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Evaluation of the ear and nose

Evaluation of the ear and nose. Athletic Trainers. EXAMINATION OF THE EAR. External and internal. SUBJECTIVE ASSESSMENT. EARACHES OTORRHEA HEARING LOSS EXPOSURE TO LOUD NOISE TINNITUS VERTIGO USE OF COTTON SWABS/SELF CARE. EIGHT CRITICAL CHARACTERISTICS OF A SYMPTOM. L OCATION

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Evaluation of the ear and nose

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  1. Evaluation of the ear and nose Athletic Trainers

  2. EXAMINATION OF THE EAR External and internal

  3. SUBJECTIVE ASSESSMENT • EARACHES • OTORRHEA • HEARING LOSS • EXPOSURE TO LOUD NOISE • TINNITUS • VERTIGO • USE OF COTTON SWABS/SELF CARE

  4. EIGHT CRITICAL CHARACTERISTICS OF A SYMPTOM • LOCATION • QUALITY • QUANTITY • SETTING • TIMING • FACTORS AGGRAVATING/ALLEVIATING • ASSOCIATED FACTORS

  5. INSPECTION/PALPATION • INSPECT EXTERNAL EAR STRUCTURES • AURICLES • TRAGUS • EXTERNAL CANAL • PALPATE EXTERNAL STRUCTURES NOTICE TENDERNESS • TRAGUS, MASTOID, AURICLE

  6. OTOSCOPIC EXAM • NOTE CANAL • TYMPANIC MEMBRANE • INTACTNESS OF MEMBRANE • CONE OF LIGHT • STRUCTURES • UMBO • LONG & SHORT PROCESS OF MALLEOUS

  7. Left Tympanic Membrane

  8. Right Tympanic membrane

  9. OTOSCOPIC EXAM • POSITION HEAD TILTED AWAY • PINNA UP & BACK • LARGEST SPECULUM THAT WILL FIT • BRACE HAND ON ZYGOMA OR SKULL • INSERT SLOWLY BEFORE LOOKING THROUGH SPECULUM • AVOID CANAL • ROTATE TO VIEW MEMBRANE

  10. HEARING TESTS • WHISPER • RINNE • WEBER • AUDIOMETRIC

  11. WEBER FORK ON TOP OF HEAD NORMAL----SOUND HEARD EQUALLY IN BOTH EARS RINNE FORK ON MASTOID BONE, THEN AT OPENING OF EAR CANAL NORMAL--AC=2XBC TUNING FORK TESTS

  12. EVALUATING THE WEBER • CONDUCTIVE LOSS • SOUND LATERALIZES TO THE DEFECTIVE EAR • SENSORINEURAL LOSS • SOUND LATERALIZES TO THE BETTER EAR

  13. EVALUATING THE RINNE • POSITIVE RINNE • SOUND IS HEARD TWICE AS LONG BY AIR CONDUCTION AS BY BONE CONDUCTION--AC>BC • NEGATIVE RINNE • SOUND IS HEARD LONGER BY BONE CONDUCTION THAN BY AIR CONDUC- TION--AC<BC

  14. The Nose

  15. External exam • Symmetry • Patency • External appearance

  16. Internal • Use otoscope and speculum • Insert only ¼ to ½ inch • Patency/Size of airways • Observe turbinates • Color • size

  17. Signs of Trouble • Obvious external deviation • Flow of clear fluid out of nostril(s) • Blood &/or clotted blood from nares

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