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HEALTH ASSESSMENT (Ears)

The document provides an overview of the anatomy and physiology of the ear, describing the external, middle, and inner ear structures including the pinna, auditory canal, eardrum, ossicles, cochlea, and semicircular canals. It also reviews the pathways of hearing and balance, covering how sound and head movements are detected by the ear and transmitted through various structures to produce sensations of hearing and equilibrium. Key tests for examining the ear including otoscopy, tuning fork tests, and balance assessments are also outlined.

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April Mae Magos Labrador
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111 views33 pages

HEALTH ASSESSMENT (Ears)

The document provides an overview of the anatomy and physiology of the ear, describing the external, middle, and inner ear structures including the pinna, auditory canal, eardrum, ossicles, cochlea, and semicircular canals. It also reviews the pathways of hearing and balance, covering how sound and head movements are detected by the ear and transmitted through various structures to produce sensations of hearing and equilibrium. Key tests for examining the ear including otoscopy, tuning fork tests, and balance assessments are also outlined.

Uploaded by

April Mae Magos Labrador
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd

Anatomy of the Ear

• External Ear

• Middle Ear

• Inner Ear
External Ear

• Pinna or auricle

• External auditory
meatus
External Ear
• External auditory meatus - opening
• Auditory canal
Lined by ceruminous glands
Produce cerumen to protect against foreign
bodies
The Tympanic Membrane
• Boundary of
the external
and middle
ear
• Vibrates
with
incoming
sound
waves
The Tympanic Membrane
The Tympanic Membrane
Middle Ear
• Small, flattened space
containing air and three
small bones (ossicles)

• Ossicles
– Malleus (hammer)
– Incus (anvil)
– Stapes (stirrup)
Middle Ear
• Eustachian tube /
Auditory tube
Middle Ear

• Mastoid air
cells
Inner Ear / Labyrinth
Pathway of Hearing
• Organ of Corti
• Cochlear
Nerve
• Medulla
• Midbrain
• Thalamus
• Auditory
Cortex of the
Temporal Lobe
Inner Ear / Labyrinth
• Structures in
the inner ear
Cochlea
Vestibule
Semicircular
canals
Acoustic nerve
(VIII CN)
Semicircular Canals
• Contain
sensory organs
of equilibrium
• Stimulated by
changes in the
person’s rate of
direction of
movement
Physiology of Balance
• Linear motions of the head detected by
the vestibule
• Rotational motions of the head detected
by the semicircular canals
Pathway of Equilibrium/Balance
COLLECTING SUBJECTIVE DATA:
PRESENT HEALTH CONCERN
1. Changes in hearing
 Recent changes in hearing
 Hearing loss (high frequency vs low
frequency)
COLLECTING SUBJECTIVE DATA:
PRESENT HEALTH CONCERN
2. Other Symptoms
 Ear drainage
 Ear pain (COLDSPA)
 Ringing, roaring or crackling
 Spinning sensation, dizziness or unbalanced
COLLECTING SUBJECTIVE DATA:
PERSONAL HEALTH HISTORY
 Infection, trauma ear ache
 Past treatments (meds, sx, hearing aid)
FAMILY HISTORY
 Hearing loss in the family
Meds & surgery
COLLECTING SUBJECTIVE DATA:
LIFESTYLE AND HEALTH PRACTICES
 Loud noise exposure
 Swimming
 Hearing loss affects self care, work, social life
 Last hearing examination
 Need for hearing aid
 Caring for ears
EQUIPMENT NEEDED
1. Watch with second hand
2. Tuning fork
3. otoscope
COLLECTING OBJECTIVE DATA:
1. EXTERNAL EAR STRUCTURES
Inspection & palpation
- Inspect the auricle, tragus and lobule
NORMAL FINDINGS:
- Symmetric 4-10cm
COLLECTING OBJECTIVE DATA:
1. EXTERNAL EAR STRUCTURES
Inspection
- External auditory canal
- dischages, cerumen & consistency of ear
canal
NORMAL FINDINGS:
- Small amt of cerumen, ear canal – pink ans
smooth
COLLECTING OBJECTIVE DATA:
1. EXTERNAL EAR STRUCTURES
Inspection
- Inspect the external auditory canal tympanic
membrane
- Color, shape, consistency, landmarks
- mobility
NORMAL FINDINGS:
- Pink, smooth w/o nodules
- Pearly, gray, shiny & translucent, no bulging or
retraction
NORMAL TYMPANIC MEMBRANE

• Cone shaped reflection


• Cone of light at 5 o clock (R ear), 7 o clock (L ear)
HEARING & EQUILIBRIUM TEST
WHISPER TEST
TYPE OF HEARING LOSS
HEARING & EQUILIBRIUM TEST
WEBER TEST
HEARING & EQUILIBRIUM TEST
RINNE TEST
HEARING & EQUILIBRIUM TEST
ROMBERG TEST
VIDEO ON EAR ASSESSMENT

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