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ch 50 hearing
ch 50 hearing
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11/03/2013

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Term
pinna
Definition
external part of the ear with cartilage covered by sin and attached to the head
Term
mastoid process
Definition
bony ridge located over the temporal bone behind the pinna
Term
tympantic membrane
Definition
eardrum
Term
bony ossicles-
Definition
mallesu (hammer) and the stapes ( stirrup) and theincus
Term
how is the eardrum attahced
Definition
to the bony ossicle, then the maleus
Term
how is the mdidle ear separated from the inner ear
Definition
round and the oval window
Term
where does the eustachian tube begin
Definition
at the floor of the middle ear and extends to the throat
Term
what is contained int he middle ear
Definition
bony ossicles, malleus,s tpes, eardrum
Term
what is contained in the inner ear
Definition
semicircular canas'cochleaorgan of corti and the vetibule
Term
semicircular canals
Definition
tubes made of cartilage and contain hair follicles and fluid conected to sensory nerves
Term
cochlea what is it and what does the lfuid here protect
Definition
spiral organ of hearing filled with endolymph to protect the chochlea and semicircular cancals
Term
organ of corti
Definition
recpetor of hearing located in the baslar membrane of the cochlea
Term
what contain hair cells that detect vibraiton of sound and stimulate the eight cranila nerve
Definition
cochlea
Term
vestibule
Definition
small oval shaped bony chamber between the semicircular canasl and the cochlea
Term
explain the funciton of hearing
Definition
sound waves strike the mastoid and nonmovable eardrum creating vibrations, this is then tranferred from the eardrum to the malleus , the incus, and the stapes from the stapes the are transmitted to the cochlea
Term
what do the recpetors at the cholclea do with sound
Definition
change the vibrations into action potential and thenc onduct them to the brain0\-8th cranial nerve
Term
vertigo/ tinnitus
Definition
spinning sensation/ ringing in the ears
Term
wht are some things to ask a pt with a potential hearingproblem
Definition
ear itch
health problems that decrease blood lfow to the ear
vitiligosmoking
vitaminb deficiency
Term
how can vitiligo affect hearing
Definition
loos of melanin cells in the inner ear that can cause hearing loss
Term
what are two genetic risks for heairng loss
Definition
down syndrom and those with osteogenisis imperfecta
Term
hyperacusis
Definition
intolerance for sound levles that do not bother other people
Term
tophi
Definition
painless nodule on the pinna
Term
light relfex and the ear
Definition
ligth appears as outlined triangle
Term
conductive hearing loss
Definition
from physical obstruction of sound waves like a foreing object
Term
sensorineural hearing loss
Definition
defect in the cochlea the eight cranila nerve or the brian iteself
Term
mixed conductive-sensorialneurla hearing loss
Definition
from both conductive and sersorineural
Term
normal tests results from weber tuning fork test
Definition
middle of the pt head and it should be heard equally in both ears
Term
when the weber test produces sound that is louder in one ear over the other what is this called
Definition
lateralization
Term
rhinnetunign fork test what should be normal
Definition
should be hear longer on air conduction then ears and bones- fork is on the mastoid process and then when they cant hear it is it placed in the air
Term
intesity of sound/ threashold of sound
Definition
decibles/ lowest level of sound heard
Term
what is the lowest sound normal young ears can hear
Definition
0 db
Term
what decible is so intense that it is painful
Definition
110db
Term
how many db is speech at
Definition
60db
Term
pure air tone ocnduciton testinf
Definition
determines if a person hears normally- test thru earphones from differnet threashold
Term
pure tone bone conduciton test
Definition
to determine if a hearing loss is conductive or sensineural
Term
speech reception threashold
Definition
minimus loudness at which pt can repeat simple words to determie how loud a speech si heard well enough to repeat it correctly
Term
spondee
Definition
2 syllable words
Term
scrimination test
Definition
if the pt can discriminat amoung similar sounds and words
Term
auditory evoked response
Definition
brainstem evoked responses- electordes are placed on the scalp to determine conductive or sensineuroal hearing loss
Term
why is nystagmus tested even with the ears
Definition
beacuse the eyes and ears work together for balance
Term
what should the pt do before an electonystagmography
Definition
fast and avoid caffienif they have a pscemaker they can not do this test
Term
caloric testing
Definition
evaluates the vestibular portion of the auditory nerve with warm water or warm air that is infused into the ear
Term
what si a normal response for caloric tsting
Definition
onset of vertigo and nystagmus within 20 t 30 seconds
Term
dix hallpike testing for vertigo
Definition
use postion changes from sitting to standing to see if vertigo is present
Term
external otits
Definition
painful when an irritaing agent is in contact with the skin of the external ear
Term
when does external otits most often odcur and what else is it known as
Definition
in hot humid weather- swimmer itch
Term
what is the most virulent fomr of external otis and what happens
Definition
necrotizing or malignant- when organisms spread beyond the externale ar
Term
opiods may be given for pain with external otitis what may be done whenthe inflammation and pain has subsided
Definition
rubbing alcohol mixed with white vinegar and water to keep it clean and dry and prevent reoccurances
Term
furnucle
Definition
usually form staphn of the hair follicle
Term
chondritis
Definition
inflammation of the tough fibrous layer that surrouds the cartilage and shapes the pinna
Term
when infection occurs between the perichondrium and the cartilage what happnes
Definition
blood flow to the cartilage is deformed a
Term
how can perichonditis occur
Definition
from high helical ear peircing
Term
if a person is doing cercum removal with fludi what should they do if they start with n/v
Definition
stop the process immedialtely
Term
what to do if theres an insect int he ear
Definition
try to get it out with a flashlight then if that doesnt work it needs to be killed before removal with mineral oil or alchol
Term
acute otits
Definition
infecting agent in the middle ear that causes inflammtion leading to swelling and irritaiton of the middle ear
Term
why would a person have chronic otits media
Definition
from biofilms created in the ear- a biofilm is a community of bacteria that work together to overcome the host
Term
what may the pt with otitis media notice while yawning
Definition
cracking sound in the ear
Term
the pt with otitis media have vertigo
Definition
as the pressure pushed against the inner ear they will experience this
Term
what is found on scope exams with otits media 1st thru the 3rd stage
Definition
eardrum is retracted may appear red at the thrid stage the eardrum becomes red thicken and buldging
Term
if a pt has an eardrum that ruptures with otits media what is notices
Definition
release of pain
Term
mastoiditis what is ti and hows it caused
Definition
infection of the air cells caused by untreated or inadequate treated media
Term
what are the s/s of mastoiditis is it releived with a tubes
Definition
swelling behind the ear and pain with movements of the tagus pain is not releived by a myringotomy
Term
cellultis can occur with mastoiditis what iwll this look lie
Definition
the ear may be pushed odwn or sideways
Term
on microscopic examination of one with mastoidist what is seen
Definition
red dull thick immobile
Term
what are some complicaitons of mastoidtis to the cranial nerves
Definition
VI (decreasing the ability to look sideways)
VII (drooping of the mouth)
Term
how long can it take for a perforated eardrum to heal
Definition
week or two
Term
neoplasm of the ear what is the most common type and where does it arise
Definition
tumore of the middle ear are rare the most ocmomon type is glomus jugulare that begins as a leision from the jugular vein
Term
pg1095 tinnitus
Definition
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