Test one (week one material) Flashcards by tia meechan

Charcoal poultice indications

Mastitis
Otitis media/externa
Abscesses

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Constitutional hydrotherapy indications

Bronchitis

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Constitutional hydrotherapy contraindications/cautions

Acute asthma
Acute bladder infection
Low temp <97.5F oral

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Heat compress for throat indications

Sore throat/hoarseness
Inflammation of throat
Neck pain

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constitutional hydrotherapy MOA

Promotes detox
Improves nutrition
Increases immune function

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Heat compress for throat MOA

Increases circulation + decreases congestion in the throat and head
Sedating
Pain relieving
Increased healing response during acute infection

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Onion poultice indications

Ear infections
Chest colds
Flu

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Warming sock indications

Sore throat
Any inflammation or infection
Neck pain
Ear infections
Headaches/migraines
Nasal congestion
URI
Coughs
Bronchitis
Sinus infections

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Warming sock MOA

Increases circulation and decreases congestion of upper respiratory passages, head, and throat
Sedation
Pain relief
Increases healing response during acute infections

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Treatments for eye irritation

Ayurvedic or bates eye exercises

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Treatments for soothing tired eyes

Sterile cotton balls in cold goats milk
Cucumber slices
Witch hazel

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Treatments for burning eyes

Drop of:
Lukewarm liquid ghee
Castor oil
Cod liver oil

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Treatments for acute inflammation of the eyes (glaucoma, iritis, conjunctivitis)

Hot compress
Cold potato poultice with cold water towel and wool

Conjunctivitis:
Small ice cold compresses, if chronic then alternating hot and cold

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Treatments for cellulitis of eyes

Charcoal poultice

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Hydro Treatments for otitis media

Constitutional hydro
Alternating hot and cold compresses
Warm lamp
Warming socks
Warmed salt in pillow case
Cold wet compress

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Hydro treatment for sinusitis

Alternating hot and cold compresses over sinuses
Steam inhalation
Neti pot
Lions pose

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Hydro treatments for pharyngitis/throat

Constitutional hydro with neck compress
Diathermy (if no fever)
High frequency (if fever)
Enema
Heating throat compress
Carrot poultice
Gargling salt water and turmeric
Antimicrobial tea

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What makes up the outer ear anatomy?

Auricle
Travis
Antitragus
Helix
Lobule
External auditory meatus
Darwin’s tubercle

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What makes up the middle ear anatomy?

Tympanic membrane (pars flaccida, pars Tessa, umbo, cone of light, short handle of malleus, manubrium long handle, long crus of incus)
Ossicles (malleus, incus, stapes)

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What makes up the inner ear anatomy?

Eustachian tube
Bony labyrinth (cochlea, vestibule, semicircular canals)
Membranous labyrinth

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Function of external ear

Collects sound energy and channels it into the head

Function of middle ear

TM captures and transmits sound energy > ossicles

Ossicles convert sound energy > mechanical energy + amplify it, transferring it to oval window of cochlea.

Function of inner ear

Bony labyrinth: protective/structural
Vestibule: proprioception and balance
Cochlea: conversion of sound energy > electrical energy. Vibrations from ossicles set ends lymph into motion, which causes a flow of positive K+ ions across the neg hairs on organ of corti, causing a synapse to fire to the auditory area of temporal lobe vis 8th cranial nerve > interpreted as sound

What is the only vascularized epithelium in the body?

Stria vascularis is of the inner ear

Stria vascularis function

Cells high in mitochondria; backup “battery” for organ of corti, helps to maintain endolymph. It’s vascular supply provides nutrients to the organ of corti while keeping the vessels at a distance minimizing the distraction of noise from blood flow

Ddx of ear pain

Dermatitis Chondrites Lichen planus Otitis external Otitis media Impacted cerumen Foreign bodies Osteoma Rupture

What is an osteoma

Benign outgrowth of bone found mainly on skull bones

Hx differences between AOM and OME

Hx AOM: Secondary to URI Children <10 Unilateral, blockage sensation, hearing loss > fever; worse at night/lying down Insomnia, irritability, anorexia (best clues in infant) Hx OME: Painless Popping or gurgling sounds Plugged feeling Aural fullness Allergies or VRI common causes

TM appearance in AOM vs OME

AOM: red, inflamed, cloudy, fullness/bulging OME: yellow, amber

Are fever/cervical lymphadema signs of AOM or OME?

AOM

What condition may show bubbles or fluid level retraction and tenting over the short handle of the malleus?

OME

Light reflex is affected how in AOM?

Smaller and distorted

What finding may be found on pneumatic otoscopy in AOM?

Middle ear fluid or pus

What is the pathophys lichen simplex chronicus?

Itch/scratch cycle after initial insult such as a bug bite Mainly outer canal and concha

What is Seborrheic dermatitis

Scaly, erythema, and lesions on scalp, eyebrows, and outer ear

Atopic dermatitis can be caused by what and appears how?

Atopic pt (eczema, asthma, hay fever) Lesions on flexion folds, ear canal

What condition can be confused with otitis externa? How to differentiate them?

Atopic dermatitis; but AD is sterile, there’s no WBC, no infection

What tissues are affected by erysipelas and acute cellulitis?

Erysipelas: upper dermis and superficial lymphatics Cellulitis: deeper dermis and subcutaneous fat

RF for erysipelas/acute cellulitis

Secondary to another dermatitis or trauma

How might erysipelas/acute cellulitis present

Fever, chills Cellulitis: may or may not have purulence Erysipelas: non-prurulent, can spread along facial planes and involve entire auricle

Infectious chondritis is what? And usually follows what condition?

Deeper infection involving cartilage; usually follows Erysipelas

Sx of infectious chondritis

Entire ear hot, red; including lobe Fever, nausea, chills

What is relapsing poly chondritis?

Non-infectious systemic dz, bilateral auricular chondritis, possibly autoimmune

Relapsing poly chondritis sx

DEEP redness, spares lobes, only affects where cartilage is Nasal chondritis Ocular chondritis Arthritis

Sx of lichen planus

Flat topped violet papules on skin Four “P’s” Pruritis Purple (slight violet hue) Polygonal Papules or plaques

RF otitis externa

Change in pH acidic>alkaline Increased temp and humidity Mild trauma, frequent cleaning, alterations in ear canal microbiome Swimming Dermatitis

Sx otitis externa

Tender, swollen ear canal Pain IN ear canal Auricle and tragic very tender to manipulation Pruruitis to severe pain Aural fullness and conductive hearing loss due to blockage of auditory canal Fever Insomnia from pain

Malignant (necrotizing) otitis externa RF

Immunocompromised: DM, alcoholic, malnourished Pseudomonas aeruginosa Staph aureus, fungi

What is malignant (necrotizing) otitis externa?

Progressive otitis externa that invades underlying cartilage/bone; rare but dangerous

Malignant (necrotizing) otitis externa sx

Sever otalgia and otorrhea with pain that appears out of proportion to PE findings Bell’s palsy, facial nerve paralysis and death, osteomyelitis, hearing loss

Otitis externa PE findings

Red ear canal Exudate Ear may be swollen shut