Module 4 Flashcards

(210 cards)

1
Q

Function of the endocrine system

A

Controls the secretions of hormones from several glands throughout the body

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2
Q

Glands

A

Organs that secrete or release hormones into the bloodstream.

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3
Q

Hormones

A

Chemical substances released from gland in small amounts

Chemical messengers that transfer info and instructions from one area of the body to another.

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4
Q

What factors do glands and hormones influence? (6)

A

Growth and development
Tissue formation
Metabolism
Homeostasis
Sexual function
Mood

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5
Q

Endocrinologist and endocrinology

A

-physician that diagnosis and treats conditions of endocrine system

  • study of the endocrine system; subspecialty of internal medicine
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6
Q

Name the 8 major glands of endocrine system

A

Pituitary
Pineal
Thyroid
Parathyroid
Pancreas
Adrenals
Ovaries,testes
Thymus

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7
Q

Location and function of the pituitary gland?

A

Base of the brain, under the hypothalamus

Master gland; regulates other endocrine glands

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8
Q

Location and function of the pineal gland?

A

Brain

Regulates sleep

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9
Q

Location and function of the thyroid gland?

A

Neck (anterior)

Metabolism, growth and development

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10
Q

Location and function of the parathyroid gland?

A

Neck (posterior)

Maintains calcium (increase calcium blood levels) and phosphate levels

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11
Q

Location and function of the pancreas ?

A

Epigastric area of abdomen

Blood glucose regulation

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12
Q

Location and function of the adrenals ?

A

Abdomen, above the kidneys

Regulate sodium and potassium, carbohydrate metabolism, sex hormones, epinephrine secretions in emergencies

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13
Q

Location and function of the gonads?

A

Pelvis

Male and female secondary sex characteristics

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14
Q

Location and function of the thymus?

A

Mediastinum

Regulates the immune system

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15
Q

Divisions of the pituitary gland

A

Adenohypophysis and neurohypophysis

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16
Q

Hormones secretes by adenophyophysis

A

Growth hormone (GH)
Adrenocorticotropin Hormone (ACTH)
Thyroid-stimulating Hormone (TSH)
Follicle stimulating Hormone (FSH)
Luteinizing Hormone (LH)
Prolactin Hormone
Melanocyte stimulating hormone

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17
Q

Growth Hormone

A

Regulates growth and development of the bones and muscles, and other organs

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18
Q

ACTH

A

Regulates the growth of the adrenal cortex

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19
Q

TSH

A

Stimulates growth of the Thyroid gland

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20
Q

FSH and LH

A

Controls the sex glands in males and females

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21
Q

Prolactin hormone

A

Stimulates the growth and development of the mammary gland.

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22
Q

Melanocyte stimulating hormone

A

Controls skin pigmentation

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23
Q

Target organs of the adenohypophysis hormones

A

TSH: thyroid gland
ACTH : adrenal cortex
FSH and LH: testes and ovaries
Prolactin: breast
GH: liver, bone, muscle,organs

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24
Q

Hormones by the neurohypophysis?

A

Antidiuretic hormone (ADH)
Oxytocin

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25
ADH
Regulates the secretion or reabsorption of water in the kidneys
26
Oxytocin
Stimulates the uterus to contract during childbirth And the release of milk from the mammary glands
27
Pineal gland hormones
Melatonin Serotonin
28
Melatonin
Regulates the body’s sleep-wake cycle
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Serotonin
Stimulates the nervous system by releasing neurotransmitters, smooth muscles and gastric secretions
30
Hormones of the thyroid
Thyroxine (T4) Triiodothyronine (T3) Calcitonin
31
T4 and T3
Maintains and re guy lates the basic metabolic rate of the body, growth and development , and metabolism of nutrients, water, vitamins, and minerals
32
Calcitonin
Involved in bone and calcium metabolism (Lowers the blood calcium levels)
33
Parathyroid gland hormone and it’s function?
Parathyroid hormone (PTH) Maintaining calcium levels and the metabolism of phosphorous
34
Islets of langerhans
Endocrine portion of the pancreas that consist of cell clusters
35
What hormones does the islets of Langerhan secrete?
Insulin Glucagon Somatostatin
36
Function of insulin, glucagon, and somatostatin?
Insulin: stimulates cells to take in glucose from bloodstream for metabolism Glucagon: breaks down glucagon to glucose, increasing blood glucose levels Somatostatin: decrease production of insulin and glucagon
37
Gastrointestinal mucosa
Epithelial lining of the stomach and intestine; secretes several hormones related to digestion
38
Four hormones of the gastrointestinal mucosa
Gastrin Secretin Cholecystokinin Enterogastrone
39
Gastrin
Stimulates production of gastric acid in the stomach
40
Secretin
Stimulates the secretion of pancreatic enzymes, bile, and other secretions from the intestines involved in digestion of food.
41
Cholecystokinin
Controls the gallbladder
42
Enterogastrone
Regulates secretions from the stomach
43
Two parts of adrenal glands ?
Adrenal cortex (outer portion) Adrenal medulla ( inner portion)
44
3 type of hormones from adrenal cortex
Glucocorticoids Mineralocorticoids Androgens
45
Function and examples of Glucocorticoids
Involved in carbohydrate metabolism Cortisol Corticosterone
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Function and example of mineralocorticoids?
Regulation of electrolytes and fluid balance Aldosterone
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Function and example of androgens?
Stimulates the development of male sex characteristics. Testosterone and androsterone
48
Hormone secreted by adrenal medulla
Catecholamines
49
Function and example of catecholamines?
Involved in nervous system regulation; involved in sympathetic nervous system function. Dopamine Epinephrine Norepinephrine
50
Structures and the gonads
Ovaries Testes Placenta
51
Hormones released by the sex organs
Ovaries: estrogen and progesterone Testes: testosterone -regulates female and male sex organs
52
Placenta
Temporary endocrine organ that secrete hormones involved in the growth and development of the fetus.
53
Hormones secreted by the thymus
Thymosin Thymopoietin
54
Cushing Disease
When adrenal cortex produces too much of the hormone cortisol.
55
Common causes of Cushing disease
Tumor in the adenohypophysis or a tumor in the adrenal gland
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Cushing disease symptoms
Muscle weakness, fatigue, mood swings, and easy bruising
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Physical exam signs of Cushing disease
Hypertension Fat deposits in the face Buffalo jump Hirsutism Edema Skin discoloration Osteoporosis
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Diagnosis and treatment of Cushing disease
Diagnosis made by testing cortisol levels in the blood Tumors may need surgical resection Wean off corticosteroid if patient is using.
59
Diabetes mellitus
Disease with abnormal glucose metabolism - when insulin is either not produced by the pancreas or the cells of the body do not respond to insulin
60
Two types of diabetes mellitus
IDDM: beta cells of pancreas no longer produce insulin NIDDM: cells do not respond to insulin
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Diabetic keto acidosis
Condition where the body is using fat as a source of fuel, rather than carbohydrates
62
Early manifestation symptoms of diabetes?
Polyuria Polydipsia T1: polyphagja, fatigue, weight loss T2: blurred vision
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Complications of Diabetes mellitus
Hyperglycemia Hypoglycemia Gangrene, foot ulcers Cataracts, glaucoma, retinopathy CAD, stroke Hypertension, renal failure, albuminuria UTI, impaired healing, chronic skin disease
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Hyperthyroidism (definition and causes)
Excess of thyroid hormone secreted by thyroid gland Causes: Graves’ disease Toxic multi modular goiter Thyroiditis Benign or malignant tumors
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Graves’ disease
Autoimmune disease where antibodies stimulate the thyroid to produce too much T4
66
Toxic multinodular Goiter
Enlargement of the thyroid gland that then produces too much thyroid hormone.
67
Symptoms of hyperthyroidism
Hyperactivity Nervousness Irritability Sweating Palpitations Tachycardia Intolerance to heat Weight loss Diarrhea Easy fatigue
68
Hyperthyroidism treatments
Medications Radio-iodine treatments that destroy the thyroid tissue Partial thyroidectomy
69
Hypothyroidism definition and causes
Deficiency of thyroid hormone Causes: Hashimoto’s thyroiditis Treatments for hyperthyroidism Radiation treatments Thyroid surgery Certain medications
70
Symptoms of hypothyroism
Fatigue Weakness Dry skin Intolerance to cold Bradycardia Hair loss Weight gain Dyspnea
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Treatment for hypothyroidism
Supplementation with synthetic thyroid hormone
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Misc symptoms of hypothyroidism and hyperthyroidism
73
Function of nervous system
-Coordinates all the activities of the body -Received info from sensory receptors and then uses this info to coordinate the activities of the muscles, organs, and glands to maintain homeostasis.
74
Neurology Neurologist Neurosurgeon
75
Two divisions of the nervous system
CNS: brain and spinal cord PNS: connects CNS to the rest of the body
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What protects the CNS
Protected by the skull, vertebrae of the skeletal system, and the meninges
77
Layers of the meninges
Dura mater Arachnoid mater Pia Mater
78
Cerebrospinal Fluid
Produced by the ventricles of the brain Surrounds the brain and spinal cord; cushions and protects these structures from shock.
79
Main parts of the brain
Cerebrum Cerebellum Diencephalon Brain Stem
80
Cerebrum
Contain nerve centers that control all sensory and motor activity, memories, consciousness, emotions, and voluntary movement
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Cerebellum
Coordinates sensory perception and motor output
82
Parts of the diencephalon
Thalamus Hypothalamus
83
Thalamus
Relay center for incoming sensory and motor impulses -sends messages onto the cerebrum
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Hypothalamus
Regulates the autonomic nervous system Serves has a connection between ANS and the nervous system
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Brain Stem
Connects the spinal cord with the cerebrum and cerebellum Cranial nerves originates from brain stem and innervate the face and neck Controls breathing, swallowing, coughing, vomiting, heartbeat, and blood pressure
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Parts of the brain stem
Pons Midbrain Medulla oblongata
87
Spinal cord
Conducts sensory impulses from the PNS to the brain and motor impulses from the brain to the spinal nerves Processes the body’s reflexes
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Peripheral nervous system
Contains the nerves that come from the brain and spinal cord that innervate the rest of the body
89
Cranial nerves
12 pairs Nerves that originate in the brain Innervate the senses, motor movements of the head/shoulders, swallowing, breathing, speech , and the muscles of the thoracic and abdominal cavities
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Spinal nerves
Originate in the spinal cord Branch out into smaller nerves that innervate the rest of the body.
91
2 roots of a nerve
Dorsal root and ventral root
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Dorsal root
Carries sensory input to the spinal cord to be sent to the brain
93
Ventral root
Carries motor output to the muscles and the organs
94
Two divisions of the peripheral nervous system
Autonomic and somatic
95
Autonomic nervous system
Controls involuntary functions of the body Ex. Sweating, gland secretion, blood pressure, smooth muscles
96
Two divisions of the autonomic nervous system
Sympathetic and parasympathetic
97
Sympathetic branch
Activated in emergency situations and creates the fight or flight response to stress.
98
Parasympathetic branch
Regulates the daily functioning of the body and maintain homeostasis
99
What is normally looked at when assessing nervous system conditions?
Assessment of mental status and memory Cranial nerve testing Muscle tone Gait observation Reflexes, sensation and coordination
100
What is Dementia?
Progressive deterioration of a patients cognitive abilities and memories that then impair ADL, thinking, reasoning, and remembering
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Four common dementia diseases
Alzheimer’s dimentia Vascular dementia Frontotemporal dementia Parkinson’s disease
102
Risk factors for dementia
Advanced aging Frequency of dementia increases with each decade of life.
103
Diagnostic tool for dementia
Mini mental state examination (MMSE)
104
MMSE
Screening tool used to help with the diagnosis of dementia Assesses pts memory, orientation, language comprehension, copying and naming .
105
Treatment for dementia
Cholinesterase inhibitors
106
What are brain tumors
Tumors that decline in the brain that arises from brain tissue or metastasize from other primary tumors
107
Some Symptoms of brain tumors
Progression of neurological deficit Seizure Headache Dementia Personality change Gait disorder
108
Three imaging that can view brain tumors
Position emission tomography scan (PET) CT scan MRI
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Glioma
Tumor made of neurological tissue; arising from glial cells
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Neuroma
Tumor of the nerve cell and nerve fibers
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Oligodendroglioma
Malignant tumor of the central nervous system. More easily removable than astrocytoma and responds better to chemotherapy
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Astrocytoma
Tumor of the brain made of astrocytes -Most common primary metastatic -Poor prognosis -Difficult to surgical remove and poor response to radiation
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Meningioma
Benign tumor of the meninges. Can be cured by surgical removable
114
Stroke/cerebrovascular accident
When blood flow to the brain is disrupted
115
What conditions does cerebrovascular accident refer to?
Strokes, aneurysms, etc
116
Two types of strokes
Hemorrhagic and ischemic
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Hemorrhagic stroke
When a blood vessel in the brain ruptures
118
Ischemic stroke
When a blood clot blocks the flow of blood to the brain
119
Two types of ischemic stroke blood clots
Thrombosis Embolism
120
Embolism
Clot travels to the brain from another part of the body
121
Thrombosis
A clot that develops in the cerebral artery
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Compression
Blood flow to the brain is disrupted by compression of the artery from the outside, such as a tumor
123
Aneurysm
Weakness in the blood vessel wall that is at risk of a hemorrhage
124
Infarct
Area of tissue damage or death due to lack of blood supply
125
Treatments for stroke or cerebrovascular accidents
Reestablish blood flow very quickly by: Relieving compression of an artery Stopping hemorrhages Removing a blood clot Require rapid medical support and intervention!
126
Seizures
Episode of sudden abnormal excessive activity of the CNS leading to changes in attention or behavior that patient is unable to control
127
Epilepsy
Chronic disorder of the brain where a patient experienced recurrent seizures
128
What is Multiple Sclerosis?
Disease of the CNS , caused by the immune system (autoimmune) Characterized by inflammation, demyelination, and then scarring of the nerves
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Plaque
Damage to the myelin stealth
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Symptoms caused by plaques
Tremors Spasms Muscle weakness of the limbs Incoordination Paraesthesia Visual and speech disturbances
131
Symptoms of multiple Sclerosis
Tremors Spasms Muscle weakness of the limbs Incoordination Paraesthesia Visual and speech disturbances Diminished reflux Ataxic movement Dysphasia Blurred vision
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Treatments for multiple sclerosis
Oral steroid medication for acute attacks or worsening symptoms
133
Parkinson’s disease
Disorder where nerves cells that control movement begin to deteriorate This decreases the amount of dopamine
134
Symptoms of Parkinson’s disease
Tremors of the extremities (start at one side of body and progresses to other side) Bradykinesia Akinesia Rigid limbs Shuffling gait Stooped posture Depression, cognitive impairment , dementia, sleep disorders
135
Treatment for Parkinson’s disease
Medications to increase the amount of dopamine are used to manage tremor symptoms and other physical symptoms.
136
Deep brain stimulation
Surgical procedure to treat PD when medications are no longer effective. Surgical planted devices that deliver electric stimulations of the areas of the brain that control movement .
137
Special senses
Divisions of the nervous system that has specialized organs devoted to that sense Ears, eyes, nose, and tongue These organs are innervated by cranial nerves that detect senses
138
Ophthalmology Ophthalmologist Optometry Optometrist
Eye professions
139
Otorhinolaryngology
Study of the eras, nose , and throat ENT
140
Audiology Audiologist
Hearing professions
141
Sections of the ear
Outer Inner Middle
142
Function and structures of the outer ear
Detects sound and funnels sound to the inner structures of the ear Auricle and external acoustic meatus
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Structures of the middle ear
Tympanic membrane Ossicles
144
What are the 3 ossicle bones?
Malleus Incus Stapes
145
Middle ear
Air filled cavity in the temporal bone of the skull.
146
Mechanism of the middle ear
Sound waves reach the tympanic membrane , it vibrates, and those vibrations travel through the ossicles to the oval window.
147
Structures of the inner ear
Oval window Vestibule Cochlea Semicircular canals
148
Cochlea
Inner ear structure that contains sensory receptors that sense hearing and transmit vibrations to the brain via the cochlear nerve
149
Cranial nerve pertaining to hearing
Cochlear nerve Vestibular nerve
150
Function of vestibule and semicircular canal
Detect the body’s equilibrium , balance, and position.
151
External structures of the eye (5)
Orbit Eyelids Muscle of the eye Conjunctiva Lacrimal apparatus
152
Orbit
Cavity in the skull that contains eyeball Lined with fatty tissue with openings for blood vessels and nerves to travel to eyeball.
153
Function of muscles in The eye Extraocular muscles
Hold eye in place and allow rotational movement.
154
Conjunctiva
Mucous membrane that covers eyeball and protects eyeball surface
155
Lacrimal apparatus
Produces, stores and removes tears that lubricate and cleanse the eye.
156
Structures of the eyeball (12)
Sclera Cornea Aqueous humor Pupil Iris Ciliary body Choroid Vitrous body Retina Macule Fovea Optic disk
157
Cranial nerve associated with sight
Optic nerve
158
Sclera
Outer layer of eyeball, ends at cornea Forms the supporting wall of the eyeball.
159
Cornea
Anterior transparent portion of eyeball Bends light and directs light through the lens to focus on the retina.
160
Pupil
Circular opening in the Iris Expand and constructs to permit more or less light into the eye.
161
Iris
Colored portion of the eye Controls how much light the pupil will permit
162
Lens
Located behind the pupil Focuses light onto the retina
163
Ciliary body
Smooth muscle that changes the shape of the lens and secretes aqueous humor
164
Aqueous humor
Intraocular fluid that nourishes the cornea, lens, and surrounding tissues
165
Choroid
Internal membrane that prevents the internal reflection of light within eyeball Also contains blood vessels
166
Vitreous humor
Jelly-like material behind lens, maintains eyeball shape
167
Retina
Inner most layer of eye which contains photoreceptors cells that detect dim and bright light Translates light into nerve impulses that are sent to brain via the optic nerve
168
Rods and cones
Photoreceptors of the retina Rods detect dim light and are used for night vision Cones detect bright light and are used for color vision
169
Purpose of rods and cones
Translates light into nerve impulses that are sent to brain via the optic nerve
170
Macule, fovea , and optic disk function
The macula is the center portion of the retina that produces even sharper vision with its rods and cones. The fovea is the pit inside the macula with only cones, so vision can be at its sharpest. Optic disk is blind spot on retina with no rods/cones; where nerve impulses are sent through optic nerve.
171
Structures of the nose (4)
Nares Nasal septum Nasal cavity Cilia
172
Sections of the nose
External and internal section
173
Cranial nerve of the nose
Olfactory nerve
174
Function of the tongue
Aids in breathing Moves food in the mouth while chewing Moves food to the back of the larynx
175
What nerves are the tongue innervated by?
Facial nerve Glossopharyneal nerve Hypoglossal nerve
176
Visual acuity
Sharpness of vision
177
What method is used to test VA?
Snellen eye chart *multicolored charts used to assess pt ability to recognize different colors
178
Tonometry
Measures Intraocular pressure
179
Tuning forks test
Used to test for hearing loss Help distinguish between perceptive hearing loss and conductive hearing loss
180
What does the Rinne test assess?
Air conduction Hearing vs bone conduction hearing
181
Describe air conduction vs bone conduction
182
Explain the rinne test
183
What are the two types of hearing loss?
Conductive and sensorineural
184
Describe conductive hearing loss and it’s causes
Dysfunction to the middle or external ear; sound cannot travel to inner ear Causes: obstruction by cerumen Fluid in middle ear Stiffness of the ossicles Separation of ossicles from middle ear
185
Otosclerosis
Stiffness of the ossicles
186
Describe sensorineural hearing loss and it’s causes
Deterioration of the cochlea Causes: aging (presbycusis) Constant exposure to loud sound Head trauma or disease
187
Treatments for hearing loss
Medication Hearing aids Cochlear implants: surgically implanted electronic devices used to stimulate the foxholes with sounds detected on a receiver
188
Acute otitis media
Bacterial infection of the middle ear
189
Chronic otitis media
Describes problem of the middle ear that does not improve; stays constant Ex. Tympanic membrane rupture Infection of middle ear that does not improve
190
Explain pathology of acute otitis media
191
Symptoms of acute otitis media
Otalgia Hearing impairment Increased pressure in ear Fever Tympanic membrane may appear erythemateous under a otoscope
192
Treatments for AOM/OM
Oral antibiotics Nasal decongestants Tympanocentesis ; to complete culture and relieve pressure Myringotomy; drainage of fluid
193
Vertigo
Sensation of movement when there is no motion or an exaggerated sense of motion in Response to motion
194
Causes of vertigo
Disturbance in the inner ear from. Injury, infection, inflammation, or positioning
195
Meniere’s syndrome
Episodic vertigo, hearing loss, tinnitus, and pressure in one ear
196
Benign paroxysmal Positioning Vertigo BPPV
Vertigo due to changing of position of the head
197
Cataracts
Opacities of the lens of the eye Leading cause of blindness
198
Causes and symptoms of cataracts
Age Genetic Systemic disease (diabetes mellitus) Symptoms : blurred vision
199
Treatments for cataracts
Surgical removal of lens and placement of intraocular lens implant Phacoemulsification : cataracts is dissolved with ultrasound and then relived, and a lens implant put in place
200
Conjunctivitis
Inflammation of the conjunctiva Pink eye
201
Causes of conjunctivitis
Bacterial/viral infection allergens, chemical irritants, and or trauma
202
Symptoms of conjunctivitis
Redness of eye Increase tearing Thick discharge from eye (viral:watery; bacterial: purulent ) Itchy and burning light Blurry vision Increased sensitivity to light
203
Glaucoma
Increased Intraocular pressure due to buildup of fluid that damaged the optic nerve and the photoreceptor cells
204
Explain the pathology of glaucoma
205
Two ways aqueous humor leaves the eye
Anterior chamber through the Trabecular mesh work Canal of schlemn into the vascular system
206
Part of the ear that can be obstructed in AOM/OM, causing infection
Eustachian tubes
207
Two types of glaucoma
Acute angle-closed glaucoma Chronic glaucoma
208
Difference between Acute angle-closed glaucoma and Chronic glaucoma
209
Symptoms and treatments for acute angle closure glaucoma
Severe eye pain, blurry vision Medical emergency Treatment: IV and topical medication to relieve pressure Surgical or laser iridectomy to prevent another closure
210
Symptoms and treatment for chronic Glucoma
Elevated Intraocular pressure discovered in eye exams Topical medical to relieve pressure Trabeculoplasty: laser procedure