Shared Flashcard Set

Details

Health Assessment
Ear
37
Nursing
Undergraduate 2
11/11/2009

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Cards

Term
Which cranial nerve is involved with the ear?
Definition
8 (vestibular cochlear/ acoustic)
Term
What is the abbreviation for both ears? left ear? right ear? what do they stand for?
Definition
AU (aureus unitas), AS (aureus sinestra), AD (aureus dextra)
Term
What is vertigo?
Definition
dizziness
Term
What is swimmer's ear?
Definition
infection of the external ear (pushing on the tragus is painful)
Term
What are the parts of the external ear?
Definition
helix, antihelix, tragus, lobule, mastoid process
Term
What structures are in the middle ear?
Definition
TM and ossicles (malleus, incus, stapes)
Term
What is the TM?
Definition
tympanic membrane (ear drum); separates the external and middle ear; conducts sound and decreases amplitude and pressures (stabilizes pressures within head with outside)
Term
What is the eustachain tube?
Definition
drain down into nasopharynx; infants is horizontal and adults slopes
Term
Why do children get more ear infections than adults?
Definition
their eustachian tubes are horizontal so when they swallow they can get fluid in the tubes
Term
What are structures of the inner ear?
Definition
vestibular apparatus(balance) and cochlea (hearing)
Term
What are the pathways of hearing?
Definition
sound is transmitted by air and bone (bones of our skull can vibrate and transfer waves directly to our inner ear)
Term
air conduction/ bone conduction ratio
Definition
2:1
Term
Conductive hearing loss
Definition
disorder of external or middle ear impairs conduction of sound to inner ear (ossicles can't conduct sound)
Term
sensorineural hearing loss
Definition
disorder of the inner ear, cranial nerve or its central connections impairs the transmission of nerve impulses to the brain
Term
mixed hearing loss
Definition
combo of conductive and sensorineural
Term
central hearing loss
Definition
CNS disorder (ex: brain tumor)
Term
presbycusis
Definition
gradual nerve degeneration that occurs with aging and by ototoxic drugs (strong antibiotics can cause hearing loss)
Term
otosclerosis
Definition
gradual hardening of the foot plate of stapes to oval window, impedes sound transmission, starts at age 20-40
Term
What is the goal of the otoscopic exam?
Definition
safety and max visualization (into middle ear)
Term
What is the size of the ear?
Definition
4-10 cm
Term
Where should you check for tenderness>
Definition
mastoid area and tragus
Term
describe the ear wax of different cultures
Definition
asians and native americans = dry; whites and blacks = wet
Term
What are the landmarks of the TM?
Definition
light reflex, handle of malleus, umbo (end of malleus), short process, pars tensa, pars flaccida, annulus
Term
What is pars tensa?
Definition
looks like the TM is stretched tight
Term
What are the normal colors of the TM?
Definition
pearly pray, shiny, translucent
Term
What are the abnormal colors of the TM and what do they mean?
Definition
red (acute otitis media), serous yellow tinge (serous otitis media- ongoing), fluid level or air bubbles (serous otitis media)
Term
What is the normal positioning of the TM?
Definition
flat, slightly pulled in at the center and flutters with insufflation
Term
What is abnormal position of the TM?
Definition
bulging, retracted
Term
What happens when there is scarring of the TM?
Definition
not as good of vibration so you can't hear as well
Term
What is otitis media?
Definition
inflammation of the middle ear (acute: red bulging TM)
Term
What are hearing acuity/screening tests?
Definition
observation, whispered voice test, watch tick test, finger tip rub, hearing screening, tuning fork tests (weber and rinne)
Term
hearing screening test
Definition
person 5 feet from you, say "say the word..." with hand over mouth (normal= get all right, abnormal= miss 3 words)
Term
weber test
Definition
measures through bone conduction; normal: heard in both ears equally; abnormal: unilateral conduction defecit (sound is heard best in affected ear), sensorineural loss (sound lateralizes to unaffected ear)
Term
Rinne test
Definition
normal: AC>BC (positive Rinne); abnormal: AC=BC or ACBC but diminished overall (sensorineural loss)
Term
whispered voice test
Definition
whisper 3 or 4 words (unrelated) while the person pushes on opposite ear
Term
watch tick test
Definition
put watch behind person's ear and record distance they can hear it tick at
Term
finger tip rub
Definition
rub hair in ear
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