Chapter 17 : Ear

<p> Aging - exposure  Heredity- Family history of age-related hearing loss  Occupational loud noises   Recreational noises   Head injury   Ototoxic medications   Illnesses   Smoking   Cardiovascular risk factors   Infectious disease  Wax or foreign bodies blocking the ear canal   Constant loud noises</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>True</p> Signup and view all the answers

<p>Listening to extremely loud music for long periods of time</p> Signup and view all the answers

<p>Have hearing checked periodically</p> Signup and view all the answers

<p>After age 50</p> Signup and view all the answers

<p>Using instruments to remove ear wax</p> Signup and view all the answers

<p>Using devices to improve hearing</p> Signup and view all the answers

<p>Ear infections</p> Signup and view all the answers

<p>Avoid sound exposure louder than a washing machine. ❖ Avoid recreational risks that involve loud sounds or risks of head or ear injury. ❖ Avoid listening to extremely loud music for long periods of time. ❖ Wear hearing protectors and take breaks from the noise in loud noise environments. ❖ Have hearing checked periodically, especially after age 50. Use devices to improve hearing if hearing loss is detected. ❖ Avoid the use of ototoxic drugs when possible. ❖ Get treatment for ear infections as soon as they are noticed ❖ Get treatment for tonsil and adenoid infections and inflammation. ❖ Avoid use of instruments to remove wax from ears due to chance of impacting it further. Seek professional care for wax removal.</p> Signup and view all the answers

<p>Presbycusis = Degeneration of cochlea or vestibulocochlear nerve; often begins with loss of hearing of high-frequency sounds and then lower-frequency sounds; age-related hearing loss Tinnitus = Ringing in ear; can be from excessive cerumen, HTN, ototoxic medications, loud noises Vertigo = Inner ear problem</p> Signup and view all the answers

<p>Presbycusis = Begins with loss of hearing of high-frequency sounds and then lower-frequency sounds Tinnitus = Ringing in ear Vertigo = Inner ear problem</p> Signup and view all the answers

<p>Presbycusis = Degeneration of cochlea or vestibulocochlear nerve Tinnitus = Excessive cerumen, HTN, ototoxic medications, loud noises Vertigo = Inner ear problem</p> Signup and view all the answers

<p>Loss of hearing of high-frequency sounds</p> Signup and view all the answers

<p>Loud noises</p> Signup and view all the answers

<p>Dizziness</p> Signup and view all the answers

<p>Vertigo = Inner ear problem Subjective = When patient feels like they are spinning Objective = When patient feels like room is spinning Tophi = Gouty uric acid crystal buildup</p> Signup and view all the answers

<p>External ear = Area where post auricular cyst can occur Malignant lesion = Characterized by bleeding Otitis externa (swimmer’s ear) = Caused by fluid staying in ear too long, leading to infection Tophi = Associated with gout and uric acid buildup</p> Signup and view all the answers

<p>Otitis externa = Itchiness, erythema, swelling, pain, pus Subjective vertigo = Patient feels like they are spinning Objective vertigo = Patient feels like room is spinning Malignant lesion = Bleeding</p> Signup and view all the answers

<p>Vertigo = Inner ear problem Subjective = When patient feels like they are spinning Objective = When patient feels like room is spinning Tophi = Gouty uric acid crystal buildup</p> Signup and view all the answers

<p>Otitis externa = Itchiness, erythema, swelling, pain, pus Malignant lesion = Bleeding Post auricular cyst = External ear condition Tophi = External ear condition caused by gout</p> Signup and view all the answers

<p>Vertigo = Inner ear condition causing a sense of spinning Subjective = Patient's feeling of spinning Objective = Patient's feeling of room spinning Otitis externa = Condition caused by fluid staying in ear too long</p> Signup and view all the answers

<p>Vertigo</p> Signup and view all the answers

<p>Tophi</p> Signup and view all the answers

<p>Otitis externa</p> Signup and view all the answers

<p>Foul smelling sticky yellow = Otitis externa or impacted foreign body Bloody, purulent = Otitis media with ruptured tympanic membrane Blood or watery discharge = CSF, skull trauma, emergency and report to PCP ASAP</p> Signup and view all the answers

<p>Otitis externa or impacted foreign body = Foul smelling sticky yellow Otitis media with ruptured tympanic membrane = Bloody, purulent CSF, skull trauma, emergency and report to PCP ASAP = Blood or watery discharge</p> Signup and view all the answers

<p>A condition involving a foreign body or infection in the external ear = Foul smelling sticky yellow A middle ear infection with a ruptured eardrum = Bloody, purulent A serious condition involving skull trauma and cerebrospinal fluid leak = Blood or watery discharge</p> Signup and view all the answers

<p>Foul smelling sticky yellow</p> Signup and view all the answers

<p>Blood or watery discharge</p> Signup and view all the answers

<p>Bloody, purulent</p> Signup and view all the answers

<p>Acute otitis media = Ear infection; red, bulging eardrum and diminished/distorted/absent light reflex Serous otitis media = Yellowish, bulging membrane with bubbles behind Chronic otitis media = Obscured, absent landmarks and eardrum thickening Perforated tympanic membrane = Hole from negative pressure, purulent drainage, popping sensation, rupturing of tympanic membrane</p> Signup and view all the answers

<p>Blue/dark red tympanic membrane = Blood behind ear from trauma Scarred tympanic membrane = Visible scars on the tympanic membrane Retracted tympanic membrane = Tympanic membrane appears pulled back or retracted Perforated tympanic membrane = Purulent drainage, popping sensation, rupturing of tympanic membrane</p> Signup and view all the answers

<p>Acute otitis media = Red, bulging eardrum Serous otitis media = Yellowish, bulging membrane with bubbles Chronic otitis media = Obscured, absent landmarks and thickened eardrum Blue/dark red tympanic membrane = Appears blue or dark red due to blood behind ear</p> Signup and view all the answers

<p>Acute otitis media</p> Signup and view all the answers

<p>Hole from negative pressure</p> Signup and view all the answers

<p>Blue/dark red tympanic membrane</p> Signup and view all the answers

<p>Microtia = Abnormal congenital deformity where the external ear and sometimes canal are not fully developed Macrotia = Congenital excessive enlargement of the external ear Tophi = Nontender, hard, cream-colored nodules on the helix or antihelix, containing uric acid crystals Blocked sebaceous glands = Postauricular cysts</p> Signup and view all the answers

<p>Redness, swelling, scaling, or itching = Otitis externa Pale blue ear color = Frostbite Painful auricle = Otitis externa or postauricular cyst Tenderness over mastoid process = Mastoiditis</p> Signup and view all the answers

<p>Enlarged preauricular and postauricular lymph nodes = Infection Ulcerated, crusted nodules that bleed = Skin cancer Tenderness behind ear = Otitis media Painful auricle = Otitis externa or postauricular cyst</p> Signup and view all the answers

<p>Microtia = Abnormal congenital deformity where the external ear and sometimes canal are not fully developed Macrotia = Congenital excessive enlargement of the external ear Tophi = Nontender, hard, cream-colored nodules on the helix or antihelix, containing uric acid crystals Otitis Externa = Redness, swelling, scaling, or itching</p> Signup and view all the answers

<p>Frostbite = Pale blue ear color Otitis externa or postauricular cyst = Painful auricle Mastoiditis = Tenderness over mastoid process Otitis media = Tenderness behind ear</p> Signup and view all the answers

<p>Skin cancer = Ulcerated, crusted nodules that bleed Postauricular cysts = Blocked sebaceous glands Infection = Enlarged preauricular and postauricular lymph nodes Gout = Tophi</p> Signup and view all the answers

<p>Elongated earlobes with linear wrinkles</p> Signup and view all the answers

<p>It becomes harder and more rigid</p> Signup and view all the answers

<p>Negative self-image</p> Signup and view all the answers

<p>Presbycusis = Common after 50 years of age Elongated earlobes with linear wrinkles = Physical change in the ear structure Harder cerumen = Builds as cilia in ear canal become more rigid Coarse, thick wire-like hair = May grow at ear canal entrance</p> Signup and view all the answers

<p>Negative self-image possible = Due to the need for hearing aids Eardrum may appear cloudy = Change in the appearance of the eardrum Presbycusis common after 50 years of age = Age-related hearing loss Coarse, thick wire-like hair may grow at ear canal entrance = Change in hair growth in the ear</p> Signup and view all the answers

<p>Presbycusis = Common hearing condition after 50 years of age Elongated earlobes with linear wrinkles = Sign of aging in ear structure Harder cerumen = Occurs when cilia in ear canal become rigid Eardrum may appear cloudy = Potential change in eardrum appearance</p> Signup and view all the answers

<p>its common</p> Signup and view all the answers

<p>Presbycusis common after 50 years of age ❖ Negative self-image possible d/t need for hearing aids ❖ Elongated earlobes with linear wrinkles ❖ Harder cerumen builds as cilia in ear canal become more rigid ❖ Coarse, thick wire-like hair may grow at ear canal entrance ❖ Eardrum may appear cloudy</p> Signup and view all the answers

<p>whisper , rinne , weber , romberg</p> Signup and view all the answers

<p>Romberg</p> Signup and view all the answers

<p>Top of head</p> Signup and view all the answers

<p>stand behind patient , cover tragus with finger and two syllable word , 2 feet away</p> Signup and view all the answers

<p>3/6</p> Signup and view all the answers

<p>hearing loss</p> Signup and view all the answers

<p>weber</p> Signup and view all the answers

<p>Conduction in left ear and Sensorineural in right ear</p> Signup and view all the answers

<p>damage in the inner ear resulting in not being able to send sound to brain</p> Signup and view all the answers

<p>outer ear and tympanic cavity damaged</p> Signup and view all the answers

<p>mastoid process</p> Signup and view all the answers

<p>air and bone conduction</p> Signup and view all the answers

<p>Abnormal and conductive</p> Signup and view all the answers

<p>Used to test equilibrium and patient stands with feet together with hands on side . once with eyes opened and second time with eyes closed . if patient is cant keep balance = equilibrium is off</p> Signup and view all the answers

<p>Normal/ sensorineural</p> Signup and view all the answers