Ears Flashcards

1
Q

What are the 3 parts of the ears

A

External ear

Middle ear

Inner ear

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2
Q

What is the middle ear?

A

The middle ear begins on the inner side of the tympanic membrane

It consists of bones or ossicles: the malleus, incus, and stapes

Eustachian tube which is an opening from the middle ear to the throat

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3
Q

What is the function of the middle ear?

A

The bones conduct sound vibrations to the inner ear

Reduces amplitude of loud sounds

Equalization of air pressure

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4
Q

What is conductive hearing loss

A

Blocked external or middle ear

Excess cerumen, pus in middle ear, torn TM

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5
Q

What is perceptive loss

A

Loss of CN VIII, nerve damage

Loss of auditory area of brain- can occur with aging, ototoxic drugs, etc

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6
Q

What is the tympanic membrane

A

Translucent, pearly grey colour

Reflects light when healthy

Cone of light

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7
Q

What is presbycusis

A

Gradual sensorineural loss in 5th decade, due to nerve degeneration of inner ear

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8
Q

What is otitis media

A

Middle ear infection

Estimated 90% of children under 2

Persistent, infected fluid in middle ear = impaired hearing. At risk for delayed brain development/cognitive development.

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9
Q

What is the Weber test

A

For diminished or loss of hearing in one ear

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10
Q

Normal findings of the Weber test

A

Vibrations heard equally well in both ears

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11
Q

Abnormal findings in the Weber test

A

Conductive loss: lateralization of sound to affected ear

Sensorineural loss: lateralization of sound to unaffected ear

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12
Q

Where do you see the cone shape light in the right ear

A

5:00

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13
Q

Where do you see the cone shaped light in the left ear?

A

7:00

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14
Q

What is otitis externa

A

Red swollen canals

Swimmers ear

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15
Q

What is tinnitus

A

Ringing, buzzing, or crackling in the ears (at night)

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16
Q

What causes tinnitus?

A

Ototoxic drugs: aspirin, aminoglycosides streptomycin, gentamicin, kanamycin, neomycin, vancomycin

17
Q

What can cause conductive hearing loss

A

Coarse stiff cilia

Decrease in sebaceous glands = less cerumen

Scarring from past infections

18
Q

What is the rinne test

A

Compares air conduction to bone conduction with tuning fork

19
Q

Normal findings for rinne test

A

Air conduction sound is normally heard longer than bone conduction sound ( AC>BC) by 2:1

20
Q

Abnormal findings for rinne test

A

Conductive loss: BC= AC

Sensorineural loss: AC> BC but reduced overall

21
Q

What does white spots on the TM mean?

A

Scarring from infection

22
Q

Signs of acute otitis media

A

Red, bulging eardrum

23
Q

Signs of serous otitis media

A

Yellowish fluid, bubbles behind TM

24
Q

Signs of TM rupture/perforation

A

Foul smelling, sticky, or yellow discharge

25
Q

What does the inner ear consist of

A

Vestibule and semicircular canals which are sensory organs for balance

Cochlea which is a coiled structure for hearing