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41 Matching questions

  1. Post-Auricular Area: Where & What are you looking for?
  2. Lateral Process
  3. Cone of Light
  4. Manubrium of the Malleus
  5. Landmarks of TM
  6. Tympanosclerosis
  7. Anotia
  8. Atresia
  9. Tympanoplasty
  10. Exostosis
  11. Ear canal abnormalities
  12. Otoscope:
    What is considered abnormal?
  13. Umbo
  14. Ototscopy: Purpose
  15. Necrotizing Otitis Externa
  16. Auricle abnormalities
  17. Otitis Externa
  18. Fibrous layer of TM
  19. Parts of an Otoscope
  20. Pre-Auricular Area: Where & What are you looking for?
  21. Stenosis
  22. Otoscopy:
  23. Osteoma
  24. Landmarks of the Outer Ear
  25. Epithelial layer of TM
  26. Pars Tensa
  27. Auricle: Where & What are you looking for?
  28. Otoscopy
  29. Membranous layer of TM
  30. Pars Flaccida
  31. TM abnormalities
  32. Otoscopy:
    What are we looking for ?
  33. Bullae
  34. Otorrhea
  35. Otoscope:
    What is considered normal/clear visualization?
  36. Microtia
  37. Otosclerosis
  38. Cholesteatoma
  39. Middle Ear Abnormalities
  40. Ear canal: Where & What are you looking for?
  41. TM: 3 layers
  1. a -swimmer's ear
    -white cottage cheese looking
    -Drops help return the pH to normal, good for swimmers.
  2. b -Little white bump at the top of the malleus
    -Not attached to the TM, but pushes it out
  3. c -Calcium deposits will stick to eardrum on the backside of the TM; means they've had a lot of ear infections
    -Could attach to ossicles themselves
  4. d -Speculum (adult or child tip)
    -Viewing window
  5. e -Atresia
    -Otitis Externa
    -Necrotizing Otitis Externa
    -Cerumen blockage
    -Foreign bodies
    -Rashes, sores
    -Carcinomas (or neoplasms; cancer)
  6. f will probably see this 1st; look towards the middle to find the umbo
    •Right ear: 1 o'clock
    •Left ear: 11 o'clock
  7. g -Ear canal gets very narrow.
    -Cerumen can completely build up the canal.
  8. h • Cannot see the tympanic membrane at all because of
    cerumen impaction
    • Blood in the ear canal
    • Discharge in the ear canal
    • Object in the ear canal
    • Hole in the ear canal (perforation)
  9. i •Positive Pressure
    •Negative Pressure (retraction)
    •Fluid or Otitis Media
    •Skin Graph
    •P.E. tubes
  10. j -May not have an ear canal, or only have a partial one
    -Auricle malformations (cupped, partially developed, etc.)
  11. k •Manubrium of the Malleus
    •Lateral process
    •Cone of light
    •Pars Flaccida
    •Pars Tensa
  12. l If you are performing otoscopy correctly you should see the
    following landmarks:

    • Tympanic Membrane
    • Pars Flaccida (Membrane of the eardrum)
    • Handle of the Malleus (the first ossicle)
    • Umbo of the Malleus
    • Short process of the Malleus (hard to see for most people)
    • Cone of light
  13. m in the center; connects to the TM
  14. n -Pre-Auricular area
    -Post-Auricular area
    -Ear Canal
  15. o -Epithelial
  16. p -the ear itself
    -Look for malformations
    In development, there are hillocks. (if they're are not joined together well)
    -If one ear is higher/lower or smaller/larger than the other -→ developmental problem.
    -Can be craniofacial problems or issues with the cochlea.
    -Too small/big (check children)
    -Cupped shape = too small →from craniofacial abnormalities
    -Older males tend to have large ears because of excessive cartilage.
    -Looking for sores and potential signs skin cancer (e.g. crusty melanomas).
  17. q -The rest of the TM
    -TM is more stiff in this portion to be able to send info
  18. r -Seen if a patient with otitis externa has a compromised immune system (diabetes or auto immune disorder, HIV positive).
    -Causes fungus to become aggressive and starts eating the tissue in the ear b/w cartilage and bone (eats cranial nerves).
    -Looks like bloody cottage cheese and lies at the bottom of the ear
  19. s -area in front of ear
    -Look to see if there are any pits (or holes), tags that are hanging on (excessive skin), sores.
    -Look behind ears too
  20. t small or partial auricle
  21. u • Need to see the main landmarks (from the previous slide)
    • Having clear visualization of the tympanic membrane is the most important
    • Some cerumen (earwax) is normal as long as you can visualize some part of the eardrum
  22. v a form of bone overgrowth in the middle ear that causes progressive hearing loss
  23. w gives elasticity

    •Fibers crisscross each other
    •This is the layer that makes the TM appears more translucent, and not clear.
    •Can be stiff or flaccid; opaque or translucent, but not perfectly clear
  24. x -if TM stays pulled back for a long period of time, the skin will start to peel and fall to the bottom of the E.C.
    -Looks like little white lumps or pearls
    -Very acidic; eats decaying skin, but can also eat through the TM, ossicles, bone, etc.
  25. y small triangular portion at the top of the TM; more flaccid than the rest of the TM
  26. z reflection from the otoscope, if not there the TM is not pulled back properly
  27. aa -boney growths
  28. ab -no ear canal
    -Can have a partial ear canal, the bone is there but not the cartilage, or vice versa
  29. ac no auricle
  30. ad 1. Bridge (if you don't bridge 1st you will FAIL test)
    2. Pull to straighten E.C. (Child: down and back; Adult: up and back)
    3. Insert: look while inserting to check if partial atreria
    4. Look at eye level: find umbo then follow up malleus, then circle and look around outside edge
    5. Reverse: same order but backwards! REMOVE BRIDGE LAST!!!!
  31. ae -Cauliflower ear
    -Preauricular cysts
  32. af -looks like scar tissue and hard to see through
    -takes part of the ear canal wall to fix the big hole.
  33. ag •Congruent with all the middle ear space
  34. ah -Surfer's ear
    -abnormal growth of bone
  35. ai 1. To inspect the outer ear
    2. To determine if we can see the eardrum and all landmarks look to be normal
    3. To give us an idea if we should proceed with testing
  36. aj smelly discharge that comes out from the ear common w/ otitis externa
  37. ak -behind ear
    -Back area could be caved in where the mastoid is; there could be a scar, etc.
  38. al -blisters between the fibrous and epithelial layer of eardrum. Like a blood blister, hurts very badly.
    -Most common way to get it is trauma (e.g. q-tip) , candling, hot water, etc.
  39. am •Otosclerosis
    •Chain discontinuity
  40. an Inspection of the outer ear and ear canal using a otoscopic light
  41. ao outside layer of skin

    •Can get dry or flakey, especially from swimming
    •Grows from the center of tympanic membrane and spreads out.