Ears

About this set

Created by:

JudeLeonard  on October 5, 2010

Subjects:

nursing 209

Description:

Test 2

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Ears

Ears related health Hx
surgery, trauma, child infections, pain drainage, hearing loss, occupation, vertigo, tinnitus, medications.
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Ears related health Hx surgery, trauma, child infections, pain drainage, hearing loss, occupation, vertigo, tinnitus, medications.
Inspection of External Ear (Normal) aligned c palpebral fissure, non tender, smooth. Overall symmetrical
Inspection of the External Ear (Abnormal) Uenitourinary malformations (low set ears) erythema/edema/lesions/
Darwins Turbernalce pointy ears
Before using Otoscope check: Swelling narrowing of canal, foreign bodies, or discharge
Adult Otoscope form: pull- Up, Out, Back
Child Otoscope form: pull- Out, Down, Back
Normal Cerumen grey to amber black
Abnormal Cerumen impacted, sticky yellow, lesions, erythema, tenderness
Tympanic Membrane pearly gray, shiny, translucent
Small flutter when swallowing
Tympanic membrane Landmarks iInner ear bones easily visible
Cone light reflex 5oclock R
Cone light reflex 7oclock L
Gross Hearing Test example "Whisper Test" pt puts a finger in one ear and nurse covers mouth and stands behind and off to the side and whispers 2-3 syllable words
(Normal) pt can accurately repeat
AC vs. BC Air Conduction versus Bone Conduction
Webber Test Tuning Fork in center of head.
(Conductive Loss) sound lateralizes and is heard better in deaf ear.
(Perceptive Loss) sound is heard better in good ear
Rinne Test (note time start and stop) Tuning fork to mastoid (BC) Note time sound disappears. Switch immediately to AC near ear. Note time pt can no longer hear sound.
Rinne Test normal limits AC>BC 2:1
Conductive Loss BC>AC
Perceptive Loss AC=BC or > overall time is less than normal time
Pediatric Variations Foreign bodies found in ears
Otitis Media (needs tubes)
Otitis externa (swimmers ear)
OA Variations tympanic membrane may be dull and retracted
-Presbycusis (agre related) hearing loss
-high tone hearing loss (whispers)

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