Nerves & Special Senses pt 2 Flashcards
describe MULTIPLE SCLEROSIS (MS)
progressive autoimmune disease where inflammation causes demyelination of myelin sheath leading to plaque which scars the brain, cord, & optic nerve disrupting transmission
MS leads to what effects/issues
pain, physical & cognitive problems, weakness/numbness in limbs, unsteady gait, uncoordinated movements, fatigue
describe BELL’S PALSY
temporary paralysis of 7th cranial thought to be caused by virus leading to paralysis of face on affected side; inability to close eye, pain, tearing, drooling, hypersensitivity to sound in affected ear, taste impairment
describe GUILLAIN-BARRE SYNDROME (GBS)
inflammation of myelin sheath of many peripheral nerves (polyneuritis) caused by duration/recovery of infectious disease or autoimmune response after viral infection/vaccines leading to rapid extremity muscle weakness & temporary paralysis
describe NEURITIS
inflammation of nerve leading to pain & loss of function
describe SCIATICA
inflammation of sciatica nerve from pressure on nerve roots leading to pain, burning, & tingling thru thigh/leg/foot
describe TRIGEMINAL NEURALGIA
chronic pain condition from inflammation of 5th cranial nerve leading to severe lightning-like pain in gums, cheek, & lips
describe CEREBRAL PALSY
group of disorders common in premature/low birth weight infants from a brain condition/injury during pregnancy, birth, or postpartum; s/s: poor muscle control, spasticity, speech defects, neurological deficiencies, poor muscle tone & movement
describe SEIZURE
sudden surge of electrical activity affecting feeling, actions, & physical/mental changes from fever, brain injury/lesions, or other disorders
describe TONIC-CLONIC SEIZURE
body rigid (tonic) w/uncontrollable jerking (clonic); generally epileptic
aka: tonic-clonic seizure
grand mal seizure
describe ABSENCE SEIZURE
brief disturbance in function causing brief, sudden lapses of consciousness leading to vacant staring for about 10-15 sec; gen kids
describe FOCAL SEIZURE
abnormal electrical activity in at least 1 part of hemisphere; absence seizure symptoms + some repetitive muscle movement
aka: focal seizure
partial seizure
describe FEBRILE SEIZURE
tonic-clonic seizure in infants & young kids caused by fever & gen outgrown by 5 yrs
define SUDDEN UNEXPECTED DEATH IN EPILEPSY (SUDEP)
epileptic patient death during/following seizure w/causes being unknown, respiratory failure, or arrhythmias
define CAUSALGIA
persistent, severe burning pain after sensory nerve injury
describe COMPLEX REGIONAL PAIN SYNDROME CRPS)
chronic nerve pain of 1 limb after injury causing change in skin color, temperature, & swelling
define HYPERESTHESIA
abnormal & excessive sensitivity to pain, touch, & other sensory stimuli
describe PARESTHESIA
burning/prickling/numbness/tingling w/o apparent physical cause, caused by irritation/injury to sensory nerves/nerve roots; can be symptom of peripheral neuropathy/drug side effect
define PERIPHERAL NEUROPATHY
disorder of peripheral nerves from diabetes, hypothyroidism, or other conditions leading to pain, loss of sensation & no muscle control (esp in hands & feet)
describe RESTLESS LEGS SYNDROME (RLS)
uncomfortable feelings in legs leading to urge to move generally at night or when trying to rest bc of an unknown cause
define ANXIETY DISORDERS
excessive irrational dread of everyday things/out of proportion fear, worry, or nervousness
describe GENERALIZED ANXIETY DISORDER (GAD)
chronic, excessive worrying that is not restricted to specific thing; s/s: muscle tension, sleep disturbances, irritability, trouble concentrating, restlessness, heart palpitations, chest pain, tremors, sweating, nausea, & headaches
describe PANIC ATTACK
unexpected, sudden fear during no danger associated w/unneeded activation of flight or fight; s/s: heart palpitations, shortness of breath, chest tightness, dizziness, sweating, nausea, feelings of unreality, & choking sensation
describe PANIC DISORDER (PD)
sudden & recurring attacks of intense anxiety & fear/fear of panic attacks that cause the development of other phobias; s/s: imitate heart attack & sense of loss of control
define POST-TRAUMATIC STRESS DISORDER (PTSD)
emotional numbing, hyperarousal, anxiety, sleep disorders, & persistent reliving of event after event of intense fear, helplessness, or horror
describe PHOBIA
persistent, irrational fear of specific thing that causes significant distress, interferes w/function, & leads to avoidance
define ACROPHOBIA
fear of heights
define AGORAPHOBIA
fear of environments where panic attack might happen
define SOCIAL ANXIETY DISORDER
fear situations of possible negative evaluation of others/embarrassment
aka: social anxiety disorder
social phobia
define OBSESSIVE-COMPULSIVE DISORDER (OCD)
recurrent obsessions & compulsion w/the belief that doing the behaviors will prevent harm or stop obsession
define OBSESSIONS
repetitive, intrusive, & distressing thoughts/impulses
define HOARDING DISORDER
over-accumulation of belongings leading to unsafe & unsanitary living conditions
define ATTENTION-DEFICIT HYPERACTIVITY DISORDER (ADHD)
short attention span & impulsive behavior inappropriate for developmental age
define ATTENTION-DEFICIT DISORDER (ADD)
ADHD w/o hyperactivity
define DYSLEXIA
learning disability where the brain unable to process symbols correctly & can affect self expression
aka: dyslexia
developmental reading disorder
define LEARNING DISABILITIES
normal intelligence w/difficulty in specific skills
define INTELLECTUAL DISABILITY
significantly below average intellectual & adaptive function causing them not to be able to develop skills for daily living
define AUTISM SPECTRUM DISORDER (ASD)
difficulty to develop normal social relationship & communication skills w/significant developmental delays, repetitive routines, narrowly focused, & unusual/intense interests; gen diagnosed ~ 3 yrs
define ASPERGER’S SYNDROME
subgroup of autism w/normal or above average intelligence but poor social interactions & body language
define DISSOCIATIVE IDENTITY DISORDER
at least 2 distinct personalities w/own characteristics caused by early childhood trauma & abuse
aka: dissociative identity disorder
multiple personality disorder
define IMPULSE CONTROL DISORDERS
group of psychiatric disorders w/failure to resist impulse despite negative consequences (kleptomania, pyromania, compulsive gambling, etc)
define OPPOSITIONAL DEFIANT DISORDER (ODD)
persistent angry, uncooperative, & disruptive behavior in kids toward authority figures that disrupts daily activities
define BIPOLAR DISORDER
cycles of severe mood changes that affect attitude, energy, & function
describe MANIAC BEHAVIOR
weirdly euphoric behavior w/inappropriate elation, high irritability, severe insomnia, poor judgment, & inappropriate social behavior
define DEPRESSION
feelings of worthlessness/death/harm/suicide, lethargy, sadness, & loss of interest/plaque
describe PERSISTENT DEPRESSIVE DISORDER
low-grade chronic depression w/milder symptoms present for majority of days for more than 2 years; includes double depression & disruptive mood dysregulation disorder
aka: persistent depressive disorder
dysthymia
define DOUBLE DEPRESSION
acute episode of major depression in patient w/dysthymia
define DISRUPTIVE MOOD DYSREGULATION DISORDER (DMDD)
children w/frequent & severe temper outbursts & chronically irritable
define SEASONAL AFFECTIVE DISORDER (SAD)
bout of depression with low daylight hours
describe ANOREXIA NERVOSA
false perception of body appearance w/intense fear of gaining weight & unable to maintain healthy weight; characterized by voluntary starvation or excessive exercising
define BULIMIA NERVOSA
binge eating w/compensating behavior such as vomiting, excessive exercising, or misuse of drugs
define BINGE EATING DISORDER (BED)
binge eating & sense of loss of control & guilt/shame afterwards
define PERSONALITY DISORDER
chronic pattern of inner experience/thinking & behavior that is pervasive & inflexible w/onset in adolescence/early adulthood
define ANTISOCIAL PERSONALITY DISORDER
disregard for & violation of rights of ppl
define BORDERLINE PERSONALITY DISORDER
impulsive actions, mood instability, chaotic relationships, & self-harm
define NARCISSISTIC PERSONALITY DISORDER
complete lack of empathy for others
define PSYCHOTIC DISORDER
loss of contact w/reality, hallucination, delusions, & function deteriorates
aka: psychotic disorder
psychoses
define DELUSION CATATONIC BEHAVIOR
person unresponsive, in stupor, & tends to be in fixed position
describe DELUSION
false personal beliefs despite obvious proof; belief not ordinarily accepted
define HALLUCINATION
sensory perception w/o external stimuli
define SCHIZOPHRENIA
psychotic disorder w/withdrawal from reality, illogical/distorted thinking patterns, delusions, hallucinations, & emotional/behavioral/intellectual disturbances or perceptions
aka: schizophrenia
schizophrenia spectrum disorder
define SCHIZOAFFECTIVE DISORDER
combo of schizophrenia & bipolar/mood disorder symptoms (either depression or mania)
define SOMATIC SYMPTOM DISORDER (SSD)
distress/excessive focus on physical complaints out of proportion to any findings/disease
define ILLNESS ANXIETY DISORDER
recurring anxiety of presence of illness w/temporary relief w/normal findings
describe FACTITIOUS DISORDER
individual acts as if they have illness motivated by attention & sympathy; visible symptoms are self-inflicted
aka: factitious disorder
Munchausen syndrome
define FUNCTIONAL NEUROLOGIC DISORDERS
neurologic symptoms w/o physical cause & patient unaware symptoms from psyche
define CONVERSION DISORDER
serious temporary/ongoing changes in function such as paralysis/blindness
define MALINGERING
intentional creation of false/exaggerated physical/psychological symptoms w/the motivation being avoiding work or incentives
describe SUBSTANCE ABUSE
addictive use of substance that is dangerous & leads to significant impaired function & recurrent legal/personal issues
define ALCOHOLISM
chronic dependence w/specific withdrawl signs & symptoms
describe DELIRIUM TREMENS
sudden & severe mental changes/seizures from going cold turkey from alcohol
define DRUG ABUSE
excessive use of illicit/recreational/prescription drugs
describe DRUG OVERDOSE
potentially fatal/accidental/intentional overuse of drug; treated w/Narcan or naloxone
describe GENDER DYSPHORIA
sex @ birth doesn’t match gender creating stress; begins in early childhood
define PTOSIS
drooping of upper eyelid caused by muscle weakness/paralysis
aka: ptosis
blepharoptosis
define CHALAZION
hard nodule/cyst generally on upper eyelid caused by obstruction of sebaceous gland
define HORDEOLUM
pus filled & painful lesion on eyelid from acute infection of sebaceous gland
aka: hordeolum
stye or sty
describe BLEPHARITIS
swelling of eyelid gen @ eyelash follicles; s/s: redness, swelling, crusting along eyelid
describe EXTROPION
eversion of edge of eyelid (lower) associated w/aging that causes eye irritation so the tears don’t drain; s/s: properly, redness, pain, & corneal breakdown
describe ENTROPION
inversion of edge of eyelid (lower) where the lashes rub against cornea causing abrasion
describe PERIORBITAL EDEMA
swelling of tissue surrounding eye associated w/allergies, nephrotic syndrome, & cellulitis; s/s: bloated face & swollen eyes
describe CONJUNCTIVITIS
inflammation of conjunctiva from a viral infection, allergy, or irritants
aka: conjunctivitis
pink eye
describe DACRYOADENITIS
inflammation of lacrimal gland caused by bacteria/viral/fungal infection; s/s: sudden severe pain, redness, & pressure above eye
define DACRYOCYSTITIS
blockage, inflammation, or infection of lacrimal sac & nasolacrimal duct accompanied by bacterial infection
define SUBCONJUNCTIVAL HEMORRHAGE
bleeding between conjunctiva & sclera from a injury causing red area over white of eye
describe XEROPHTHALMIA
tear glands don’t make enough tears bc of age, systemic disease, or lack of vitamin A
aka: xerophthalmia
dry eye
describe UVEITIS
inflammation of uvea leading to swelling, irritation, & potential permanent vision loss
describe IRITIS
most common form of uveitis that affects primary structures in front of eye w/ sudden onset for 6-8 weeks
define CORNEAL ABRASION
injury to outer layers of cornea
describe CORNEAL ULCER
open sore on cornea from injury/infection; if cloudy scar left it will impair vision
define KERATITIS
inflammation of cornea from bacterial/viral/fungal infection or other
describe KERATOCONUS
cornea irregular & cone-shaped leading to blurring & distorted vision
define SCLERITIS
inflammation of sclera from infection, chemical injuries, & autoimmune diseases
define ANISOCORIA
pupils unequal in size from congenital, head injury, aneurysm, or pathology of CNS
describe CATARACT
loss of transparency of lens from accumulation of protein in lens, age, congenital, injury, or disease leading to progressive loss of visual clarity
define DIABETIC RETINOPATHY
damage to retina as complication of uncontrolled diabetes
define ENDOPHTHALMITIS
inflammation of intraocular fluids
describe FLOATERS
particles of cellular debris floating in vitreous humor causing shadows on retina appearing as squiggly lines, small specks, or hair-like strands; common; caused by retinal detachment, shrinkage & detachment of collagen fibers in vitreous humor, or happens normally
aka: floaters
vitreous floaters
define PHOTOPSIA
flashes of light from damage to eye or migraines
define MIOSIS
contraction of pupil from light or drugs
define MYDRIASIS
dilation of pupil from disease, trauma, or drugs
describe NYSTAGMUS
involuntary, constant, rhythmic movement of eye leading to limited visual acuity from congenital disorder, neurological injury, or drug use
describe PAPILLEDEMA
swelling & inflammation of optic nerve @ pnt of entrance through optic disk that increases intracranial pressure leading to swelling
aka: papilledema
choked disk
describe RETINAL DETACHMENT
emergency condition of separation of some/all of retina from choroid which can lead to complete detachment & blindness if untreated; s/s: floaters, flashing lights, shadows gradually obscure vision
describe RETINITIS PIGMENTOSA
progressive degeneration of retina affecting night & peripheral vision & causes dark pigmented spots on retina
describe RETINOBLASTOMA
rare eye cancer from growth of retinal cells; most common intraocular cancer in kids
describe GLAUCOMA
group of diseases w/high IOP causing damage to retinal nerve fibers & optic nerve leading to eventual blindness; caused by blockage of fluid flow in & out eye
describe OPEN ANGLE GLAUCOMA
most common; trabecular meshwork gradually blocked leading to pressure & not noticed until damage to optic nerve; detected thru eye exams
aka: open angle glaucoma
chronic glaucoma
describe CLOSED ANGLE GLAUCOMA
opening between cornea & iris narrows so fluid can’t reach trabecular meshwork causing a sudden increase in IOP; s/s: severe pain, nausea, eye redness, blurred vision, & blindness
aka: closed angle glaucoma
acute glaucoma
describe MACULAR DEGENERATION
gradually progressive & incurable condition where macula @ center of retina is damaged leading to loss of central vision
describe AGE RELATED MACULAR DEGENERATION (AMD)
leading cause of vision loss in ppl +60 yrs; starts in 1 eye & develops in other
define DRY MACULAR DEGENERATION
90% of all AMD w/slow deterioration of macula cells
describe WET MACULAR DEGENERATION
advanced form of dry AMD where new vessels grow & leak causing damage to macular cells leading to rapid & severe vision loss
define DIPLOPIA
perception of 2 images of single object & can be symptom of serious disorder like MS or tumor
define HEMANIOPIA
blindness in 1/2 vision field
define COLOR BLINDNESS
inability to perceive certain colors normally form absence/abnormal function of cones
define NYCTALOPIA
normal daytime vision but difficulty seeing @ night
aka: diplopia
double vision
aka: nyctalopia
night blindness
define PHOTOPHOBIA
excessive sensitivity to light from migraines, excessive use of contacts, drugs, or inflammation
describe PRESBYOPIA
common changes in eye w/age such as hyperopia from loss of elasticity in lens bc of age; associated w/declining near vision, less flexible lens, & ciliary body muscles weaker
define STRABISMUS
eyes point in different directions or not aligned right bc of weak eye muscles so eyes cannot focus together
define ESOTROPIA
inward deviation of 1 or both eyes
define EXOTROPIA
outward deviation of 1 eye
aka: strabismus
crossed eyes
aka: esotropia
cross eyes
aka: exotropia
wall eye
describe REFRACTIVE DISORDERS
any disorder of irregular shaped lens & cornea so lens & cornea don’t bend light to focus properly leading to blurred vision
define AMETROPIA
any error of refraction where images don’t focus properly on retina
describe ASTIGMATISM
uneven curvature of cornea leading to blurred vision & can accompany nearsightedness or farsightedness
define HYPEROPIA
generally shortened eyeball shape so light focuses behind retina making images close up blurry generally after 40 yrs
aka: hyperopia
farsightedness
describe MYOPIA
light focus in front of retina; gen around puberty
aka: myopia
nearsightedness
describe AMBLYOPIA
dimness of vision/partial loss of sight w/o disease in 1/both eyes from altered development in childhood
aka: amblyopia
lazy eye
define SCOTOMA
abnormal area of diminished vision surrounded by normal vision
aka: scotoma
blind spot
describe IMPACTED CERUMEN
accumulation of earwax as solid mass leading to otalgia, tinnitus, temporary hearing loss, & ear infection
define OTALGIA
pain in ear
aka: otalgia
earache
define OTITIS
any inflammation of ear
define OTITIS EXTERNA
inflammation of external auditory canal
aka: otitis externa
swimmer’s ear
describe OTITIS MEDIA
inflammation of middle ear; acute or serous
describe OTOMYCOSIS
fungal infection of external auditory canal from moist environment
aka: otomycosis
swimmer’s ear
define OTOPYORRHEA
flow of pus from ear
define OTORRHAGIA
bleeding from ear
define OTORRHEA
any discharge from ear (including CSF)
describe BAROTRAUMA
pressure related trauma from pressure change when flying/driving/diving or blockage of eustachian tube
describe CHOLESTEATOMA
destructive epidermal cyst in middle ear/mastoid process made of epithelial cells, cholesterol, skin cells, & cerumen from congenital disorder or complication of chronic otitis media
aka: cholesteatoma
pearly tumor
describe MASTOIDITIS
inflammation of any part of mastoid bone that can develop w/spread of uncontrolled acute otitis media
describe INFECTIOUS MYRINGITIS
contagious inflammation causing blisters on ear drum & associated w/middle ear infection
describe OTOSCLEROSIS
ankylosis of bones of middle ear leading to conductive hearing loss & treated w/stapedectomy
describe LABRYINTHITIS
inflammation of labyrinth causing deafness & vertigo
describe VERTIGO
sense of whirling, dizziness, loss of balance, nausea, & vomiting associated w/inner ear or other disorders; treated w/vestibular rehabilitation therapy
describe BENIGN PAROXYSMAL POSITIONAL VERTIGO (BPPV)
vestibular disorder w/shift in small crystals in semicircular canals; common cause of vertigo
describe MENIERE’S DISEASE
relatively rare & chronic vestibular disorder of labyrinth where fluid in inner ear increases intermittently causing vertigo attacks, fluctuating hearing loss in 1 ear, & tinnitus
describe TINNITUS
ringing, buzzing, roaring in 1/both ears associated w/hearing loss or prolonged exposure to loud noises
describe ACOUSTIC NEUROMA
benign brain tumor adjacent to cranial nerve from auditory nerve causing hearing loss, vertigo, & tinnitus
define DEAFNESS
complete/partial hearing loss or inability to hear sounds @ pitch or intensity
define PRESBYCUSIS
gradual loss of sensorineural hearing w/age
describe CONDUCTIVE HEARING LOSS
sound waves can’t pass from air to fluid in inner ear so inadequate sound-wave conduction from outer ear to ossicles caused by earwax, infection, fluid in middle ear, punctured eardrum, otosclerosis, or scarring; generally treatable
define SENSORINEURAL HEARING LOSS
auditory nerve/hair cells damaged from age, noise, or acoustic neuroma
aka: sensorineural hearing loss
nerve deafness
describe NOISE-INDUCED HEARING LOSS (NIHL)
nerve deafness caused by repeated exposure to loud or moderately loud sounds from damage to cochlea or auditory nerve; gen not noticed until some hearing permanently destroyed
aka: noise-induced hearing loss
sensorineural hearing loss
define ASTROCYTOMA
tumor of neuroglial tissue
describe AURA
subjective sensation before migraine/seizure including flashing lights, numbness, tingling, or specific odor
define BRAIN TUMOR
intracranial mass that is either neoplastic, cystic, or inflammatory (abscess)
describe EPIDURLA HEMATOMA
mass of blood between skull & dura mater from brain hitting the skull; the bleeding can cause pressure which causes brain damage/death
describe EPILEPSY
CNS disorder where the neural cells’ activity is disrupted; characterized by seizures, repeated twitching of limbs, & occasional loss of consciousness
describe POSTPARTUM PSYCHOSIS
rare condition within the 1st week after birth w/ confusion, disorientation, hallucinations, delusions, obsessive thoughts about baby, paranoia, sleep disturbance, & self harm/harm to baby
describe FUNCTIONAL MRI (fMRI)
detects changes in blood flow in brain; pictures relevant brain tissue when accomplishing task
define CAROTID ULTRASONOGRAPHY
ultrasound study of carotid artery to detect plaque buildup or predict/diagnose ischemic stroke
define ELECTROENCEPHALOGRAPHY (EEG)
record electrical brain activity via electrodes & displayed as waves to diagnose conditions affecting brain function & consciousness
describe MYELOGRAPHY
fluoroscopic & CT study of cord w/contrast via lumbar puncture; done only if MRI of spine not good enough
describe ELECTROMYOGRAPHY (EMG)
electrodes taped/inserted to measure signals in peripheral nerves to muscle; gen paired w/nerve conduction studies
define LUMBAR PUNCTURE
needle into subarachnoid space to obtain CSF for diagnostic purposes
aka: lumbar puncture
spinal tap
describe SNELLEN CHART (SC)
measure visual acuity as fraction; 1st/top # is standard distance (20 ft) & 2nd/bottom # is deviation from normal
describe REFRACTION TEST
determine eye’s refractive error to find best corrective lenses; refers to ability of lens to bend light rays to focus
define DIOPTER
unit of measurement of lens’ refractive power
define COVER TEST
examine binocular vision
describe VISUAL FIELD TESTING
indicate whether object/light seen in peripheral to determine loss in peripheral vision; a blank section indicated glaucoma/optic nerve disorder
aka: visual field testing
perimetry
define OPHTHALMOSCOPY
visually examine fundus (retina, optic disk, choroid, & vessels)
aka: ophthalmoscopy
fundoscopy
define DILATION
prep for ophthalmoscope exam using mydriatic drops to artificially enlarge pupils
define MYDRIATIC DROPS
temporary paralysis of pupils
define SLIT-LAMP MICROSCOPY
narrow beam of light focused on parts of eye to examine anterior structure thru magnification
define OPHTHALMOSCOPY
examine @ front of eye (cornea/iris/lens) & interior
define FLUORESCEIN STAINING
detect foreign bodies, infection, & injury using drops/strip applicator
describe FLUORESCEIN ANGIOGRAPHY (FA)
photographic study of blood vessels @ back of eye w/contrast & xrays to determine proper circulation throughout retina & look for disease
describe PUPILS ARE EQUAL, ROUND, REACTIVE TO LIGHT, & ACCOMODATION (PERRLA)
diagnostic observation; abnormality indicates brain damage or head injury
describe TONOMETRY
measurement of IOP; abnormally high indicates glaucoma
define AUDIOMETRY
use audiometer to measure hearing acuity
define AUDIOLOGICAL EVALUATION
measure ability to hear & understand speech based on pitch & volume
aka: audiological evaluation
speech audiometry
define OTOSCOPE
instrument to examine external ear canal
define MONAURAL TESTING
involves 1 ear
define BINAURAL TESTING
involves both ears
describe TYMPANOMETRY
air pressure in ear canal to test for middle ear disorders by testing for middle ear fluid buildup, eustachian tube obstruction, & conducting hearing loss
define ACOUSTIC REFLECTOMETRY
measures how much sound reflected from eardrum by testing amount of fluid in middle ear to diagnose otitis media