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vision/hearing

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Term
Definition
Visual Acuity   snellens or E chart to test near and far  
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Normal Acuity   20/20  
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Low Acuity   20/70  
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Blind Acuity   20/200  
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OD   right eye  
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OS   left eye  
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OU   both eyes  
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Visual fields by conformation   tests peripheral vision  
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Muscle balance & movement   tests extraocular & cranial nerve function  
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Muscle balance & movement test   Pt looks straight ahead and follows finger movement without moving their head  
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Nystagmus   involuntary, rapid eye movement  
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Corneal light reflex   assess muscle balance  
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Corneal light reflex test   shining pen light toward cornea while pt looks straight ahead  
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Corneal light reflex normal/abnormal   should be steady gaze, if movement occurs could indicate muscle weakness  
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Tropia   deviation away from  
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Esotropia   deviation toward nose  
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Hypotropia   downward deviation  
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Exotropia   lateral movement  
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Pupillary reflexes   tests response to light  
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Pupillary reflex test   pt looks straight ahead, pupil size noted, pen light shone, pupil observed  
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Pupillary reflexes normal   should constrict  
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Consensual response   normal constriction from pupillary reflex  
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Accommodation   pupil responds to near and far  
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External exam   inspected and palpated  
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Eyebrows   starting point- symmetry, hair texture, extension of brow  
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Orbital area   check for edema, puffiness, redness, lesions  
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Palebral Fissure (eyelids)   distance of upper + lower lids  
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Medial Canthus   of lower lid- for exudate  
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Internal eye   intraocular pressure measured  
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Structures of eye   Fibrous, vascular, neural- protect eye from debris & desiccation, oil secreted to slow evaporation of tears  
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Lens   changes shape for near and far  
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Rods   dim light, night vision, no color distinguish  
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Cones   central, bright light, sharp vision/color  
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Desiccation   extreme dryness  
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Fibrous outer layer   sclera, cornea  
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Sclera   outermost, white of eye, BV and nerves  
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Cornea   transparent, over iris, admits light, NO BV  
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Vascular middle layer   iris, ciliary body, choroid  
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Iris   adjusts diameter of pupil to control amount of light entering  
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Ciliary body   thick extension, around lens, aqueous humor  
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Choroid   supplies oxygen & nutrients to retina and sclera  
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Neural inner layer   retina, optic nerve  
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Retina   thin, light sensitive  
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Optic nerve   signals to brain  
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Aging and the ear   difficult to filter out background noises, impaired verbal communication, corti hair cells damaged, high pitched range lost, **F,S,K,Sh sounds lost first  
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