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Health Assessment
Chapter 15: ears
16
Nursing
Undergraduate 3
09/16/2011

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Cards

Term
Middle ear functions
Definition
1) Conducts sound vibrations from outer ear to the central hearing apparatus in the inner ear. 2) protects inner ear by reducing amplitude of loud sounds 3) eustachian tube allows equalization of air pressure on each side of the tympanic membrane so that the membrane does not rupture
Term
organ of Corti
Definition
sensory organ of hearing
Term
Conductive Hearing Loss
Definition
Mechanical dysfunction of the external or middle ear
Term
Sensorineural Hearing Loss
Definition
Indicates pathology of the inner ear, cranial nerve VIII or the auditory areas of the cerebral cortex
Term
Mixed hearing loss
Definition
A combination of conductive and sensorineural types in the same ear
Term
Otosclerosis
Definition
Common cause of hearing loss for young adults between ages of 20-40, gradual hardening that causes the footplate of the stapes to become fixed in the oval window, impeding transmission of sound.
Term
presbycusis
Definition
type of hearing loss that occurs in 60% of those older than 65. Gradual sensorineural loss caused by nerve degeneration in the inner ear
Term
Progression of presbycusis
Definition
1)high frequency sounds become hard to hear 2)harder to hear consonants than vowels 3)Much speech information is lost and words sound garbled
Term
Predispositions for otitis media
Definition
1)absence of breastfeeding in the first three months 2)exposure to tobacco smoke 3)daycare attendance 4)male gender 5)pacifier use 6)seasonality 7)underlying disease
Term
Tympanic membrane
Definition
Eardrum. shiny, translucent, pearl gray
Term
Cone shaped light reflex
Definition
5 o'clock position in the right drum, 7 o' clock position in the left drum. Reflection of otoscope light
Term
Whispered voice test
Definition
Mask one ear while whispering three random letters or numbers into the other one to test for hearing acuity. Should be able to repeat each sound after you say it.
Term
Audiometric testing
Definition
Performed if the patient already knows/suspects hearing loss
Term
Tuning fork tests
Definition

measure hearing by air conduction (AC) or bone conduction (BC). Ac usually more sensitive

Weber on top of the head, Rinne tested at the mastoid process

Term
Romberg test
Definition
assesses the ability ofthe vestibular apparatus in the inner ear to help maintain standing balance
Term
Tympanostomy tubes
Definition
inserted surgically into the eardrum to relieve middle ear pressure and promote drainage of chronic ear infections
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