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Hnp > Lecture 2 Bates ch 7 Ear and Sinus > Flashcards

Lecture 2 Bates ch 7 Ear and Sinus Flashcards

1
Q

Nasal discharge

A

Rhinorrhea

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2
Q

Sense of stuffiness or obstruction int he nose

A

Nasal Congestions

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3
Q

Nose Bleed

A

Epistaxis

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4
Q

Vomiting blood

A

Hematemesis

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5
Q

Coughin up blood

A

Hemoptysis

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6
Q

3 bones of the middle ear

A

Malleus, Incus, Stapes

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7
Q

Cochlear nerve is innervated by

A

CN VIII

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8
Q

Fluid in the ear cancals

A

Endolymph

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9
Q

Phase that sound travels through to the TM

A

Conductive Phase

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10
Q

Hearing loss from nerve or cochlea

A

sinoneural hearing loss

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11
Q

ID structures top to bottom

A

Helix

Antihelix

Entrance to ear canal

Tragus

Lobus

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12
Q

ID top to bottom left to right

A

Pars Flaccida

Incus

Pars Tensa

Short Process of Malleus

Handle of Malleus

Umbo

Cone of Light

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13
Q

What innervates the inner ears cochlea and semicircular canals?

A

CN 8 (auditory nerve)

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14
Q

The weber test is used for both conduct and sensoneural hearing loss.

If lateralization occurs to the good ear, the patient has what type of hearing loss?

A

Sensorineural loss

Because the inner ear or cochlear nerve damage of bad ear prevents vibration transmission

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15
Q

In the weber test, if lateralization occurs to the impaired ear (room noise not well heard, but vibration improves) what types of hearin gloss is this is what type of hearing loss?

A

Conductive Hearing Loss

(Pt. says I hear it better in my bad ear, thats funny. You say, that neural transmission is fine, and vibration sensing acutally improves in conductively (inner/middle ear) impaired ears!)

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16
Q

In the Rinne test (mastoid and air test)

What is the abnormal finding that suggests conductive hearing loss?

A

BC > AC

Bone conduction is greater than air conduction

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17
Q

What structure gives us our sense of balance?

A

Semicircular canals

18
Q

what two maneuvers can ellicit pain in otitis media?

A

Pulling up on the pinna, and pushing on the tragus

19
Q

What test can confirm your suspicion for effusion?

A

Pneumatic Otoscopy

20
Q

What are the steps for testing auditory acuity?

A
  1. Ask pt. to cover other ear
  2. stand 2 feet behind patient.
  3. whisper 3 sweet nothings into their ear
  4. Ask pt. to repeat the words back
21
Q

What are the two sinus that we palpate for pain/tenderness?

A

Frontal Sinus

Maxillary Sinus

22
Q

What do you have your patient do each time before inspecting a nostril?

A

Have patient cover opposite nostril and blow to ensure patency

23
Q

If there is pain on sinus palpation, what is the next test to perform?

A

Sinus Transillumination

24
Q

What are the 5 types of dizziness? (dizziness is too nonspecific)

A

Vertigo

Presyncope

Disequilibrium

Psychiatric

Multifactorial or Unknown

25
Q

What is the difference between peripheral and central veritgo

A

The root cause: Central vertigo is usually comes from brainstem deficits - dysarthria, ataxia, and crossed motor/sensory deficits

Peripheral: Isn’t central

26
Q

This kind of peripheral vertigo can cause N/V/Nystagus and occurs suddeny when rolling affected side of the head, and last between seconds and a minute

A

BPPV

27
Q

This kind of peripheral vertigo could last upto 2 weeks, and can cause N/V/Nystagmus

A

Vestibular Neuronitis (Labyrinthitis)

28
Q

This type of peripheral vertigo can last from several hours to more than a day, presenting with sensorineural hearing loss, with fluctuating Tinnitus (also N/V/Nystagmus)

A

Meniere’s Disease

29
Q

This type of peripheral vertigo is linked to exogenous substances, where vertigo may/may not be reversible, and hearing loss and tinnitus may be present (includes N/V)

A

Drug Toxicity

30
Q

This type of peripheral vertigo is insidious from CN VIII compression (vestibular branch), with hearing impaired to one side, with Tinnitus, and may invole CN V and VII?

A

Acoustic Neuroma

31
Q

What type of nystagmus suggests central vertigo?

A

Up - Down nystagmus

32
Q
A

Keloid

33
Q

An accumulation of uric acid in what condition?

A

A Tophi

from GOUT

34
Q
A

Cutaneous Cyst

AKA sebaceous cyst

no biggie unless inflamed/infected

35
Q
A

Basal cell carcinoma

36
Q
A

TM Perforation

heals on its own

37
Q
A

Tympanosclerosis

(can be old, from scarring of surgery or previous infections)

38
Q
A

TM Effusion

open eustachian and let it drain!

39
Q
A

Otitis Media

40
Q
A

Bullous Merengitis

tiny little bubbles on top of the TM

41
Q
A

Hnp (9 decks)

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