Chapter 15 (Ears) Physical Examination
& Health Assessment. 7th Ed. Carolyn
Jarvis Subjective Data questions and
answers
Otalgia - correct answer-ear pain
Otorrhea - correct answer-discharge from the ear
Cholesteatoma - correct answer-yellow, waxy tumour arising in the middle ear
Presbycusis - correct answer-Sensorineural hearing loss assoc. w/middle and older ages;
char. by B hearing loss, esp. at high freq. at first; poor aud. discrim. and comprehension,
esp. w/background noise; tinnitus
Tinnitus - correct answer-ringing in the ears
Ototoxic - correct answer-adverse effect of medication on hearing structures and nerve
function
Vertigo - correct answer-Dizziness
Objective Vertigo - correct answer-Feels as if the room is spinning
Subjective Vertigo - correct answer-Feels as if he/she spins.
Inspect and Palpate the external ear
Ears are equal size bilaterally w/ no swelling or thickening.
Skin color: ear matches the color of the pt's face.
Lumps or lesions.
Palpate the pinna, and the mastoid. Should be no pain.
No swelling, erythema, discharge. - correct answer-Abnormal findings
Microtia: ears smaller than 4cm vertically
Macrotia: ears larger than 10 cm
Edema w/ infection and trauma
Pain in the mastoid indicates possible enlarged node, or mastoiditis.
Discharge may indicate otitis externa.
Tympanic Membrane (TM)
Normal eardrum is shiny and translucent, pearl gray color.
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