pulling ear, fever, fullness, pressure
Serous otitis media
Sterile, middle ear fluid
Blocked by respiratory illness
Antihistamines and decongestants get rid of fluid
Labyrithitis
Caused by acute or chronic otitis media
S/S hearing loss, tinnitus, nystagmus
Acoustic neuroma
Benign tumor
Cranial nerve #8
Hearing, facial movements
Treatment: craniotomy
Presbycusis
Sensiorineural auditory loss that occurs with aging