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health assessment 2b
ear
| Question | Answer |
|---|---|
| excessive cerumen | produced or impacted bc of narrow tortous canal or poor cleaning -show: round ball partially obscruring drum or totally occulding canal |
| carcinoma | ulcerated crusted nodule with indurated base hta fails to heal (bleeds, refer fo biospy) -occur: superior rim of the pinna -most sun exposure, may also ear canal and shows chronic discharge |
| chondrodermatitis nodularis helicus | painful nodules develop on rim of helix (mechanical pressure or environment) -small, indurated, dull red, poorly defined, and very painful |
| tophi | small, whitish-yellow, hard, nontender nodules in or near helix or antihelix -contains greasy, chalky material of uric acid crystals sign of gout |
| sebaceous cyst | behind lobule -filled with waxy sebaceous material and is painful if it becoems infected |
| Darwin's Tubercle | small painless nodule at helix -congenital variation |
| cerebrospinal fluid otorrhea | skull fracture of temporal bone causes CSF to leak from ear canal and pool in concha wen supine -CSF feels oily and test (+) for glucose |
| branchial remnant and ear deformity | facial remant or leftover of embryological branchial arch (skin tag) -preauricula area -bilater, increase risk of renal abnormality |
| otitis externa (swimmers ear) | infection of outer ear -painful movement of pinna + tragus, redness+ swelling of pinna + canal, scanty purulent discharge, scaling, itching, fever, and enlarged lymph nodes |
| frost bite | reddish blue discoloration + swelling of auricle after exposure to extreme cold -vesicles or bullae may develop -feels pain and tenderness |
| fungal infection (otomycosis) | colon of black or white dots on drum or canal wall suggests a yeast or fungal infection |
| bullous myringitis | small vessicles containing blod on the drum -mycoplasma pneumonia + virus infection -blood-tinged discharge and sever otalagia |
| perforation | occur from trauma + acute ottis media -appears as a round or oval darkened area on drum -central:parstensa -marginal: annulus |
| acute (purulent) otitsi medi | reuslts wen middle ear fluid is infected -absent light reflex from incresee me pressure -redness + bulging are 1st noted in superior part of drum, along with earahce + fever -fiery red bulging of entire drum, occurs deep throbbing pain; fever transient |
| ottis media with effusion (OME) | amber-yellow drum (serum middle) transludes to relieve (-) pressure from the blocked eustachain tube -symptoms feeling of fullness, transient hearing loss, popping sound wen swallowing |
| retracted drum | landmarks more prominent + well defined -malleus handle looks shorter + more horizontal than normal -short process is rominent -light reflex absent/distorted -drum: dull, lusterless and no move |
| polyp | arise in canal form granulomatous or musocals tissue, redder than surrounding skin + bleed easily; bathed in foul purulent discharge; |
| furuncle | exquisttitey painful, reddened, infected hair follicle -occur: tragus, cartilagionous part of ear canal regional lymphadenopathy |
| scarred drum | dense white patches on the eardrum are sequele of repeated ear infections |
| blue drum | indicates blood in middle ear, as in trauma resulting in skull fracture |
| cholesteatoma | overgrowth of epidermal tissue in middle ear or temporal bone -appears white, cheesy appearance -signs: otorrhea, unilateral conduct hearing loss, tinnitus |
Created by:
xnyzlatinangelx
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