HEENT EAR(TYMPANIC MEMBRANE) Flashcards
inner ear, cochlear nerve, central connections to brain- may complain others mumble
- Weber- lateralizes to good ear
- Rinne- air longer than bone
o Hereditary, presbycusis, rubella, cytomegalovirus, Meniere’s
Sensorineural loss
results from problems with external or middle ear- children and
young adults- may get better in noisy environment
- Weber-lateralizes to impaired ear
- Rinne- bone longer than air
- Trauma, tumor, perforated tympanic membrane, congenital
” May be caused by medications- NSAIDs, quinine, aspirin
Conductive loss
pain in external canal- tug test- canal is swollen, narrows, moist
and pale
Chronic- skin in thickened, red and itchy
Otitis externa
middle ear, may come with respiratory infection – tenderness
behind the ear, red bulging ear drum, serous effusion
Otitis media
usually soft wax, debris, or rash, discharge through
perforated eardrum
Chronic Otitis Media
nontender nodular swellings covered by normal skin deep in ear- may obsure the eardrum
Exostoses
firm, nodular- hypertrophic mass of scar tissue, most common shoulder
and upper chest
Keloid
chronic inflammatory lesion, starts as tender papule on helix or antihelix
Chondrodermatitis Hilicis
deposit of uric acid crystals- chronic gout- hard nodules on helix or antihelix, may have chalky discharge, also may appear near joints
Tophi
raised nodule with lustrous surface and telangiectatic
vessels, common slow growing malignancy, rarely metastasizes, may have ulceration- overexposure to sunlight
Basal Cell Carcinoma
sebaceous cyst- dome shaped firm lump
Cutaneous Cyst
chronic rheumatoid arthritis, small lumps on helix or antihelix
with additional nodules on hands or ulna, ulceration may result
Rheumatoid Nodule
eardrum is pinkish gray, can see malleus and incus
Normal
hole in eardrum, from infection of middle ear
Perforation
chalky white patch on eardrum- deposit of hyaline materialsevere
otitis media
Tympanosclerosis
