Medical Issues Ch. 13 Flashcards Preview

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Flashcards in Medical Issues Ch. 13 Deck (20):
1

examination of the ear

patient history
general observation
palpate pinna and mastoid process
conduct a hearing test if necessary
-determine difference between sensorineural loss and conductive hearing loss using the Weber test
Otoscope evaluation

2

sensorineural loss

cranial nerve
born deaf

3

conductive hearing loss

tympanic hearing

4

Weber test

start a tuning fork and place it on the midline of the head
-conductive: hear better in their impaired ear
sensorineural: hear better in healthy ear

5

otoscope evaluation

examine the ear into the tympanic membrane

6

auricular hematoma

buildup of fluid between the skin and the certilage of the pinna
MOI
-repeated trauma to the site
S/S
-buildup of fluid
-sometimes painful
Tx
-ice and compression
-referral if they have a visible buildup of fluid
RTP
-clear to play
-drain and cover

7

ruptured tympanic membrane

MOI
-change in pressure
-puncture wound
-direct blow to the head
S/S
-painful
-tinnitus
-hearing loss
Tx
-will heal on it's own
refer out
RTP
-depends on the sport
-self-limiting in most sports

8

otitis externa

inflammation and/or infection of the external auditory canal
swimmer's ear, or cleaning the ear too much
cerumen dries out - dries the ear out
S/S
-pain
-itching
-burning
-possible swelling of pinna
Tx
-antibiotics
RTP
-usually within 24 hours of beginning antibiotics

9

otitis media

presence of fluid in the middle ear
accompanied by S/S of infection
S/S
-earache
-fullness in the ear
-fever
-ringing in the ears
-dizziness
-hearing loss
-tympanic membrane is red when looking with an otoscope
Tx
RTP
-24 hours after starting antibiotics

10

impacted cerumen

build of earwax in the external canal
S/S
-hearing loss
-ear's "plugged up"
Dx
-use otoscope
Tx
-referral to have it removed
-manual removal

11

nose exam

ask questions
look for drainage
examine the nose
palpate the nose
palpate the facial bones and sinuses

12

allergic rhinitis

hypersensitivity to inhaled allergens
S/S
-clear mucus
-sneezing
-runny nose
-congestion
-itchy, watery eyes
Tx
-send in if they have a fever
-antihistamines
-avoid allergens
-humidifier, air filter

13

non-allergic rhinitis

caused by virus, bacteria or vasomotor-related inflammation or infection of the nasal passages
S/S
-same as allergic but won't react to same Tx

14

sinusitis

inflammation of mucus membranes lining the paranasal sinuses
S/S
-sinus pain
Tx
-referral
-antibiotics
RTP
-can play without fever

15

exam of the mouth and throat

inspect the face, head and neck
palpate the lymph nodes
examine the lips both open and closed
inspect the tongue and mucosal lining of the mouth, gingivae, and back of throat

16

gingivitis

Bacterial infection of the gums
S/S
-swollen and red gums
-possible bleeding
-pain
-haltosis: bad breath
Tx
-referral
-oral hygiene is important for oral health

17

oral candidiasis

"thrush"
fungal infection of the mucous membranes in the mouth
S/S
-white/yellow tongue
-can turn into red lesions of the gums
Tx
-referral

18

oral cancer

direct link between tobacco use and oral cancer
individuals who use tobacco products and alcohol are at 15x more risk
S/S
-hoarseness
-pain or difficulty swallowing or chewing
-masses in the mouth or neck
Tx
-chemo
-radiation

19

phayngitis and tonsillitis

inflammation of either/or
can be caused by bacteria or viruses
streptococcus is the main culprit
-strep throat
S/S
-white spots in the back of the throat
-sore throat
-painful swallowing
-fever/chills depending on infection type
Tx
-bacterial: refer
--strep test, antibiotics
-viral: rest
RTP
-depends on if they have a fever
-no fever for 24 hours

20

laryngitis

inflammation of the larynx
-direct blow to the throat
-can accompany upper respiratory infection
-common in smokers
S/S
-loss of voice
-tickling in back of throat
Tx
-humid environment
-cough drops
RTP
-self-limiting in absence of fever