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N307 E2 Ears
N307 Ears Assessment [Ch 15]
Question | Answer |
---|---|
external auditory canal | opening of external ear |
Tympanic membrane is also known as the _____. | ear drum |
Identify the color, light reflex, and mobility of the ear drum. | Color is gray/white; light reflex is shiny R: 0500 and L: 0700; should move with swallow |
Identify the location of the light reflex in the right ear. | 5:00 |
Identify the location of the light reflex in the left ear. | 7:00 |
Identify the ear's role in a person's equilibrium (balance). | labyrinth (inner ear) constantly feeds information to your brain about your body’s position in space |
What nationalities have an increased incidence of otitis media? (4) | Native American, Alaskan, Canadians and Hispanics |
What age population(s) have an increased incidence of otitis media? (3) | premature infants, Down Syndrome, and bottle fed infants |
What ethnicities have dry, flaky cerumen? (2) | Asians and Native Americans |
What ethnicities have wet, moist cerumen? (2) | Caucasian and African Americans |
tinnitus | ringing of the ears |
vertigo | spinning sensation |
Identify the medical term for earache. | otalgia |
Earache or otalgia may be directly r/t to ________. (2) | ear disease or referred pain (from teeth or oropharynx) |
otorrhea | discharge from the external ear |
cholesteatoma | dirty, yellow/gray discharge with foul odor |
Identify the possible discharge description(s) for external otitis. (3) | purulent, sanguineous, or watery |
Identify the possible discharge description(s) for acute otitis media with perforation. | purulent discharge |
sanguineous | with or relating to blood |
purulent | pus drainage, is a light brown, green or yellow colored fluid |
presbycusis | age-related hearing loss, is the cumulative effect of aging on hearing |
recruitment | abnormal loudness sensitivity in hearing-impaired individuals |
What question do you ask r/t to recruitment? | "Do people seem to shout at you?" |
objective vertigo | feels like room spins |
subjective vertigo | person feels like he or she spins |
microtia | ears smaller than 4 cm verticaly |
macrotia | ears larges than 10 cm vertically |
Darwin's tubercle | small, painless nodule at the helix |
Red-blue discoloration on external ears is r/t ________. | frostbite |
Pain with ear movement occurs with ______ and _______. | otitis externa and furuncle |
___________ is a common cause of conductive hearing loss. | Impacted cerumen |
How should you hold the pinna on an adult? | Up and back |
How should you hold the pinna on a child? | Down |
Which direction should you hold the otoscope when examining ear canal? | Upside down |
How can you tell if ear drainage is CSF? | CSF feels oily and is positive for glucose on TesTape |
Frank blood or clear, watery discharge after trauma suggests ______ and warrants immediate referral. | basal skull fracture |
Identify how to perform the whispered voice test. | Stand 2 ft from pt; have them cover opposite ear; cover your mouth & whisper a 2-syllable word; repeat with opposite era |
Why must you cover your mouth during whispered voice test? | So the patient won't read your lips |
otitis externa | infection in outer ear |
How do you prevent otitis externa? | Rubbing alcohol or 2% acetic acid eardrops after every swim |
Identify the common name for otitis externa. | Swimmer's Ear |
Identify how the following disease/condition would present: otitis externa. | severe painful movement of pinna and tragus; redness and swelling of pinna and canal; scanty, purulent d/c; scaling; itching; fever; enlarged lymph nodes |
Describe the TM in a person with otitis externa. | Normal |
tophi | small, white-yellow, hard, non-tender nodules in or near helix; contain greasy, chalking material of uric acid crystals |
Tophi is a sign of ______. | gout |
Identify how the following disease/condition would present: otitis externa. | severe swelling of canal (narrowed to 1/4th size), inflammation, tender |
Identify how the following disease/condition would present: TM perforation. | round or oval darkened area on the ear drum; 2 types are marginal and central |
What causes TM perforation? | Not treating otitis media, causing the drum to rupture from increased pressure |
What causes otitis media? | Middle ear fluid is infection |
Identify how the following disease/condition would present: otitis media. | Absent light reflex (early sign); redness, bulging, earache, fever, drum hypomobility |
cerumenosis | increased or excessive ear wax build-up |
How is hearing affected with cerumenosis has occluded 90-95% of canal? | Hearing stays normal; occluding of last 5-10% results in ear fullness and sudden hearing loss |
A foreign body in the ear is usually found in what developmental stage? | Children |
Common foreign bodies found in ears are ________. | Beans, corn, breakfast cereals, beads, small stones, sponge rubber |
Identify the most common location for the sebaceous cyst. | Behind lobule in the postauricular fold |
Identify how the following disease/condition would present: sebaceous cyst. | Nodule with central black punctum; filled with waxy sebaceous material; painful if it is infected |
serous otitis media | inflammation of the middle ear with an accumulation of thin, watery (serous) fluid |
audiometer | instrument used to measure the sensitivity of hearing |