Signs & Symptoms
A patient presents with pain, itchiness, discharge of liquid and pus and complains of a feeling of fullness in the ear. What do these findings suggest?
External Otitis
Which disease is caused by an increase in endolymph?
Meniere's
Visualization of the T.M. and the auditory canal can be achieved with which diagnostic tool?
Otoscope
What are the names of the 3 bony ossicles of the middle ear?
Malleus, incus, stapes
Which kind of hearing loss can be caused by lasix?
Sensorineural (loop diuretics are ototoxic)
A patient complains of a feeling of fullness in the ear and reports reduced hearing. The nurse is unable to visualize the T.M. What do these findings suggest?
Cerumen impaction or foreign body
Which disease is related to calcium crystals in the inner ear?
BPPV
Where is the tuning fork placed for the weber test?
The Rinne test?
1. patients forehead
2. mastoid bone, air
Which structure allows for the neutralization of air pressure within the middle ear?
The eustachian tube
Tinnitus can be caused by which medication?
aspirin
Patient complains of severe pain to the left ear. Upon inspection with otoscope, the nurse visualizes a bulging T.M. What do these findings suggest?
Otitis Media
Which disease is caused by stiffening and excessive growth of the bony material in the middle ear?
Otosclerosis
Which test involves pouring warm and cold water into a patient's ear?
caloric testing
Which structure contains fluid that responds to rotational movement of the head?
Semicircular canals
A patient with balance problems, dizziness and ataxia may have problems with which nerve?
vestibular branch of CN 8
Patient complains of rapid onset of vertigo, nausea, vomiting, unsteady gait and nystagmus. What do these findings suggest?
Labyrinthitis
Which disorder is a symptom of many other ear diseases, but can also be caused by exposure to loud noises or be an indicator of ototoxic drugs?
Tinnitus
If a patient has conductive hearing loss in their right ear, which ear will the patient hear the tuning fork louder in during a weber test?
right ear
Which structure transmits impulses to the cochlear branch of CN 8?
Organ of Corti (within the cochlea)
Which test assesses a patients equilibrium and balance by having them close their eyes with their feet together?
Romberg
Patient complains of gradual hearing loss, tinnitus, unsteady gait, facial numbness, vertigo and taste disturbances. What do these findings suggest?
Acoustic Neuroma
Which disease is caused by the presence of microorganisms accumulating in the middle ear, causing fluid to accumulate and cause pain?
Otitis media
A nurse pours warm water into a patients ear. The patient experiences no adverse symptoms. What does this finding indicate?
vestibular dysfunction
What two functions does CN 8 regulate?
Balance and hearing
If you suspect a patient has sensorineural hearing loss, which test would be the most helpful in screening for it?
Weber test (Rinne test will give a normal result)