Medical Issues Ch. 13 Flashcards
1
Q
examination of the ear
A
patient history general observation palpate pinna and mastoid process conduct a hearing test if necessary -determine difference between sensorineural loss and conductive hearing loss using the Weber test Otoscope evaluation
2
Q
sensorineural loss
A
cranial nerve
born deaf
3
Q
conductive hearing loss
A
tympanic hearing
4
Q
Weber test
A
start a tuning fork and place it on the midline of the head
- conductive: hear better in their impaired ear
sensorineural: hear better in healthy ear
5
Q
otoscope evaluation
A
examine the ear into the tympanic membrane
6
Q
auricular hematoma
A
buildup of fluid between the skin and the certilage of the pinna MOI -repeated trauma to the site S/S -buildup of fluid -sometimes painful Tx -ice and compression -referral if they have a visible buildup of fluid RTP -clear to play -drain and cover
7
Q
ruptured tympanic membrane
A
MOI -change in pressure -puncture wound -direct blow to the head S/S -painful -tinnitus -hearing loss Tx -will heal on it's own refer out RTP -depends on the sport -self-limiting in most sports
8
Q
otitis externa
A
inflammation and/or infection of the external auditory canal swimmer's ear, or cleaning the ear too much cerumen dries out - dries the ear out S/S -pain -itching -burning -possible swelling of pinna Tx -antibiotics RTP -usually within 24 hours of beginning antibiotics
9
Q
otitis media
A
presence of fluid in the middle ear accompanied by S/S of infection S/S -earache -fullness in the ear -fever -ringing in the ears -dizziness -hearing loss -tympanic membrane is red when looking with an otoscope Tx RTP -24 hours after starting antibiotics
10
Q
impacted cerumen
A
build of earwax in the external canal S/S -hearing loss -ear's "plugged up" Dx -use otoscope Tx -referral to have it removed -manual removal
11
Q
nose exam
A
ask questions look for drainage examine the nose palpate the nose palpate the facial bones and sinuses
12
Q
allergic rhinitis
A
hypersensitivity to inhaled allergens S/S -clear mucus -sneezing -runny nose -congestion -itchy, watery eyes Tx -send in if they have a fever -antihistamines -avoid allergens -humidifier, air filter
13
Q
non-allergic rhinitis
A
caused by virus, bacteria or vasomotor-related inflammation or infection of the nasal passages
S/S
-same as allergic but won’t react to same Tx
14
Q
sinusitis
A
inflammation of mucus membranes lining the paranasal sinuses S/S -sinus pain Tx -referral -antibiotics RTP -can play without fever
15
Q
exam of the mouth and throat
A
inspect the face, head and neck
palpate the lymph nodes
examine the lips both open and closed
inspect the tongue and mucosal lining of the mouth, gingivae, and back of throat
