module 2 auricular disorders and impacted cerumen

Question 1

auricular disorders

Answer 1

conditions that affect the external ear

Question 2

relapsing polychondritis

Answer 2

rheumatologic disorder that affects the cartilage of the ears, nose, and laryngobronchial system

Question 3

chondrodermatitis nodularis helicis

Answer 3

benign chronically inflamed lesion
- helix or antihelix
- lesion that is painful and possibly crusting

Question 4

malignant otitis externa

Answer 4

severe form of otitis externa
- severely edematous, erythematous, and tender auricle
- can quickly dissect through fascial planes -> life-threatening infection of the head a face

Question 5

malignant otitis externa usual caused by

Answer 5

fungal infections
pseudomonas aeruginosa
MRSA

Question 6

basal cell carcinoma s/s

Answer 6

shine, irregular, painless lesion
- older persons, fair-skinned, hx sun exposure

Question 7

Squamous cell carcinoma s/s

Answer 7

raised, crusted border around a center ulcer
- fair-skinned patients, hx sun exposure

Question 8

three parts of auricle

Answer 8

helix: top portion
antihelix: midsection
lobe: lower portion

Question 9

outer ear aids in

Answer 9

receiving sound waves from the environment

Question 10

infected pierced lobes s/s

Answer 10

warm
tender
erythematous
exudates

Question 11

cerumen impaction

Answer 11

inc. amounts of heard cerumen occluding the external ear canal

Question 12

dx cerumen impaction

Answer 12

patient s/s
prevention of needed assessment of ear (unable to visualize TM)

Question 13

cerumen impaction s/s

Answer 13

unilateral or bilateral fullness
hearing loss
otalgia
itching
discomfort
tinnitus
cough
vertigo
dizzy

Question 14

to assess the ear

Answer 14

adults: pinna pulled up and backward
children: ear pulled downward

Question 15

contraindication to putting fluid in ear

Answer 15

hx:
- ruptured TM
- tubes
- recent ear surgery

Question 16

hydrogen peroxide should not be used with

Answer 16

dry skin

Question 17

complications after cerumen removal

Answer 17

pain
injury to skin of ear canal with hemorrhage
acute otitis externa

Question 18

older adults and impaction

Answer 18

glands produce cerumen become less productive -> cerumen that is drier and more likely to collect in canal

Question 19

potential complications of impacted cerumen

Answer 19

dec. auditory acuity
pressure on and perforation of the TM
water retention behind impaction can occur -> infection

Question 20

need for referral

Answer 20

perforation
chronic cerumen impaction
tubes
reacent ear surgery
pus or necrotic tissue
During ear lavage:
- acute pain
- dizzy
- hearing loss
- damage to external ear canal or TM