Conductive hearing loss
Causes? Correct Answer: External or middle ear disorder impairs sounds conduction into brain
- You can still hear through the bone b/c it transmits directly to the cochlea (avoids the outer/middle
ear)
Causes
- Foreign body
- Otitis media
- Perforated eardrum
- Otosclerosis of ossicles
Vermillion border Correct Answer: Line between lips and face skin
Isthmus Correct Answer: The middle of the thyroid's lobes
Normal HEAD exam example (charting) Correct Answer: - NC/AT (normocephalic/atraumatic)
- Non-tender to palpation at lymph nodes.
Normal EYE exam example (charting) Correct Answer: - Visual acuity 20/20 B/L
- Field of vision good
- EOMI
- Sclera white, Conjunctiva Pink
- PERRLA
- Disc margins sharp
- No hemorrhages or exudates
Normal EAR exam example
(charting) Correct Answer: - Acuity good to finger rubbing
- Weber midline
- AC>BC
- TM's with good cone of light
, Normal NOSE exam example (charting) Correct Answer: - Nasal mucosa pink
- Septum midline
- No sinus tenderness
Normal THROAT exam example (charting) Correct Answer: - Trachea midline
- Thyroid symmetric, not enlarged, no palpable nodules
- Neck supple
Patulous Correct Answer: Eustachian tube dysfunction
- Tube won't close
Opposite of dilatory
Dilatory Correct Answer: Eustachian tube dysfunction
- Tube won't DILATE
- Can't equalize pressure in head
What can you see on otoscopic exam? Correct Answer: - Tympanic membrane
- Cone of light
- Incus
- Malleus
- Umbo (foot of malleus)
What is the most common sense lost due to nerve damage? Correct Answer: Hearing!
Weber test Correct Answer: 256 Hz tuning fork
- Testing for relative hearing between L/R ears
- Vibrate and put on top of pt's skull, midline
- + result = hear equally loud in both ears
- - resuls = lateralizes to one ear
Rinne test Correct Answer: 256 Hz tuning fork
- Testing to see if AC>BC
- Vibrate fork, place on pt's skull behind ear
- When they can NO LONGER hear the fork, flip it in front of their ear
- + result = AC>BC
- - result = BC>AC (can't hear after the flip)
Sinuses of the face? Correct Answer: Frontal
Ethmoid
Maxillary
Pinna Correct Answer: Outside of ear
- "Auricle"
Types of dizziness Correct Answer: Vertigo
- Neural
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