Exam (elaborations) Chamberlain NR 511 Graded A+

Chamberlain NR 511 Midterm Exam __________ ___________ is a common condition found in the outpatient setting that presents with inflammation of the auditory canal, benign and self-limiting but painful. - Otitis externa ____________ hearing loss is gradual and progressive, high frequency loss, and deterioration of the cochlea. - Sensorineural *This deals with the inner ear and its components ____________ is the sensation of wound without an exogenous sound source. What causes this sensation? - 1. Tinnitis 2. Poorly understood, might be from chronic noise exposure that may damage the cilia and auditory hair cells or spontaneous activity in individual auditory nerve fibers. ____________ sign can help with the diagnosis of cholecystitis and is performed by applying pressure at the subcostal region of the right upper quadrant on inspiration. - Murphy's _____________ is age related hearing loss and is a form of sensorineural hearing loss. - presbycusis _______________ is scarring after the tympanic membrane has ruptured and healed. What might this scarring be caused from? - Otosclerosis. AOM or tympanovstomy tubes that are expelled. Acute infection of the middle ear may cause a relative ischemia in drum concurrent with increased pressure in the middle ear space. What does this lead to? - Tear or rupture of the tympanic membrane. Acute pancreatitis may be a result from what two physical circumstances? - 1. Injury to the acinar cells 2. Impaired secretion of proenzymes Although diverticula con occur anywhere in the intestines, where is the most common place for them to arise? - Descending and sigmoid colon As the autodigestion and bleeding occur in the pancreas, what is the end result? - Liquification of pancreatic tissues known as: liquefactive hemorrhagic necrosis. At what age should a colonoscopy begin to be a routine part of a physical exam? - 50 years old At what point are systemic antibiotics needed for acute otitis externa treatment? What do these antibiotics need to cover? - 1. With refractory cases or auricle cellulitis 2. Pseudomonas and s. aureus. At what point should a patient be referred to the hospital for dehydration? - Signs of hypovolemia such as hypotension, tachycardia, pallor, and poor skin turgor. At what severity are pharmacological measures taken in patients with IBS? Mild, moderate, or severe? - Moderate to severe Bacteria eventually make their way through the gall bladder wall and into the _____________ causing _____________. This results in ____________ tenderness. - 1. peritoneum 2. peritonitis 3. rebound Common causes of constipation? - 1. Idiopathic 2. Narcotics 3. Tricyclics antidepressants 4. Iron supplements 5. Anticholinergics 6. Antidiarrheals 7. Antipsychotics 8. Calcium supplements 9. Can be a symptom of colorectal cancer Crohn's Disease represents an abnormality in intestinal immune response. What is the result of this abnormality with regard to the bowel tissue and subsequent complications?