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Health Assessment ch 15
ears
17
Nursing
Graduate
07/14/2013

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Cards

Term
middle ear bones
Definition
malleus, incus, stapes
Term
tympanic light reflex
Definition
presents nasally
right 5 o'clock
left 7 o'clock
Term
otosclerosis
Definition
common cause of conductive hearing loss in young adults 20-40 yrs
gradual hardening - footplate of stapes becomes fixed to oval window - impedes sound, causes progressive deafness
Term
presbycusis
Definition
hearing loss, 60% of those older than 65 - noise pollution
gradual sensorineural loss caused by nerve degeneration in inner ear - slowly progresses after 5th decade
Term
otitis media
Definition
middle ear infection - most common illness in children - occurs bc obstruction of the eustachian tube or passage of nasopharyngeal secretions into the middle ear
Term
dry cerumen
Definition
gray and flaky
Asians and American Indians
Term
wet cerumen
Definition
honey brown to dark brown
Caucasians and African Americans
Term
darwin's tubercle
Definition
small painless nodule at the helix
congenital variation and not significant
Term
for otoscope move ear
adult
infant/ child under 3
Definition
pull pinna up and back
pull pinna straight down
Term
conductive hearing loss
Definition
mechanical dysfunction of the external or middle ear - person is able to hear if sound amplitude is high enough - may be caused by impacted cerumen, foreign bodies, perforated tympanic membrane, pus or serum in the middle ear or otosclerosis
Term
sensorineural hearing loss
Definition
perceptive - signifies pathology of inner ear, cranial nerve VIII or the auditory areas of the cerebral cortex - amplitude may not make a difference - presbycusis or ototoxic drugs which affect the hair cells in the cochlea
Term
mixed hearing loss
Definition
combination of conductive and sensorineural
Term
otitis externa
Definition
severe swelling of canal, inflammation, tenderness
Term
otitis media with effusion (OME)
Definition
amber-yellow drum - suggests serum in the middle ear that transudates to relieve negative pressure from the blocked eustachian tube
feeling of fullnes, transient hearing loss, popping sound with swallowing
aka serous otitis media, glue ear
Term
acute (purulent) otitis media
Definition
middle ear fluid is infected - absent light reflex from increasing middle ear pressure is an early sign - redness and bulging of entire drum, earache, fever - then fiery red bulging
Term
scarred drum
Definition
dense white patches on the eardrum from repeated ear infections - do not necessarily affect hearing
Term
fungal infection
otomycosis
Definition
colony of black or white dots on drum or canal wall suggests a yeast or fungal infection
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