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Ears
Nursing skills test 3
41
Nursing
Undergraduate 3
10/23/2010

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Cards

Term
external auditory canal
Definition
this canal is 2.5 to 3 cm long in the adult and terminates at the eardrum, or tympanic membrane. canal is lined with glands that secrete cerumen, a yellow waxy material that lubricates and protects the ear.
Term
cartilage/bone covered by thin sensitive skin
Definition
the outer one third of the canal is this?/ the inner two thirds consist of this?
Term
tympanic membrane
Definition
eardrum; separates the external and middle ear and is tilted obliquely to the ear canal, facing downward and somewhat forward, translucent membrane with a pearly gray color.
Term
malleus
Definition
one of the middle ear ossicles, part of this show through the translucent drum
Term
tiny bones or auditory ossicles
Definition
malleus, incus, and stapes.
Term
eustachian tube
Definition
this connects the middle ear with the nasopharynx and allows passage of air, it is normally closed, but it opens with swallowing or yawning
Term
3 functions of the middle ear
Definition

3 functions of what?

 

1. it conducts sound vibrations from the outer ear

2, it protects the inner ear by reducing the amplitude of loud sounds

3. it eustachian tube allows equalization of air pressure on each side of the tympanic membrane so it does not rupture.

Term
bony labyrinth
Definition
this holds the sensory organs for equilibrium and hearing
Term
within the bony labyrinth
Definition
vestibule and semicircular canals, and cochlea
Term
3 levels of auditory system
Definition
3 levels of what; peripheral, brainstem, and cerebral cortex
Term
peripheral level
Definition

the ear transmits sound and converts its vibrations into electrical impulses, which can be analyzed by the brain

ex you can hear an alarm bell ringing in the hall

Term
brainstem level
Definition
binaural interaction, which permits locating the direction of a sound in space as well as identifying the sound.
Term
cerebral cortex
Definition
this is to interpert the meaning of the sound and begint o appropriate response, all happens in a split second.
Term
pathway of hearing
Definition
this is air conuction and is the most efficient, an alternate route of hearing is by bone conduction
Term
conductive hearing loss
Definition
this loss involves a mechanical dysfunction of the external or middle ear. it is a partial loss because the person is able to hear if they sound amplitude increased enough. maybe caused by impacted cerumen, foreign body, pus serum
Term
sersorineural loss
Definition
loss signifies pathology of the inner ear, cranial nerve VIII, a simple increase in amplitude may not enable the perosn to understand words, may be caused by gradual nerve degeneration that occurs with aging
Term
vertigo
Definition
if the labyrinth ever becomes inflmaed it feeds the wrong information to the brain, creating a staggering gait and strong, spinning whirling sensation
Term
otitis media
Definition
occurs because of obstruction of the eustachian tube or passage of nasophryngeal secretion into the middle ear. one of the most common illnesses in children. side affect is persistance of fluid in the middle ear after treatment
Term

cerumen

 

Definition

geneticlaly dtetermined and comes in two major types; dry cerumen which is gray flaky and frequently forms a thin mass in the ear canal.

wet cerumen- which is honey brown to dark brown and moist

Term
subjective data
Definition
earaches, infections discharge, hearing loss, enviromental noises,tinnitus (loud noise at home or work?) vertigo, self care behavior
Term
objective data
Definition

preperation- postion, cleaning the ear canal

equipment- otoscope with bright light, pneumatic bulb attachment, tuning fork

Term
microtia/macrotia
Definition
ear smaller than 4 cm vertically/ ear larger than 10 cm vertically
Term
atresia
Definition
absence or closure of the ear canal
Term
otoscopic examination
Definition

pull the pinna up and back on an adult or older child. hold the otoscoe upside useful to prevent forceful insertion.

external canal- note any redness, swelling, lesions, foreign bodies or discharge.

Term
tympanic membrane color and characteristic
Definition

normal eardrum is shiny and translucent with a pearl gray color. and a coneshaped reflection of the otoscope light.

position- flat, slightly pulled in at the center an flutters

 

red color, yellow amber drum and air bubbles behind drum indicate otitis media

Term
whispered voice test
Definition

test this one ear at a time while masking hearing in the other ear to prevent sound transmission. with your head 30 to 60 cm from the person exhale and whisper slowly some two syllable word.

a whisper is high frequency sound and is used to detect high tone loss

Term
tuning fork tests
Definition
these tests measure hearing by air condction or by bone conduction in which the sound vibrates through the cranial bones to the inner ear.
Term
weber test
Definition
this test is valuable when a person reports hearing better with one ear than the other. place a vibrating tuning fork in the midline of the person's skull and ask whether the tone sounds the same in bothe ears or better in one.
Term
rinne test
Definition
compares air conduction and bone conduction sound. place the stem of the vibrating tuning fork on the persons mastoid proess and ask him or her to signal when the sound goes away. normally sound is heard twice as long by air conduction ( next to ear canal) as by bone conduction ( through the mastoild process)
Term
romberg test
Definition
 the ability of the vestibular apparatus in the inner ear to help maintain standing balance
Term
frostbite
Definition
reddish blue discoloration and swelling of auricle after exposure to extreme cold.
Term
otitis externa
Definition
swimmers ear- an infection of the outer ear, with severe painful movement of the pinna and tragus, redness and swelling of pinna. more common in hot humid weather
Term
branchial remnant and ear deformity
Definition
a facial remnant or left over of the embryological branchial arch usually appears as a skin tag
Term
cerebrospinal fluid otorrhea
Definition
skull fracture of temporal bone causes cerebrospinal fluid to leak form ear canal and pool in concha when the person is supine.
Term
sebaceous cyst
Definition
location is commonly behind lobule, in the postauricular fold. blockage of sebaceous gland it filled with waxy sebaceous material and is painful
Term
keloid
Definition
overgrowth of scar tissue, which invades original site of trauma, more common in dark skinned people
Term
carcinoma
Definition
ulcerated crusted nodule with indurated base that fails to heal. bleeds intermittently must refer for biopsy
Term

conductive hearing loss

weber test

Definition
these test results; sound lateralizes (hear on one side)to poorer ear from background room noise, which masks hearing in normal ear.
Term

Conductive loss

Rinne test

Definition

test results; person hears as long by bone conduction or even longer a negative finding on this test.

 

normal results are sound is heard twice as long by air conduction as by bone conduction

Term

sensorineural loss

weber test

Definition
test results; sound lateralized to better ear or unaffected ear. poor ear is unable to perveive the sound
Term

sensorineural loss

rinne test

Definition
test results; normal ratio of AC> BC is intact but is reduced overall. that is, person hears poorly both ways.
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