Ch 17 CCs

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absolutesilence  on January 19, 2011

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Ch 17 CCs

Hyposmia
a reduced ability to smell; often affects older people; can also be caused by neurological changes, such as a head injury, AD, Parkinson's, certain drugs and smoking
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Hyposmia a reduced ability to smell; often affects older people; can also be caused by neurological changes, such as a head injury, AD, Parkinson's, certain drugs and smoking
Taste aversionpeople and animals quickly learn to avoid a food if it upsets the digestive system; drugs and radiation used to combat cancer often cause nausea and gastrointestinal upset regardless of what foods are consumed; cancer patients may lose their appetite because they develop taste aversions for most foods
Detached Retina May occur due to trauma, in various eye disorders, or as a result of age-related degeneration; results in distorted vision and blindness in the corresponding field of vision; retina may be reattached by laser surgery or cryosurgery
Age-Related Macular Disease degenerative disorder of the retina in people over 50; victims of advanced AMD retain their peripheral vision but lose the ability to see straight ahead; the leading cause of blindness in those over 75; initially may experience blurring and distortion at the center of the visual field
Dry AMD central vision gradually diminishes because the pigmented layer atrophies and degenerates; no effective treatment
Wet AMD 10% of cases of dry AMD progress to wet AMD; new blood vessels form in the choroid and leak plasma or blood under the retina; vision loss can be slowed by using laser surgery to destroy the leaking blood vessels
Presbyopia As we age, the lens lose elasticity;by age 40, the near point of vision may have increased to 20 cm; by 60, 80 cm; usually begins in mid-40s; people begin to need glasses for reading; those with glasses start to need bifocals
LASIK Most common type of refractive surgery to correct the curvature of the cornea for conditions such as farsightedness, nearsightedness, and astigmatism; the underlying layer of cornea is reshaped with a laser, one microscopic layer at a time
Color blindness an inherited inability to distinguish between certain colors, result from the absence or deficiency of one of the three types of cones
Red-green color blindness most common type of color blindness; red cones or green cones are missing; as a result the person cannot distinguish between red and green
Nyctalopia night blindness; an inability to see well at low lights levels; may be caused by prolonged Vit A deficiency and the resulting below-normal amount of rhodopsin
Loud Sounds and Hair Cell Damagecontinued exposure to high-intensity sounds is one cause of deafness (a significant or total hearing loss); the louder the sounds, the more rapid is the hearing loss; deafness usually begins with loss of sensitivity for high-pitched sounds; wearing earplugs with a noise-reduction rating of 30 dB while engaging in noisy activities can protect the sensitivity of your ears
Cochlear Implants device that translates sounds into electrical signals that can be interpreted by the brain; useful for people with deafness that is caused by damage to hair cells in the cochlea
Cataractsloss of transparency of the lens; the lens becomes cloudy (less transparent) due to changes in the structure of the lens proteins; often occur with aging; may also be caused by injury, excessive exposure to UV rays, certain medications (long term use of steroids), or complications of other diseases (diabetes); people who smoke also have increased risk; sight can be restored by surgical removal of the old lens and implantation of a new artificial one
Glaucomamost common cause of blindness in the US; abnormally high intraocular pressure due to a buildup of aqueous humor within the anterior cavity; the fluid compresses the lens into the vitreous body and puts pressure on the neurons of the retina, damage to the optic nerve, and blindness; glaucoma occurs more often with advancing age; risk factors- race (AA are more susceptible), increasing age, family history and past eye injuries and disorders
Deafness significant or total hearing loss
Sensorineural deafnesscaused by either impairment of hair cells in the cochlea or damage of the cochlear branch of the vestibulocochlear (VIII) nerve; may be caused by atherosclerosis, which reduces blood supply to the ears; by repeated exposure to loud noise, which destroys hair cells of the spinal organ; and/or by certain drugs such as aspirin and streptomycin
Conduction deafnesscause by impairment of the external and middle ear mechanisms for transmitting sounds to the cochlea; causes- otosclerosis, the deposition of new bone around the oval window; impacted cerumen; injury to the eardrum; and aging which often results in thickening of the eardrum and stiffening of the joints of the auditory ossicles
Weber's testhearing test used to distinguish between sensorineural and conduction deafness; the stem of a vibrating fork is held to the forehead; in people with normal hearing, the sound is heard equally in both ears; if heard best in the affected ear, its probably conduction; if heard best in the normal ear, it is probably sensorineural
Ménière's Disease results from an increased amount of endolymph that enlarges the membranous labyrinth; symptoms- fluctuating hearing loss and roaring tinnitus (ringing); spinning or whirling vertigo (dizziness) is characteristic of MD; almost total destruction of hearing may occur over a period of years
Otitis Mediaacute infection of the middle ear caused mainly by bacteria and associated with infections of the nose and throat; symptoms- pain, malaise, fever, and a reddening and outward bulging of the eardrum, which may rupture unless drained; bacteria passing into the auditory tube from the nasopharynx are the primary cause of middle ear infections; children are more susceptible
Tympanotomy surgical procedure used if OM occurs frequently; consists of the insertion of a small tube into the eardrum to provide a pathway for the drainage of fluid from the middle ear

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