3. akutisches Trauma Flashcards by Ian Paglione

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Q

(akustisches Trauma)

Pathophysiologie

A

Schädigung der Haarzellen des Innenohres

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Q

(akustisches Trauma)

Formen (4)

A

Knalltrauma
Explosionstrauma
akutes Lärmtrauma
chronisches Lärmtrauma

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Q

(akustisches Trauma)

Knalltrauma: Dauer

A

1-2 ms

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Q

(akustisches Trauma)

Knalltrauma: Schwerhörigkeit

A

akute Schallempfindungsstörung

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Q

(akustisches Trauma)

Knalltrauma: Symptom

A

Tinnitus

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Q

(akustisches Trauma)

Explosionstrauma: Dauer

A

≥ 2 ms

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Q

(akustisches Trauma)

Explosionstrauma: Schwerhörigkeit

A

kombinierte Schallleitungs- und Schallempfindungsstörung

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Q

(akustisches Trauma)

Explosionstrauma: Symptome (3)

A

Tinnitus
Blutungen aus dem Gehörgang
vestibuläre Symptome

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Q

(akustisches Trauma)

akutes Lärmtrauma: Dauer

A

Minuten bis Stunden

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Q

(akustisches Trauma)

akutes Lärmtrauma: Schwerhörigkeit

A

akute Schallempfindungsstörung

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Q

(akustisches Trauma)

akutes Lärmtrauma: Symptom

A

Tinnitus

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Q

(akustisches Trauma)

chronisches Lärmtrauma: Dauer

A

Jahre

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Q

(akustisches Trauma)

chronisches Lärmtrauma: Schwerhörigkeit

A

chronische
Schallempfindungsschwerhörigkeit

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Q

(akustisches Trauma)

Diagnostik (2)

A

Tonschwellenaudiometrie
überschwellige Audiometrie

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Q

(akustisches Trauma)

Tonschwellenaudiometrie: Befund

A

C5-Senke

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Q

(akustisches Trauma)

C5-Senke

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A

Hörverlust im Bereich der hohen Frequenzen um 4000 Hz

Q

(akustisches Trauma)

überschwellige Audiometrie: Befund

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A

positives Recruitment

Q

(akustisches Trauma)

positives Recruitment

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A

Lautheitsunterschiede verstärkt wahrgenommen

Q

(akustisches Trauma)

Therapieentscheidung (3)

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A

bei Knall- und Explosionstrauma
bei akutem Lärmtrauma
bei chronischem Lärmtrauma

Q

(akustisches Trauma)

Therapie der Wahl bei Knall- und Explosionstrauma

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A

hochdosiert systemische Glucocorticoide

Q

(akustisches Trauma)

Therapie der 2. Wahl bei Knall- und Explosionstrauma

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A

intratympanale Glucocorticoide

Q

(akustisches Trauma)

Therapie der Wahl bei akutem Lärmtrauma

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A

Selbstheilung i.d.R. innerhalb von 24h

Q

(akustisches Trauma)

Therapie der Wahl bei chronischem Lärmtrauma

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A

Hörgeräteversorgung