Shared Flashcard Set

Details

CSD 251 Exam 2
Congenital/Acquired Hearing Impairments & Ototoxicity
44
Audiology
Undergraduate 2
11/05/2012

Additional Audiology Flashcards

 


 

Cards

Term
Autosomal Recessive
Definition
Two unaffected "carrier" parents:
1:2 unaffected "carrier" child
1:4 unaffected "non-carrier" child
1:4 affected child
Term
HL of sudden onset
Definition
etiology is most idiopathic, but viral disease, vascular insult, endocrine imbalance, allergies, cochlear damage, atrophy of the stria vascularis, or collapse of cochlear duct may be possibilities.
Term
Quinine
Definition
Found to help with malaria and noctural leg cramps, and arthritis. Found in many types of tonic water. Can cause permanent damage to auditory system (has cochleotoxic effects)
Term
Integumentary anomalies
Definition
Albinism, hereditary piebaldism (strips of hyper/hypopigmentation), lentigines (leopard-like spots), and Waardenburg syndrome (heterochromia irdis, flattening of nose bridge, and widely set eyes and maxilla)
Term
Usher Syndrome
Definition
Recessive; 3-10% of Deaf children; characterized by retinitis pigementosa (slow, progressive, unilateral tapetorential degeneration of the retina and inner ear). May be accompanied by MR, epilepsy, vertigo.
Term
Hunter Syndrome
Definition
short stature; normal looking at birth, but abnormalities with age; CNS/PNS changes w/ MR; death usually occurs ~20-30 years of age. 1/2 of all patients have moderate sensorineural HL; bone/joint abnormalities; middle ear/cochlear ab.
Term
Hurler Syndrome
Definition
more aggressive form of Hunter's. Age of death ~10yo. May have some progressive HL.
Term
Down Syndrome
Definition
Extra chromosome at position #21. 1:600-1:700 births. 85% incidence of middle ear disorders; less mobile ossicular chain w/ HL; up to 50 different anomalies; MR, small rounded ears, slanted eyes, and flattened facial expression most common.
Term
X-Linked Recessive
Definition
#1 Normal father, carrier mother:
25% carrier F, 25% affected M, 25% normal F, 25% normal M

#2 Affected father, normal mother:
50% normal M
50% carrier F
Term
Maternal Rubella
Definition
93% incidence of mother passing rubella to child in 1st trimester; child will have MR/congenital HL; rubella sets up home in child's middle ear; attacks CNS/PNS; can cause cerebral palsy and blindness; passed transplacentally or membranes of birth canal.
Term
Cytomegalovirus (CMV)
Definition
Spread via bodily fluids (saliva, seminal fluid, blood, transplacental); can cause learning delays, CNS/PNS issues, HL; 80% of adult pop. can carry CMV
Term
Congenital
Definition
a condition existing at birth and often before birth, or that develops during the first month of life (neonatal disease), regardless of causation.
Term
Waardenburg Syndrome
Definition
heterochromia irdis (alteration of eye color), flattening of nose bridge, widely set eyes and maxilla, alteration of hair color
Term
Adventitious
Definition
conditions acquired after birth, particularly if the cause is obscure, casual, or accidental.
Term
Tinnitus
Definition
One cause of tinnitus might be a homeostatic response of central dorsal cochlear nucleus auditory neurons that makes them hyperactive in compensation to auditory input loss; Temporal lobe cells fire out of boredom when nerve fibers of the 8th CN do not fire off.
Term
Autosomal Dominant
Definition
Affected father, Normal mother:
1:2 affected, 1:2 unaffected

If both parents are affected, 3:4 affected
Term
Recruitment
Definition
condition of the cochlea that makes intense sounds abnormally loud to a patient who cannot hear sounds moderate or lesser intensities; theory? when intensity is sufficient to stimulate hair cells adjacent to damaged area, neural excitation is initiated because healthy hair cells in the are will fire (more and more healthy cells fire than damaged)
Term
Mumps
Definition
2/3 of patients manifest dz. Inflames parotid gland and may enter inner ear via internal auditory meatus. May damage organ of Corti. Can lead to severe/profound unilateral HL.
Term
Incidence of congenital HL in US
Definition
1:1000 (.1%)
Term
2 possible causes of Meniere's Dz
Definition
Allergy, loss of electrolytes
Term
3 diseases not mentioned so far!
Definition
Alport Dz: nephritis, congenital HL;
Pendred Syndrome: goiter, HL @ birth or post-natal; Auditory neuropathy: change in VIII CN to brainstem, psuedo-HL, but cochlea is fine, fibers working wrong
Term
Streptomycin
Definition
cochleotoxic/vestibulotoxic with tinnitus, vertigo, and HL. Used to help people with TB & meningitis
Term
Gentamycin
Definition
general abx for children at birth; less ototoxic than streptomycin; HL in teens and adults
Term
Gin and Tonic
Definition
Tonic water contains quinine which may cause HL. Quinine used as an antimalarial and for noctural leg cramps
Term
Salicylic Acid
Definition
Known as aspirin; can cause HL and tinnitus; may have direct effect on outer hair cells of cochlea; hearing may improve 3 days after rx is stopped; If HL does occurs, it rarely exceeds 40dB loss
Term
Klippel-Feil Syndrome
Definition
Otocervical syndrome; shortness or absence of neck; limited mobility of head; primarily cochlear/inner ear malformations; autosomal dominant
Term
Incidence of Deafness/HL resulting from rubella in the mother in the first trimester of pregnancy
Definition
93%
Term
High Risk Register for Early Identification of HL
Definition
1. Family history of HL
2. In utero infection (CMV, rubella, herpes, etc.)
3. Craniofacial abnormalities
4. Birth weight <1500g (3.3lbs)
5. Hyperbilirubinemia (liver blood count)
6. Ototoxic meds
7. Bacterial meningitis
8. Apgar of 1-4 at 1 min./0-6 at 5 min.
9. Mechanical ventilation >5 days
10. Stigamata w/ syndrome including a HL
Term
Michel Anomaly
Definition
No inner ear or cochlea present
Term
Scheibe Type
Definition
Sensorineural HL because of non-development of sensory receptors in cochlea
Term
Mondini Anomaly
Definition
Missing patches of receptors hairs in cochlea/ strange speech, HL
Term
4 Types of Abnormalities
Definition
1. Integumentary
2. Skeletal
3. Ocular
4. Other
Term
Albinism
Definition
Generally Deaf, may be blind
Term
Viral labyrinthitis
Definition
Affects inner ear causing dizziness and unsteadiness; progressive HL; normally resolves self, but have permanent implications
Term
AIDS/HIV/PAIDS in the auditory system
Definition
Suppressed immune system can lead to otitis media or viral dzs
Term
Meningitis post-birth
Definition
85% severe-profound HL
Term
Concussion/Trauma & HL
Definition
In temporal area, 70-80% of fractures result in HL
Term
Multiple Sclerosis
Definition
Demylenation/atrophy of cells with possible HL
Term
Etiology of Menieres Dz?
Definition
Overproduction of endolympathic fluid from dura mater into cochlear duct towards Reisner's and basiler membranes
Term
Kanamycin
Definition
Slow release abx from fat/ unilateral HL
Term
Neomycin
Definition
(Neosporin) similar effects as streptomycin if given IV; used for bacterial infection
Term
Dihydrostreptomycin
Definition
Derivate of streptomycin; causes vestibular issues, but not dizziness
Term
Alchol-Induced HL
Definition
Unusual; can anesthetize auditory/vestibular systems
Term
Fetal Alcohol Syndrome (FAS)
Definition
Can cause HL, blindness, MR, physical retradation
Supporting users have an ad free experience!