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inspection palpation tests of hearing |
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auricle for lesions ear canal for lesions tympanic membrane for landmarks, fluid |
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lateralization of sound; if present, then suspect conduction loss |
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compare time of air vs. bone conduction if bone conduction is equal or greater than air conduction, then suspect conduction loss if air conduction is more than twice as long as bone conduction, then suspect sensorineural loss |
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auricle ear canal and drum (tympanic membrane) auditory acuity air and bone conduction auricle |
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deformities lumps skin lesions if pain, discharge, or edema present, press tragus agaisnt ear |
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plug one ear with finger stand 1-2 ft away, whisper softly into an un-occluded ear test other ear |
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tests lateralization (bilateral hearing) place base of vibrating tuning fork firmly on top of patient's head or mid-forhead as where sound is heard (left, right, both) |
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AC-BC comparison (air conduction-bone conduction) place vibrating tuning fork on mastoid bone at level of ear canal ask pt to tell you when sound is no longer heard at that pt, place fork close to ear canal ask pt to tell you when sound is no longer heard normal: AC>BC (test both ears) |
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small white nodules on the helix or antihelix, contain uric acid crystals and are a sign of gout |
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nasal imflammation usually due to viral infection or allergy |
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inflammation of the sinuses usually following a URI. causes facial pain, inflammation, and discharge |
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a slight ingrowth of the lower nasal septum |
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hold in the septum caused by chronic infection, trauma, or sniffing cocaine |
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temporary condition caused by the inhibition of normal bacteria and the overgrowth of fungus on the papillae of the tongue, usually associated with the use of antibiotics |
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condition ocurring as a result of vitamin B and iron deficiency. |
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whitish thickening of the mucous membrane in the mouth or tongue. associated with heavy smoking or drinking, can be a precancerous condition |
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