Head, Eyes, Ears, Nose

1
Head, Eyes, Ears, Nose Throat Diagnosis

• Class Notes

2
Head, Eyes, Ears, Nose Throat Diagnosis

• Ears Chapter 11

3
Ears

• Review of Anatomy
• External Ear ( Fig 11-3)
• Auricle
• External Auditory Canal
• Helix
• Antihelix
• Lobule
• Tragus
• Antitragus
• Triangular Fossa
• External Auditory Meatus

4
Ears

• Review of Anatomy
• Middle Ear
• Ossicles
• Malleus
• Incus
• Stapes
• Tympanic Membrane
• Landmarks (Fig 11-4)

5
Ears

• Review of Anatomy
• Inner Ear
• Vestibule
• Semicircular Canals
• Cochlea

6
Ears

• Case History
• The case history will determine if examination of
  the ears is clinically indicated

7
Ears

• Case History
• Possible complaints necessitating examination
• Dizziness/Vertigo
• Earache
• Hearing Loss
• Trauma
• Remember Hx consists of HPI, PMH, FH, WH, SH,
  ROS

8
Ears

• Examination
• Equipment Needed
• Otoscope
• Tuning Forks 128 512 Hz
• Watch with a second hand

9
Ears

• Examination
• External Ear
• Inspection
• Size, Shape, Color
• Location Symmetry
• Landmarks
• Deformities Lesions
• http//www.ghorayeb.com/PostAuricularCyst.html
• Discharge

10
Ears

• Examination
• External Ear
• Palpation
• Normal
• Pain w/ Traction
• Pain over the Mastoid

11
Ears

• Examination
• EAC Middle Ear
• Otoscope Examination
• Reason for the exam
• Procedure
• Inspection
• EAC
• Tympanic Membrane
• Know Table 11-1

12
Ears

• Examination
• Hearing Evaluations
• Whispered Voice Test
• Procedure
• Normal
• Weber Test
• Procedure
• Normal Lateralization
• Rinne Test
• Procedure
• Normal Interpretation (Table 11-2)

13
Ears

• Disorders of the Ear Canal
• Cerumen Impaction
• Clinical Presentation
• Itching
• Pain
• Temporary Conductive Hearing Loss
• Management
• Removal of obstruction
• Irrigation
• Mechanical loop

14
Ears

• Disorders of the Ear Canal
• Foreign Bodies
• Clinical Presentation
• Foul smelling discharge
• Temporary Conductive Hearing Loss
• Itching
• Pain
• Management
• Removal of foreign body

15
Ears

• Disorders of the Ear Canal
• Otitis Externa
• AKA Swimmers Ear
• Cause
• Clinical Presentation
• Diffuse or Generalized
• Furuncle

16
Ears

• Disorders of the Middle Ear
• Otitis Media
• Cause
• Clinical Presentation

17
Ears

• Disorders of the Middle Ear
• Otitis Media w/ Effusion
• AKA Serous Otitis Media
• Cause
• Clinical Presentation

18
Ears

• Disorders of the Middle Ear
• Cholesteatoma
• Cause
• Clinical Presentation

19
Ears

• Disorders of the Inner Ear
• Sensory Hearing Loss
• Cause
• Clinical Presentation

20
Ears

• Disorders of the Inner Ear
• Presbycusis
• Sensorineural hearing loss
• Occurs w/ normal aging
• Male predilection

21
Ears

• Disorders of the Inner Ear
• Ototoxicity
• Cause
• Pathophysiology