Week 1 ENT 1 of 4 Flashcards Preview

SUM '20 - Health Assessment > Week 1 ENT 1 of 4 > Flashcards

Flashcards in Week 1 ENT 1 of 4 Deck (55)
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1

Using an otoscope to examine the adult ear, what do you do?

pull the auricle UP and BACK

2

Using an otoscope to examine an infant/child's ear, what do you do?

pull the auricle DOWN and OUT

3

What is important to ensure regarding the otoscope when using?

-brightly lit
-proper tip

4

This d/o occurs when there is an excessive amount of cerumen that occludes the external canal:

Impacted Cerumen

5

Subjective findings for impacted cerumen:

-fullness of the canal
-itching
-pain
-cough
-vertigo
-hearing loss

6

Objective findings of Impacted cerumen:

Hard/soft cerumen occluding external canal
-unable to visualize TM

7

Mgmt and Health Promotion for Impacted cerumen:

Mgmt:
- Removal of cerumen by warm water irrigation for symptomatic pts.
-Be mindful of foreign objects
HP:
- no using cotton swabs
-OTC products work well for cerumen removal

8

Inner Ear Disturbances include:

- Labyrinthitis
-Meniere's Disease
-Tinnitus

9

Inflammation of what CN can cause vertigo sensations?

CN 8 - Vestibulocochlear nerve

10

Subjective findings of inner ear disturbances:

severe vertigo
N/V
disequilibrium

11

Objective findings of inner ear disturbances:

there may be no objective findings

12

Mgmt of Labyrinthits:

prednisone tapered dose
Meclizine 25mg prn (for vertigo)

13

Mgmt of Meniere's Dx:

otolaryngologist referral

14

Mgmt of Tinnitus:

otolaryngologist referral to R/O neuroma

15

Additional causes of tinnitus:

-large/fast doses of IV Lasix
-lidocaine toxicity (? 5mcg plasma concentration)
-EPIDURAL turned venous

16

Explain how tinnitus can be associated with an epidural:

Epidural test dose is an epi and lidocaine mixture. when administered, if venous the pt will c/o of:
- numbness
-tingling
-and/or TINNITUS

17

Functions of the Eustachian Tube:

1. allows air into the middle ear
2. Equalizes Pressure in the middle ear (d/t altitude)
3. Drain normal secretions of the middle ear.
4. Drains secretions into the nasopharynx

18

how do the eustachian tubes allow for middle ear secretions to drain?

1. by a mucociliary transport system
2. repeated active tubal opening and closing

19

cellulitis of the external auditory canal that may extend to the auricle is:

otitis externa

20

Causes of Otitis externa:

-excessive moisture
-any condition that compromises the integrity of the external ear

21

Subjective findings with otitis externa:

-Pain and tenderness of external ear and/or canal
- itching

22

Objective findings with otitis externa:

-redness and irritation of the canal
-slough or exudate
-edema of the canal

23

Mgmt and HP for otitis externa:

Mgmt:
-topical abx (corisporine otic suspension)
- pain control w/NSAIDS
-Wick

HP - decrease moisture in canal
- gentle use of blow dryer
- 1:2 mix of vinegar/rubbing alcohol

24

an inflammatory or infectious process that occurs in the middle ear from an accumulation of fluid is likely:

Otitis media

25

Otitis media may result in what forms:

-bacterial
-fungal
-viral

26

Subjective findings for otitis media:

pain
hearing loss
stuffiness of ear
congestion

27

Chronic congestion /chronic otitis media may potentially cause what in young children

speech delays

28

Objective findings for otitis media:

-decreased /absent mobility of TM is Diagnostic
-erythema or bulging of the TM
(with obscure landmarks)

29

-Mgmt and HP for otitis media:

Mgmt:
-analgesics and auralgen (unless bacterial)
-Amoxicillin if 1st line for bacterial

HP:
-assess each case carefully before RX meds/abx

30

auralgen is

an ear gtt with:
-benzocaine (pain)
-Antipyrine (an anti-inflammatory)
-glycerin (to soften ear wax; protect the ear)