The document summarizes the anatomy and function of the human ear. It describes the three main parts of the ear - the outer, middle, and inner ear. The outer ear collects sound waves and directs them through the ear canal. The middle ear contains three small bones that transmit sound vibrations to the inner ear. The inner ear contains structures for both hearing and balance, including the cochlea for hearing and semicircular canals and otolith organs for balance. Hair cells in the inner ear transduce mechanical vibrations into neural signals that are sent to the brain.
THE POWER POINT PRESENTATION OF ANATOMY AND PHYSIOLOGY OF THE EAR (SENSE OF HEARING) IS JUST TO EQUIP READERS WITH SOME BASIC UNDERSTANDING ON THE ORGAN.
HOW IT OPERATES AND CONNECTED TO THE CENTRAL NERVOUS SYSTEM IN ORDER TO PERCEIVE SOUND AND AID IN BALANCE.
Human_Ear_PPT research about human ear [1].pptxsumansk3299
The outer ear, also known as the external ear, comprises the pinna (or auricle) and the ear canal (external auditory meatus). The pinna is the visible part of the ear, made up of cartilage covered by skin. It acts like a funnel, collecting sound waves from the environment and directing them into the ear canal. The shape of the pinna helps to enhance certain frequencies of sound, aiding in the localization of sound sources.The ear canal is a narrow, tube-like structure that extends from the pinna to the eardrum (tympanic membrane). It is lined with skin that contains hair follicles and glands that produce earwax (cerumen). Earwax serves as a protective barrier, trapping dust and debris and preventing them from reaching the eardrum. The ear canal also has a slight curvature, which helps to amplify sounds and protect the eardrum from direct injury.The middle ear is an air-filled cavity located between the eardrum and the inner ear. It contains three tiny bones called ossicles: the malleus (hammer), incus (anvil), and stapes (stirrup). These bones form a chain that transmits sound vibrations from the eardrum to the inner ear. The ossicles are the smallest bones in the human body, yet they play a crucial role in hearing.
The malleus is attached to the eardrum, and when sound waves cause the eardrum to vibrate, these vibrations are transferred to the malleus. The malleus then transmits the vibrations to the incus, which in turn passes them to the stapes. The stapes is connected to the oval window, a membrane-covered opening that leads to the inner ear.
The Eustachian tube, another important structure in the middle ear, connects the middle ear cavity to the nasopharynx (the upper part of the throat). It helps to equalize the air pressure on both sides of the eardrum, ensuring that the eardrum can vibrate freely. The Eustachian tube opens briefly during activities such as swallowing or yawning, allowing air to enter or exit the middle ear.he inner ear, or labyrinth, is a complex structure embedded deep within the temporal bone of the skull. It consists of two main parts: the cochlea and the vestibular system.
The cochlea is a spiral-shaped, fluid-filled structure responsible for converting sound vibrations into electrical signals that the brain can interpret. It contains the organ of Corti, which houses sensory hair cells that detect sound waves. The cochlea is divided into three chambers: the scala vestibuli, scala media, and scala tympani. The scala vestibuli and scala tympani are filled with perilymph, while the scala media contains endolymph.
The vestibular system is responsible for maintaining balance and spatial orientation. It comprises three semicircular canals and two otolith organs (the utricle and saccule). The semicircular canals are oriented at right angles to each other and detect rotational movements of the head. The utricle and saccule, on the other hand, detect linear accelerations and the position of the head relative to gravity.Hea
The document summarizes the anatomy and function of the ear. It describes the three parts of the ear - external, middle, and inner ear. The external ear includes the pinna and ear canal. The middle ear contains the auditory ossicles and muscles. The inner ear has the bony labyrinth and membranous labyrinth, including the cochlea for hearing and vestibule for balance. Common ear disorders like otitis media and types of hearing loss are also summarized.
Anatomy of internal ear and physiology of hearing emillewin
The document summarizes the anatomy and physiology of the internal ear and hearing. It describes the internal ear as consisting of bony and membranous labyrinths, with the cochlea, vestibule, and semicircular canals of the bony labyrinth housing the membranous structures. Sound waves are mechanically conducted through the outer and middle ear to the inner ear, where they cause vibrations that are transduced by hair cells into nerve impulses. These travel along the auditory nerve pathway to the brain. Key functions of the middle ear include impedance matching of air and fluid media and the endocochlear potential in the cochlea which provides energy for transduction
Group 2 Medsurg ppt on Anatomy and physiology of ear-1.pptxIjeomaNwokoro
The document summarizes the anatomy and physiology of the human ear. It describes the three main parts of the ear as the outer, middle, and inner ear. The outer ear collects sound waves and directs them through the external auditory canal. The middle ear contains the tympanic membrane, auditory ossicles, and transmits vibrations. The inner ear contains the cochlea for hearing and semicircular canals for balance. It detects vibrations and converts them into nerve signals for audition and equilibrium.
The document provides an outline and overview of a histology seminar presentation on the ear. It discusses the three main divisions of the ear - external, middle, and inner ear. The external ear includes the auricle and external acoustic meatus. The middle ear contains the auditory ossicles and auditory tube. The inner ear has a bony and membranous labyrinth, with sensory cells that detect sound and acceleration. The presentation aims to describe the components, histology, and functions of each ear region.
The document summarizes the anatomy and function of the human ear. It describes the three main parts of the ear - the outer, middle, and inner ear. The outer ear collects sound waves and directs them through the ear canal. The middle ear contains three small bones that transmit sound vibrations to the inner ear. The inner ear contains structures for both hearing and balance, including the cochlea for hearing and semicircular canals and otolith organs for balance. Hair cells in the inner ear transduce mechanical vibrations into neural signals that are sent to the brain.
THE POWER POINT PRESENTATION OF ANATOMY AND PHYSIOLOGY OF THE EAR (SENSE OF HEARING) IS JUST TO EQUIP READERS WITH SOME BASIC UNDERSTANDING ON THE ORGAN.
HOW IT OPERATES AND CONNECTED TO THE CENTRAL NERVOUS SYSTEM IN ORDER TO PERCEIVE SOUND AND AID IN BALANCE.
Human_Ear_PPT research about human ear [1].pptxsumansk3299
The outer ear, also known as the external ear, comprises the pinna (or auricle) and the ear canal (external auditory meatus). The pinna is the visible part of the ear, made up of cartilage covered by skin. It acts like a funnel, collecting sound waves from the environment and directing them into the ear canal. The shape of the pinna helps to enhance certain frequencies of sound, aiding in the localization of sound sources.The ear canal is a narrow, tube-like structure that extends from the pinna to the eardrum (tympanic membrane). It is lined with skin that contains hair follicles and glands that produce earwax (cerumen). Earwax serves as a protective barrier, trapping dust and debris and preventing them from reaching the eardrum. The ear canal also has a slight curvature, which helps to amplify sounds and protect the eardrum from direct injury.The middle ear is an air-filled cavity located between the eardrum and the inner ear. It contains three tiny bones called ossicles: the malleus (hammer), incus (anvil), and stapes (stirrup). These bones form a chain that transmits sound vibrations from the eardrum to the inner ear. The ossicles are the smallest bones in the human body, yet they play a crucial role in hearing.
The malleus is attached to the eardrum, and when sound waves cause the eardrum to vibrate, these vibrations are transferred to the malleus. The malleus then transmits the vibrations to the incus, which in turn passes them to the stapes. The stapes is connected to the oval window, a membrane-covered opening that leads to the inner ear.
The Eustachian tube, another important structure in the middle ear, connects the middle ear cavity to the nasopharynx (the upper part of the throat). It helps to equalize the air pressure on both sides of the eardrum, ensuring that the eardrum can vibrate freely. The Eustachian tube opens briefly during activities such as swallowing or yawning, allowing air to enter or exit the middle ear.he inner ear, or labyrinth, is a complex structure embedded deep within the temporal bone of the skull. It consists of two main parts: the cochlea and the vestibular system.
The cochlea is a spiral-shaped, fluid-filled structure responsible for converting sound vibrations into electrical signals that the brain can interpret. It contains the organ of Corti, which houses sensory hair cells that detect sound waves. The cochlea is divided into three chambers: the scala vestibuli, scala media, and scala tympani. The scala vestibuli and scala tympani are filled with perilymph, while the scala media contains endolymph.
The vestibular system is responsible for maintaining balance and spatial orientation. It comprises three semicircular canals and two otolith organs (the utricle and saccule). The semicircular canals are oriented at right angles to each other and detect rotational movements of the head. The utricle and saccule, on the other hand, detect linear accelerations and the position of the head relative to gravity.Hea
The document summarizes the anatomy and function of the ear. It describes the three parts of the ear - external, middle, and inner ear. The external ear includes the pinna and ear canal. The middle ear contains the auditory ossicles and muscles. The inner ear has the bony labyrinth and membranous labyrinth, including the cochlea for hearing and vestibule for balance. Common ear disorders like otitis media and types of hearing loss are also summarized.
Anatomy of internal ear and physiology of hearing emillewin
The document summarizes the anatomy and physiology of the internal ear and hearing. It describes the internal ear as consisting of bony and membranous labyrinths, with the cochlea, vestibule, and semicircular canals of the bony labyrinth housing the membranous structures. Sound waves are mechanically conducted through the outer and middle ear to the inner ear, where they cause vibrations that are transduced by hair cells into nerve impulses. These travel along the auditory nerve pathway to the brain. Key functions of the middle ear include impedance matching of air and fluid media and the endocochlear potential in the cochlea which provides energy for transduction
Group 2 Medsurg ppt on Anatomy and physiology of ear-1.pptxIjeomaNwokoro
The document summarizes the anatomy and physiology of the human ear. It describes the three main parts of the ear as the outer, middle, and inner ear. The outer ear collects sound waves and directs them through the external auditory canal. The middle ear contains the tympanic membrane, auditory ossicles, and transmits vibrations. The inner ear contains the cochlea for hearing and semicircular canals for balance. It detects vibrations and converts them into nerve signals for audition and equilibrium.
The document provides an outline and overview of a histology seminar presentation on the ear. It discusses the three main divisions of the ear - external, middle, and inner ear. The external ear includes the auricle and external acoustic meatus. The middle ear contains the auditory ossicles and auditory tube. The inner ear has a bony and membranous labyrinth, with sensory cells that detect sound and acceleration. The presentation aims to describe the components, histology, and functions of each ear region.
The document summarizes the structure and function of the human ear. It describes the ear as having three main parts: the outer, middle, and inner ear. The outer ear collects sound waves and directs them through the auditory canal to the middle ear, where the vibrations are transmitted through three small bones to the inner ear. In the inner ear, fluid waves stimulate hair cells to generate nerve impulses that travel to the brain for hearing and balance. The ear detects sound properties like pitch from frequency and volume from amplitude to enable hearing perception.
The ear has three main parts - the outer, middle, and inner ear. The outer ear collects sound waves and directs them through the ear canal to the eardrum. The middle ear contains three small bones called ossicles that amplify vibrations from the eardrum and transmit them to the inner ear. The inner ear contains the cochlea, which converts sound waves into nerve signals that are sent to the brain. Together, these parts work to collect, transmit, and interpret sound to allow for hearing and balance.
The document provides information on the physiological anatomy and functions of the ear. It discusses the anatomy and functions of the external ear, middle ear, and inner ear. The middle ear performs important functions like sound transmission, amplification, and impedance matching between the air-filled external ear and fluid-filled inner ear. It discusses the auditory ossicles, muscles, tympanic membrane and eustachian tube. The reflex contraction of middle ear muscles during loud sounds helps protect the inner ear by attenuating sound intensity.
The ear is divided into three parts - external, middle, and internal. The external ear consists of the pinna and external auditory meatus. The pinna has elevations like the helix and depressions like the concha. The middle ear contains the auditory ossicles and transmits sound from the tympanic membrane to the inner ear. The internal ear contains the membranous labyrinth within the bony labyrinth, and is responsible for hearing and balance. It includes the cochlea, saccule, utricle and semicircular canals.
The document summarizes the anatomy and physiology of the human ear. It describes the three main parts of the ear - the outer, middle, and inner ear. The outer ear collects sound waves and directs them through the ear canal to the eardrum. The middle ear contains three small bones that vibrate the eardrum and transmit sound to the inner ear. The inner ear contains the cochlea for hearing and semicircular canals for balance. It detects vibrations and converts them into nerve signals that are sent to the brain.
The document summarizes the anatomy and function of the ear. It describes the three main divisions of the ear - the outer, middle and inner ear. The outer ear collects sound waves. The middle ear contains the ossicles that transmit vibrations from the eardrum to the inner ear. The inner ear converts vibrations to neural signals via hair cells in the cochlea and balances functions in the semicircular canals. The ear detects sound and maintains equilibrium through these specialized structures that work together to transmit physical vibrations to the brain for processing.
HEARING - MECHANISM, DYSFUNCTION AND TREATMENTANUGYA JAISWAL
The document discusses the biochemical and molecular mechanisms of hearing. It describes the various parts of the ear involved in sound conduction including the outer ear, middle ear with the ossicles, and inner ear cochlea. It explains how sound is transduced by the hair cells in the cochlea into nerve impulses. Dysfunctions like deafness and treatments using hearing aids or cochlear implants are also summarized.
The document summarizes the anatomy and physiology of the human ear. It is divided into three main sections - the external, middle, and inner ear. The external ear includes the pinna, external auditory canal, and eardrum. The middle ear contains the three smallest bones in the body known as the auditory ossicles which transmit sound from the eardrum to the inner ear. The inner ear is made up of the semicircular canals for balance and the cochlea, which converts sound waves into nerve signals for hearing.
Embryology and anatomy of external and middle earAyesha Ather
The document discusses the embryology and anatomy of the external, middle, and mastoid parts of the ear. Regarding embryology, it describes how the external ear, auditory canal, middle ear spaces/folds, and ossicles develop from the branchial arches and pouches during fetal life. For anatomy, it outlines the structures of the external ear including the pinna, auditory canal, and tympanic membrane. It also details the walls, spaces, blood supply and contents of the middle ear, as well as the anatomy of the eustachian tube, mastoid air cells and their relationships.
The document describes the anatomy and histology of the human ear, including the external ear which collects sound, the middle ear which transmits vibrations, and the internal ear which contains the cochlea for hearing and vestibular system for balance. The internal ear has membranous and bony components containing endolymph and perilymph respectively, with sensory areas like the macula and crista that detect vibrations via hair cells and transmit signals through the acoustic nerve.
Head & Neck Anatomy the EYEBALL lec 7.pdfssuser386649
In the study of head and neck anatomy, the focus is on the structure and function of the eyeball and its surrounding parts. This topic covers anatomical details such as the structure of the lens, iris, vitreous body, and retina, along with supporting and protective elements like the bony orbit and surrounding tissues of the eye.
This document provides an overview of the anatomy and physiology of the human ear. It describes the three main regions of the ear - external, middle, and inner ear. The external ear includes the auricle, external auditory canal, and eardrum. The middle ear contains the auditory ossicles (malleus, incus, stapes), oval window, and eustachian tube. The inner ear is divided into the bony and membranous labyrinths, which include the semicircular canals, vestibule, and cochlea. Sound waves cause the eardrum and ossicles to vibrate, transmitting the vibrations through the oval window to hair cells in the co
The document provides information about the anatomy and functions of the human ear. It describes the three main parts of the ear - outer, middle and inner ear. It details the structures within each part, including the pinna, ear canal, eardrum, ossicles and cochlea. The functions of hearing and balance are explained. Finally, common ear problems like infections, injuries and conditions affecting the ear structures are listed.
The document discusses the anatomy and physiology of the ear and hearing. It describes the three parts of the ear - external, middle, and inner ear. The external ear collects sound waves and directs them through the external auditory canal to the tympanic membrane. Vibrations are transmitted through the middle ear ossicles to the inner ear. In the inner ear, vibrations cause movement of fluids and structures that leads to stimulation of hair cells and generation of nerve impulses for hearing. Different frequencies cause distinct regions of the inner ear to vibrate, allowing for perception of pitch. The document also discusses properties of sound and the auditory pathway in the brain.
The document provides an overview of the anatomy and structures of the human ear. It describes the outer, middle, and inner ear in detail. The outer ear consists of the auricle and external auditory canal. The middle ear contains the tympanic cavity and three ossicles that transmit sound vibrations. The inner ear houses the cochlea, which contains hair cells that transduce sound waves into nerve impulses, and the vestibular system for balance. Sound travels through the outer and middle ear before causing vibrations in the cochlea's fluid that stimulate the auditory nerve.
The document discusses Vestibular Evoked Myogenic Potentials (VEMP) testing, which assesses otolith organ function. It begins with background on the anatomical proximity of the saccule and stapes footplate, and the discovery that sound stimulation can elicit responses from the vestibular system. It then discusses the development of VEMP testing to selectively assess saccule and utricle function through air- and bone-conducted sound stimulation. VEMP testing involves measuring electrical potentials from contracting neck or eye muscles in response to sound, providing a new way for clinicians to evaluate the vestibular system. The document outlines the basic principles, stimulation methods, and applications of cervical and ocular VEMP tests to
The document describes the anatomy and function of the ear. It discusses the external, middle, and inner ear. The external ear collects sound waves and directs them to the eardrum. The middle ear contains ossicles that transmit vibrations from the eardrum to the inner ear. The inner ear contains the cochlea for hearing and vestibular apparatus for balance. Within the cochlea and vestibular apparatus are specialized hair cells that detect vibrations and movements and transmit signals to the brain via nerves.
The ear has three main parts - the external, middle, and inner ear. The external ear includes the pinna and external auditory canal. The pinna has elevations like the helix and depressions like the concha. The external auditory canal transmits sound to the eardrum. The middle ear contains the eardrum, three ossicles, and connects to the throat. The inner ear contains receptors for hearing and balance. Common conditions affecting the external ear include hematomas from trauma and otitis externa, an infection of the ear canal.
The ear consists of three main parts - the outer, middle, and inner ear. Sound waves enter the outer ear and cause the tympanic membrane in the middle ear to vibrate. These vibrations are amplified by the ossicles and transmitted through the oval window to the cochlea of the inner ear. Within the cochlea, vibration of the fluid causes movement of hair cells which stimulate nerves for sound perception. The vestibular system detects head movement and maintains balance.
The document summarizes the structure and function of the human ear. It describes the ear as having three main parts: the outer, middle, and inner ear. The outer ear collects sound waves and directs them through the auditory canal to the middle ear, where the vibrations are transmitted through three small bones to the inner ear. In the inner ear, fluid waves stimulate hair cells to generate nerve impulses that travel to the brain for hearing and balance. The ear detects sound properties like pitch from frequency and volume from amplitude to enable hearing perception.
The ear has three main parts - the outer, middle, and inner ear. The outer ear collects sound waves and directs them through the ear canal to the eardrum. The middle ear contains three small bones called ossicles that amplify vibrations from the eardrum and transmit them to the inner ear. The inner ear contains the cochlea, which converts sound waves into nerve signals that are sent to the brain. Together, these parts work to collect, transmit, and interpret sound to allow for hearing and balance.
The document provides information on the physiological anatomy and functions of the ear. It discusses the anatomy and functions of the external ear, middle ear, and inner ear. The middle ear performs important functions like sound transmission, amplification, and impedance matching between the air-filled external ear and fluid-filled inner ear. It discusses the auditory ossicles, muscles, tympanic membrane and eustachian tube. The reflex contraction of middle ear muscles during loud sounds helps protect the inner ear by attenuating sound intensity.
The ear is divided into three parts - external, middle, and internal. The external ear consists of the pinna and external auditory meatus. The pinna has elevations like the helix and depressions like the concha. The middle ear contains the auditory ossicles and transmits sound from the tympanic membrane to the inner ear. The internal ear contains the membranous labyrinth within the bony labyrinth, and is responsible for hearing and balance. It includes the cochlea, saccule, utricle and semicircular canals.
The document summarizes the anatomy and physiology of the human ear. It describes the three main parts of the ear - the outer, middle, and inner ear. The outer ear collects sound waves and directs them through the ear canal to the eardrum. The middle ear contains three small bones that vibrate the eardrum and transmit sound to the inner ear. The inner ear contains the cochlea for hearing and semicircular canals for balance. It detects vibrations and converts them into nerve signals that are sent to the brain.
The document summarizes the anatomy and function of the ear. It describes the three main divisions of the ear - the outer, middle and inner ear. The outer ear collects sound waves. The middle ear contains the ossicles that transmit vibrations from the eardrum to the inner ear. The inner ear converts vibrations to neural signals via hair cells in the cochlea and balances functions in the semicircular canals. The ear detects sound and maintains equilibrium through these specialized structures that work together to transmit physical vibrations to the brain for processing.
HEARING - MECHANISM, DYSFUNCTION AND TREATMENTANUGYA JAISWAL
The document discusses the biochemical and molecular mechanisms of hearing. It describes the various parts of the ear involved in sound conduction including the outer ear, middle ear with the ossicles, and inner ear cochlea. It explains how sound is transduced by the hair cells in the cochlea into nerve impulses. Dysfunctions like deafness and treatments using hearing aids or cochlear implants are also summarized.
The document summarizes the anatomy and physiology of the human ear. It is divided into three main sections - the external, middle, and inner ear. The external ear includes the pinna, external auditory canal, and eardrum. The middle ear contains the three smallest bones in the body known as the auditory ossicles which transmit sound from the eardrum to the inner ear. The inner ear is made up of the semicircular canals for balance and the cochlea, which converts sound waves into nerve signals for hearing.
Embryology and anatomy of external and middle earAyesha Ather
The document discusses the embryology and anatomy of the external, middle, and mastoid parts of the ear. Regarding embryology, it describes how the external ear, auditory canal, middle ear spaces/folds, and ossicles develop from the branchial arches and pouches during fetal life. For anatomy, it outlines the structures of the external ear including the pinna, auditory canal, and tympanic membrane. It also details the walls, spaces, blood supply and contents of the middle ear, as well as the anatomy of the eustachian tube, mastoid air cells and their relationships.
The document describes the anatomy and histology of the human ear, including the external ear which collects sound, the middle ear which transmits vibrations, and the internal ear which contains the cochlea for hearing and vestibular system for balance. The internal ear has membranous and bony components containing endolymph and perilymph respectively, with sensory areas like the macula and crista that detect vibrations via hair cells and transmit signals through the acoustic nerve.
Head & Neck Anatomy the EYEBALL lec 7.pdfssuser386649
In the study of head and neck anatomy, the focus is on the structure and function of the eyeball and its surrounding parts. This topic covers anatomical details such as the structure of the lens, iris, vitreous body, and retina, along with supporting and protective elements like the bony orbit and surrounding tissues of the eye.
This document provides an overview of the anatomy and physiology of the human ear. It describes the three main regions of the ear - external, middle, and inner ear. The external ear includes the auricle, external auditory canal, and eardrum. The middle ear contains the auditory ossicles (malleus, incus, stapes), oval window, and eustachian tube. The inner ear is divided into the bony and membranous labyrinths, which include the semicircular canals, vestibule, and cochlea. Sound waves cause the eardrum and ossicles to vibrate, transmitting the vibrations through the oval window to hair cells in the co
The document provides information about the anatomy and functions of the human ear. It describes the three main parts of the ear - outer, middle and inner ear. It details the structures within each part, including the pinna, ear canal, eardrum, ossicles and cochlea. The functions of hearing and balance are explained. Finally, common ear problems like infections, injuries and conditions affecting the ear structures are listed.
The document discusses the anatomy and physiology of the ear and hearing. It describes the three parts of the ear - external, middle, and inner ear. The external ear collects sound waves and directs them through the external auditory canal to the tympanic membrane. Vibrations are transmitted through the middle ear ossicles to the inner ear. In the inner ear, vibrations cause movement of fluids and structures that leads to stimulation of hair cells and generation of nerve impulses for hearing. Different frequencies cause distinct regions of the inner ear to vibrate, allowing for perception of pitch. The document also discusses properties of sound and the auditory pathway in the brain.
The document provides an overview of the anatomy and structures of the human ear. It describes the outer, middle, and inner ear in detail. The outer ear consists of the auricle and external auditory canal. The middle ear contains the tympanic cavity and three ossicles that transmit sound vibrations. The inner ear houses the cochlea, which contains hair cells that transduce sound waves into nerve impulses, and the vestibular system for balance. Sound travels through the outer and middle ear before causing vibrations in the cochlea's fluid that stimulate the auditory nerve.
The document discusses Vestibular Evoked Myogenic Potentials (VEMP) testing, which assesses otolith organ function. It begins with background on the anatomical proximity of the saccule and stapes footplate, and the discovery that sound stimulation can elicit responses from the vestibular system. It then discusses the development of VEMP testing to selectively assess saccule and utricle function through air- and bone-conducted sound stimulation. VEMP testing involves measuring electrical potentials from contracting neck or eye muscles in response to sound, providing a new way for clinicians to evaluate the vestibular system. The document outlines the basic principles, stimulation methods, and applications of cervical and ocular VEMP tests to
The document describes the anatomy and function of the ear. It discusses the external, middle, and inner ear. The external ear collects sound waves and directs them to the eardrum. The middle ear contains ossicles that transmit vibrations from the eardrum to the inner ear. The inner ear contains the cochlea for hearing and vestibular apparatus for balance. Within the cochlea and vestibular apparatus are specialized hair cells that detect vibrations and movements and transmit signals to the brain via nerves.
The ear has three main parts - the external, middle, and inner ear. The external ear includes the pinna and external auditory canal. The pinna has elevations like the helix and depressions like the concha. The external auditory canal transmits sound to the eardrum. The middle ear contains the eardrum, three ossicles, and connects to the throat. The inner ear contains receptors for hearing and balance. Common conditions affecting the external ear include hematomas from trauma and otitis externa, an infection of the ear canal.
The ear consists of three main parts - the outer, middle, and inner ear. Sound waves enter the outer ear and cause the tympanic membrane in the middle ear to vibrate. These vibrations are amplified by the ossicles and transmitted through the oval window to the cochlea of the inner ear. Within the cochlea, vibration of the fluid causes movement of hair cells which stimulate nerves for sound perception. The vestibular system detects head movement and maintains balance.
Similar to Assessment of ear, Eye, Nose, and-Throat.pptx (20)
The document discusses programs run by the Philippines Department of Health (DOH) related to family planning. It describes the DOH's Family Health Office, which operates health programs to improve family health. These include the National Safe Motherhood Program, Family Planning Program, Child Health Program, and others. It provides details on objectives, components, and services offered by the National Safe Motherhood Program and National Family Planning Program, which aim to improve maternal and child health and allow individuals to plan family size.
ORTHOPEDIC NURSING: CARE OF THE CLIENT WITH MUSCULO-SKELETAL DISORDERRommel Luis III Israel
The document discusses orthopedic nursing and provides information on musculoskeletal anatomy and physiology. It describes the three types of muscles, tendons, ligaments, bones, joints, and other musculoskeletal structures. It then covers assessment of the musculoskeletal system through history, physical examination including gait, posture, and range of motion. Common laboratory procedures used to assess the musculoskeletal system are also outlined such as bone marrow aspiration, arthroscopy, bone scan, and DXA scan. The nursing management of common musculoskeletal problems like pain, impaired mobility, and self-care deficits are summarized. Modalities used including traction and casting are described. Finally, common musculoskeletal conditions like osteoporosis are briefly discussed.
This document discusses common laboratory procedures used to evaluate alterations in the endocrine system. It describes assays that measure hormone levels in the blood, including stimulation and suppression tests. It provides examples of how thyroid hormone levels can indicate hypo- or hyperthyroidism. Tests are also described for radioactive iodine uptake, thyroid scans, basal metabolic rate, fasting blood glucose, oral glucose tolerance, and glycosylated hemoglobin A1C. The purpose, procedure, and interpretation of results are covered for each test.
This document provides information about end of life care. It discusses key aspects of end of life care including physical and psychological manifestations at the end of life, the goals of end of life care which are to provide comfort, improve quality of remaining life, and ensure a dignified death. It also discusses variables that can affect end of life care like cultural and spiritual needs as well as nursing management of end of life care.
This document discusses cirrhosis of the liver, liver cancer, and hepatitis. It provides information on the causes of cirrhosis including alcohol, viral hepatitis, and non-alcoholic fatty liver disease. Symptoms of cirrhosis include jaundice, fatigue, bruising, and abdominal swelling. The complications of cirrhosis are also examined, such as bleeding from varices and hepatic encephalopathy. Treatment focuses on preventing further liver damage, managing complications through medications and procedures, and potentially liver transplantation for severe cases.
This document discusses the components and process of nursing diagnosis. It begins by outlining the 5 components of the nursing process: assessment, diagnosis, planning, implementation, and evaluation. It then focuses on the diagnostic phase, explaining the differences between medical and nursing diagnosis. It provides details on the types of nursing diagnoses according to client status, and how nursing diagnoses are formulated using NANDA terminology and diagnostic statement structures. Factors involved in analyzing data, determining strengths, and prioritizing diagnoses are also summarized.
The document discusses acute and chronic renal failure. It defines the key functions of the kidney system and describes important lab values used to assess renal function such as BUN and creatinine. It distinguishes between the different types and causes of acute renal failure including pre-renal, intra-renal, and post-renal. Medical management focuses on fluid balance, electrolyte control, and removing any obstructions. Chronic renal failure is typically irreversible and results from long-standing kidney damage from conditions like diabetes or hypertension.
The document discusses disorders of the liver, gallbladder, and pancreas. It provides information on the functions of the liver and describes conditions such as jaundice, cirrhosis, hepatitis, liver tumors, and their signs and symptoms. Gallbladder disorders like cholelithiasis and cholecystitis are covered. Pancreatitis, both acute and chronic, as well as pancreatic cancer, are explained in terms of pathophysiology, assessment findings, and treatment. Nursing management is also addressed for various conditions.
This document discusses evidence-based practice (EBP) in nursing. It defines EBP as integrating the best research evidence, clinical expertise, and patient values and needs. The document outlines the history of EBP beginning in the 1980s and its focus on improving patient outcomes. It also discusses the skills needed for EBP, including critical thinking, information literacy, and communication skills. The five key steps of the EBP process are also summarized: formulating a clinical question, gathering evidence, appraising evidence, integrating evidence with expertise and patient preferences, and evaluating the practice change.
The Expanded Program on Immunization (EPI) was established in 1976 to provide routine childhood immunizations against six diseases: tuberculosis, polio, diphtheria, tetanus, pertussis, and measles. The program aims to reduce child mortality from vaccine-preventable diseases and has specific goals around immunizing children, maintaining polio-free status, eliminating measles, and controlling other diseases. The EPI follows principles of targeting eligible populations, focusing on epidemiology, and providing immunization as a basic health service. It utilizes a cold chain system to store and transport vaccines according to their temperature sensitivities.
The document discusses critical care nursing in the Philippines. It describes how critical care nursing deals with life-threatening illnesses and injuries. It outlines the responsibilities of critical care nurses to provide optimal care for critically ill patients and their families. It also discusses the development of critical care practice in the Philippines and the role of the Critical Care Nurses of the Philippines organization in promoting education and professional development in the field.
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2. ANATOMY
AND
PHYSIOLOGY
OF THE EAR
The ears are located on either side
the cranium at approximately eye
level.
The external ear, housed in the
temporal bone, includes the
pinna and the external auditory
canal.
The external ear is separated from
the middle ear by a disk-like
structure, the tympanic membrane
which is also known as the
BY: ROMMEL LUIS C. ISRAEL III
2
4. ANATOMY AND
PHYSIOLOGY OF THE EAR
• The auricle, attached to the side of the
head by skin, is composed mainly of
cartilage, except for the fat and
subcutaneous tissue in the earlobe.
• The auricle collects the sound waves and
directs vibrations into the external
auditory canal.
BY: ROMMEL LUIS C. ISRAEL III
4
5. ANATOMY
AND
PHYSIOLOGY
OF THE EAR
The external auditory
is approximately 2.5cm
long.
The lateral third is an
cartilaginous and dense
fibrous framework to
thin skin is attached.
The medial two thirds is
bone lined with thin skin.
The external auditory
ends at the tympanic
membrane.
BY: ROMMEL LUIS C. ISRAEL III
5
6. ANATOMY
AND
PHYSIOLOGY
OF THE EAR
The skin of the canal contains hair,
sebaceous glands and ceruminous
glands, which secrete a brown, wax-
substance, the cerumen (ear wax).
The ear’s self-cleaning mechanism
moves old skin cells and cerumen to
the outer part of the ear.
Just anterior to the external
canal is the temporomandibular
BY: ROMMEL LUIS C. ISRAEL III
6
7. ANATOMY
AND
PHYSIOLOGY
OF THE EAR
The middle ear, an air-filled
is connected by the Eustachian
tube to the nasopharynx and is
continuous with air-filled cells
the adjacent mastoid portion of
the temporal bone.
The Eustachian tube,
approximately 1mm wide and
35mm long, connects the
ear to the nasopharynx.
BY: ROMMEL LUIS C. ISRAEL III
7
8. ANATOMY AND
PHYSIOLOGY OF THE EAR
• The Eustachian tube is closed,
but it opens by action of the
tensor veli palatini muscle when
performing a Valsalva
manoeuvre or when yawning or
swallowing.
• The tube serves as a drainage
channel for normal and
abnormal secretions of the
middle ear and equalises
pressure in the middle ear with
that of the atmosphere
BY: ROMMEL LUIS C. ISRAEL III
8
9. ANATOMY
AND
PHYSIOLOGY
OF THE EAR
The tympanic membrane, about 1cm in
diameter and very thin, is normally pearly
and translucent.
The tympanic membrane consists of three
layers of tissue:
An outer layer, continuous with the skin of
ear canal.
A fibrous middle layer.
An inner mucosal layer, continuous with the
lining of the middle ear cavity.
BY: ROMMEL LUIS C. ISRAEL III
9
10. ANATOMY AND
PHYSIOLOGY OF THE EAR
Ear
• Approximately 80% of the tympanic
membrane is composed of all three
layers and is called the pars tensa.
• The other 20% of the tympanic
membrane lacks the middle layer and
is called the pars flaccida.
• The absence of this fibrous middle
layer makes the pars flaccida more
vulnerable to pathologic disorders
than the pars tensa.
BY: ROMMEL LUIS C. ISRAEL III
10
11. ANATOMY AND
PHYSIOLOGY OF THE EAR
Distinguishing landmarks of the
tympanic membrane include:
• The annulus, the fibrous border that
attaches the eardrum to the temporal
bone.
• The short process of the malleus.
• The long process of the malleus.
BY: ROMMEL LUIS C. ISRAEL III
11
12. ANATOMY AND
PHYSIOLOGY OF THE EAR
• The umbo of the malleus, which attaches to the
tympanic membrane in the centre.
• The pars flaccida.
• The pars tensa.
• The tympanic membrane protects the middle ear
and conducts sound vibrations from the external
canal to the ossicles.
BY: ROMMEL LUIS C. ISRAEL III
12
13. ANATOMY AND
PHYSIOLOGY OF THE EAR
The middle ear contains the three smallest bones
(ossicles) of the body, that is, malleus, incus, and
The ossicles, which are held in place by joints,
muscles, and ligaments, assist in the transmission
sound.
Two small fenestrae (that is, oval and round
windows), located in the medial wall of the
ear, separate the middle ear from the inner ear.
BY: ROMMEL LUIS C. ISRAEL III
13
14. ANATOMY AND
PHYSIOLOGY OF THE EAR
• The footplate of the stapes sits in the oval
window, secured by a fibrous annulus, or ring-
shaped structure.
• The footplate transmits sound to the inner ear.
• The round window, covered by a thin membrane,
provides an exit for sound vibrations.
BY: ROMMEL LUIS C. ISRAEL III
14
15. ANATOMY AND
PHYSIOLOGY OF THE EAR
• The inner ear is housed deep within the
temporal bone.
• The organs for hearing (cochlea) and balance
(semi-circular canals), as well as cranial nerves
VII (that is, facial nerve) and VIII (that is,
vestibulocochlear nerve) are housed in the bony
labyrinth.
• The bony labyrinth surrounds and protects the
membranous labyrinth, which is bathed in a fluid
called perilymph.
BY: ROMMEL LUIS C. ISRAEL III
15
16. ANATOMY AND
PHYSIOLOGY OF THE EAR
• The inner ear is housed deep within the
temporal bone.
• The organs for hearing (cochlea) and balance
(semi-circular canals), as well as cranial nerves
VII (that is, facial nerve) and VIII (that is,
vestibulocochlear nerve) are housed in the bony
labyrinth.
• The bony labyrinth surrounds and protects the
membranous labyrinth, which is bathed in a fluid
called perilymph.
BY: ROMMEL LUIS C. ISRAEL III
16
17. ANATOMY AND
PHYSIOLOGY OF THE EAR
• The organ of Corti is located in the
cochlea, a snail-shaped, bony tube about
3.5cm long with two and one-half spiral
turns.
• Membranes separate the cochlear duct
(that is, scala media) from the scala
vestibuli, and the scala tympani from the
basilar membrane.
• .
BY: ROMMEL LUIS C. ISRAEL III
17
18. ANATOMY
AND
PHYSIOLOGY
OF THE EAR
The organ of Corti is located on
basilar membrane stretching from
the base to the apex of the
As sound vibrations enter the
perilymph at the oval window and
travel along the scala vestibuli,
pass through the scala tympani,
enter the cochlear duct, and cause
movement of the basilar
BY: ROMMEL LUIS C. ISRAEL III
18
19. ANATOMY
AND
PHYSIOLOGY
OF THE EAR
The organ of Corti, also
the end organ for hearing,
transforms mechanical
into neural activity and
separates sounds into
frequencies.
This electrochemical impulse
travels through the acoustic
nerve to the temporal cortex
the brain to be interpreted as
meaningful sound.
BY: ROMMEL LUIS C. ISRAEL III
19
20. ANATOMY
AND
PHYSIOLOGY
OF THE EAR
In the internal auditory canal, the
cochlear (acoustic) nerve, arising
the cochlea, joins the vestibular
arising from the semi-circular
utricle, and saccule, to become the
vestibulo-cochlear nerve (cranial
nerve VIII).
This canal also houses the facial
and the blood supply from hearing
conducted over two pathways, that
air and bone.
BY: ROMMEL LUIS C. ISRAEL III
20
21. ANATOMY
AND
PHYSIOLOGY
OF THE EAR
Sounds transmitted by air
conduction travel over the
filled, external ear and
ear through vibration of the
tympanic membrane and
ossicles.
Sounds transmitted by bone
conduction travel directly
through bone to the inner
bypassing the tympanic
membrane and ossicles
BY: ROMMEL LUIS C. ISRAEL III
21
22. ANATOMY
AND
PHYSIOLOGY
OF THE EAR
Normally, air conduction is the more efficient
pathway.
However, defects in the tympanic membrane
interruption of the ossicular chain disrupt
air conduction, which results in a loss of the
sound-to-pressure ratio and subsequently in a
conductive hearing loss.
Sound enters the ear through the external
auditory canal and causes the tympanic
membrane to vibrate. These vibrations
sound through the lever action of the ossicles
the oval window as mechanical energy
BY: ROMMEL LUIS C. ISRAEL III
22
23. • This mechanical energy is then
transmitted through the inner ear fluids
to the cochlea, stimulating the hair cells,
and is subsequently converted to
electrical energy.
• The electrical energy travels through the
vestibulo-cochlear nerve to the central
nervous system, where it is analysed and
interpreted in its final form as sound.
• Vibrations transmitted by the tympanic
membrane to the ossicles of the middle
ear are transferred to the cochlea, lodged
in the labyrinth of the inner ea
BY: ROMMEL LUIS C. ISRAEL III
23
24. ANATOMY
AND
PHYSIOLOGY
OF THE EAR
The stapes rocks, causing
(waves) in fluids contained in the
inner ear.
These fluid waves cause
of the basilar membrane to occur
that then stimulates the hair cells
the organ of Corti in the cochlea
move in a wavelike manner.
membrane
BY: ROMMEL LUIS C. ISRAEL III
24
25. ANATOMY
AND
PHYSIOLOGY
OF THE EAR
The movements of the tympanic
membrane set up electrical currents
stimulate the various areas of the
cochlea.
The hair cells set up neural impulses
are encoded and then transferred to
auditory cortex in the brain, where
are decoded into a sound message.
The footplate of the stapes receives
impulses transmitted by the incus and
the malleus from the tympanic
BY: ROMMEL LUIS C. ISRAEL III
25
26. ANATOMY AND
PHYSIOLOGY OF THE EAR
• The round window, which opens on
the opposite side of the cochlear
duct, is protected from sound waves
by the intact tympanic membrane,
permitting motion of the inner ear
fluids by sound wave stimulation.
• For example, in the normally intact
tympanic membrane, sound waves
stimulate the oval window first, and a
lag occurs before the terminal effect
of the stimulus reaches the round
window.
BY: ROMMEL LUIS C. ISRAEL III
26
27. ANATOMY AND
PHYSIOLOGY OF THE EAR
• This lag phase is changed, however, when a perforation of the
tympanic membrane is large enough to allow sound waves to
impinge on the oval and round windows simultaneously.
• This effect cancels the lag and prevents the maximal effect of
inner ear fluid motility and its subsequent effect in stimulating
the hair cells in the organ of Corti.
• The result is a reduction in hearing ability.
BY: ROMMEL LUIS C. ISRAEL III
27
28. ANATOMY AND PHYSIOLOGY
OF THE EAR
• Body balance is maintained by the cooperation of
the muscles and joints of the body (that is,
proprioceptive system), the eyes (that is, visual
system), and the labyrinth (that is, vestibular
system).
• These areas send their information about
equilibrium, or balance, to the brain (cerebellar
system) for coordination and perception in the
cerebral cortex
BY: ROMMEL LUIS C. ISRAEL III
28
29. ANATOMY AND PHYSIOLOGY
OF THE EAR
• . The brain obtains its blood supply from the heart and
arterial system.
• A problem in any of these areas, such as
arteriosclerosis or impaired vision, can cause a balance
disturbance.
• The vestibular apparatus of the inner ear provides
feedback regarding the movements and the position of
the head and body in space.
BY: ROMMEL LUIS C. ISRAEL III
29
30. ANATOMY
AND
PHYSIOLOGY
OF THE
NOSE
The Nose
The nose consists of the
external or outer nose and
the nasal fossae or
nose.
The outer nose is made up
of bone and cartilage and
divided internally into two
nasal fossae by the nasal
septum, and externally by
the columella.
BY: ROMMEL LUIS C. ISRAEL III
30
31. ANATOMY
AND
PHYSIOLOGY
OF THE
NOSE
Anterior openings into
nasal fossae are nostrils,
nares.
Each fossa has a lateral
extended ‘wing’ portion
called the ala nasi on the
outside and a vestibule
just inside the nostril.
BY: ROMMEL LUIS C. ISRAEL III
31
32. • Superior, middle and
inferior measures or
grooves are located on
the lateral walls of the
nostrils just below the
corresponding conchae,
located on the lateral
walls of nostrils just
below the corresponding
conchae, or turbinates.
ANATOMY
AND
PHYSIOLOGY
OF THE
NOSE
BY: ROMMEL LUIS C. ISRAEL III
32
33. ANATOMY AND PHYSIOLOGY
OF THE NOSE
• The nasal turbinates are covered by mucous
membranes and greatly increase the surface
area of mucus membrane of the the nose
because of their shape.
• Kiesselbach’s plexus is a vascular area on the
nasal septum, and a common site for
nosebleeds
BY: ROMMEL LUIS C. ISRAEL III
33
34. ANATOMY AND PHYSIOLOGY
OF THE NOSE
The pathophysiology of breathing through nostrils
• Air enters the anterior nares, passes through the vestibule,
and enters the fossa.
• The vestibule contains nasal hairs and sebaceous glands.
• The fossae have both olfactory and respiratory functions.
• To protect the lungs from noxious agents, these structures of
the nose clean, filter, humidify and control temperature of
inspired air.
.
BY: ROMMEL LUIS C. ISRAEL III
34
35. ANATOMY AND PHYSIOLOGY
OF THE NOSE
The pathophysiology of breathing
through nostrils
• The mucous covering in the nose and
sinuses traps fine dust particles, and
lysosomes kill most of the bacteria.
• The tiny hairs of the nose (cilia) transport
the mucus and the particles to the
pharynx to be swallowed
BY: ROMMEL LUIS C. ISRAEL III
35
36. ANATOMY AND
PHYSIOLOGY OF THE NOSE
The pathophysiology of breathing through nostrils
• The nasal mucosa is capable of adding large amounts of
water to inspired air through evaporation from its surface.
• The rich vascular supply to the turbinates radiates heat to
the incoming air as it passes through the nasal cavity.
BY: ROMMEL LUIS C. ISRAEL III
36
37. ANATOMY AND
PHYSIOLOGY OF THE NOSE
The pathophysiology of breathing through nostrils
• Olfactory receptor cells are located in the upper parts of the
nasal cavity, the superior nasal conchae, and on parts of the
nasal septum and are covered by hair-like cilia that project
into the cavity.
• The chemical component of odours binds with the
receptors, causing nerve impulses to be transmitted to the
olfactory cortex, located in the base of the frontal lobe.
BY: ROMMEL LUIS C. ISRAEL III
37
38. ANATOMY AND
PHYSIOLOGY OF THE NOSE
• Sinuses
• Air-filled cavities lined with mucous membranes are present
in some of the cranial bones and are referred to as paranasal
sinuses.
• These air-filled sinuses lighten the weight of the skull and
ensure resonance to the quality of the voice.
BY: ROMMEL LUIS C. ISRAEL III
38
39. ANATOMY AND
PHYSIOLOGY OF THE NOSE
The sinuses
• The frontal, maxillary, ethmoid and
sphenoid paranasal sinuses open into the
nose.
• Only the frontal and maxillary sinuses
can be assessed in the physical
examination
BY: ROMMEL LUIS C. ISRAEL III
39
40. ANATOMY AND
PHYSIOLOGY OF THE
MOUTH AND THROAT
Mouth and Throat
• The lips are sensory structures found at the
opening of the mouth.
• The labial tubercle is the small projected area
in the midline of the upper lip.
• The area where the upper and lower lips meet
is the labial commissure.
BY: ROMMEL LUIS C. ISRAEL III
40
41. ANATOMY AND
PHYSIOLOGY OF THE
MOUTH AND THROAT
• The cheeks form the lateral walls of the mouth and are lined
with buccal mucosa.
• The posterior pharyngeal wall is at the back of the mouth.
• The roof of the mouth consists of the hard palate anteriorly
and the soft palate posteriorly.
• The linear raphe is a ridge in the middle of the hard palate
that is formed by two palatine bones and part of the
superior maxillary bone.
BY: ROMMEL LUIS C. ISRAEL III
41
42. ANATOMY
AND
PHYSIOLOGY
OF THE
MOUTH AND
THROAT
The tongue assists with
mastication, swallowing, speech
and mechanical cleansing of the
teeth.
Two of the three pairs of salivary
glands open into the mouth on
ventral surface of the tongue.
Sub-maxillary glands secrete
through Wharton’s ducts located
both sides of the frenulum.
BY: ROMMEL LUIS C. ISRAEL III
42
43. ANATOMY
AND
PHYSIOLOGY
OF THE
MOUTH AND
THROAT
Sublingual glands open
the floor of the mouth
posterior to Wharton’s
These salivary glands
produce 1,000 to 1,500ml
saliva per day to assist
digestion of food and
maintenance of oral
BY: ROMMEL LUIS C. ISRAEL III
43
44. ANATOMY
AND
PHYSIOLOGY
OF THE
MOUTH AND
THROAT
The tongue assists with
mastication, swallowing, speech
and mechanical cleansing of the
teeth.
Two of the three pairs of salivary
glands open into the mouth on
ventral surface of the tongue.
Sub-maxillary glands secrete
through Wharton’s ducts located
both sides of the frenulum.
BY: ROMMEL LUIS C. ISRAEL III
44
45. ANATOMY
AND
PHYSIOLOGY
OF THE
MOUTH AND
THROAT
Sublingual glands open
the floor of the mouth
posterior to Wharton’s
These salivary glands
produce 1,000 to 1,500ml
saliva per day to assist with
digestion of food and
maintenance of oral
BY: ROMMEL LUIS C. ISRAEL III
45
46. ANATOMY
AND
PHYSIOLOGY
OF THE
MOUTH AND
THROAT
Saliva prevents dental
caries by washing away
bacteria and destroying it
with antibodies and
proteolytic enzymes.
Gums, or gingivae, hold
teeth in place.
Adults have thirty two
permanent teeth
of four incisors, two
canines, four premolars
six molars in each half of
the mouth.
BY: ROMMEL LUIS C. ISRAEL III
46
47. ANATOMY
AND
PHYSIOLOGY
OF THE
MOUTH AND
THROAT
The three parts of the
are the top, or the crown,
the root, which is
embedded in the gum,
the neck, which connects
the root and the crown.
The teeth are well
for chewing.
The uvula is a finger-like
projection of tissue that
hangs down from the
of the soft palate.
BY: ROMMEL LUIS C. ISRAEL III
47
48. OVERVIEW
OF EENT
DISORDER
SYMPTOMS
The kind of information to
be obtained while taking
history includes:
• The client's signs and
symptoms.
• Current health patterns.
• Previous illnesses.
BY: ROMMEL LUIS C. ISRAEL III
48
49. OVERVIEW OF EENT
DISORDER SYMPTOMS
Key signs and
symptoms of ENT
problems include:
Epistaxis (bleeding
from the nose)
Sore throat
Nasal congestion Hoarseness
Dysphagia
(difficulty
swallowing)
Odynophagia
(painful
swallowing)
Globus
(something in
throat) sensation
BY: ROMMEL LUIS C. ISRAEL III
49
50. OVERVIEW OF
EENT
DISORDER
SYMPTOMS
Key signs and
symptoms of
EENT problems
include
Sore throat Weight loss
Otalgia (ear
pain)
Neck lump Earache
Tinnitus
(ringing in the
ears)
Otorrhea
(discharge from
the external
ear)
Hearing loss
Dizziness
BY: ROMMEL LUIS C. ISRAEL III
50
51. OVERVIEW OF EENT
DISORDER SYMPTOMS
To find out about current health patterns carry out
the following:
• Inquire about nutrition, dental care, normal
mouth care habits, dental caries, use of partial or
full dentures, stress-related grinding, clenching,
or clamping of teeth.
• Ask about consumption of alcohol, smoking, use
of a pipe, and smokeless tobacco.
BY: ROMMEL LUIS C. ISRAEL III
51
52. OVERVIEW OF EENT
DISORDER SYMPTOMS
To find out about current health patterns carry out the
following
• Determine personal hygiene about ears.
• Are cotton swabs or other objects used for cleaning?
• Is there any loud noise exposure?
• Does the client frequently strain voice through talking,
singing, or shouting?
• What medications is the client taking? Have antibiotics been
used? For how long have they been used?
BY: ROMMEL LUIS C. ISRAEL III
52
53. OVERVIEW OF ENT
DISORDER SYMPTOMS
• Find out about Previous Illnesses by asking on the following:
• Is there a history of allergies?
• Is there any immunosuppressive illness, such as diabetes mellitus,
cancer, and human immunodeficiency virus (HIV) infection?
• Has there been any trauma?
• Is there a history of rhinitis, sinusitis, or ear infections?
• Is there a family history of any EENT problems or cancer?
• Surgeries done for example, adenotonsillectomy.
BY: ROMMEL LUIS C. ISRAEL III
53
54. ASSESSMENT OF THE EENT
Assessment of the ENT includes the following areas:
• Assessment of the ear
• Assessment of the nose
• Assessment of the sinuses
• Assessment of the mouth and throat
BY: ROMMEL LUIS C. ISRAEL III
54
55. ASSESSMENT OF THE EENT
Assessment of the Ear
Physical assessment of the ear consists of three parts:
• Inspection and palpation of the external ear
• Auditory screening (CN VIII)
• Otoscopic assessment
BY: ROMMEL LUIS C. ISRAEL III
55
56. ASSESSMENT OF THE EENT
Assessment of the Ear
Some of the Equipment to be used in this include:
• Otoscope with ear pieces of different sizes
• Nasal speculum
• Penlight
• Tuning fork, 512 Hz
• Tongue blade
• Watch
• Gauze
• Clean gloves
BY: ROMMEL LUIS C. ISRAEL III
56
57. GENERAL APPROACH TO
EENT ASSESSMENT
The following is the approach used for ENT assessment:
• Greet the client and explain the assessment techniques that
you will be using.
•
• Use a quiet room that will be free from interruptions.
BY: ROMMEL LUIS C. ISRAEL III
57
58. GENERAL APPROACH TO
EENT ASSESSMENT
• Ensure that the light in the room provides sufficient
brightness to allow adequate observation of the client.
• Place the client in an upright sitting position, preferably.
• Always compare right and left ears, as well as right and
left sides of the nose, sinuses, mouth and throat.
BY: ROMMEL LUIS C. ISRAEL III
58
59. ASSESSMENT OF THE ENT
Examining the Ear
To examine your client’s ears, you need a thorough
understanding of the organ’s anatomic structure as well as the
mechanisms that allow hearing.
The external ear is examined by inspection and direct
palpation, and the tympanic membrane is inspected with an
otoscope.
•
BY: ROMMEL LUIS C. ISRAEL III
59
60. ASSESSMENT OF THE ENT
• Evaluation of gross auditory acuity also is
included in every physical examination.
• The auricle and surrounding tissues should be
inspected for deformities, lesions, and
discharge, as well as size, symmetry, and angle
of attachment to the head.
BY: ROMMEL LUIS C. ISRAEL III
60
61. ASSESSMENT OF THE ENT
• Manipulation of the auricle does not
normally elicit pain. If this manoeuvre is
painful, acute external otitis is suspected.
• Tenderness on palpation in the area of the
mastoid process may indicate acute
mastoiditis or inflammation of the
posterior auricular node.
BY: ROMMEL LUIS C. ISRAEL III
61
62. ASSESSMENT
OF THE EENT
Occasionally, sebaceous cysts
and tophi (subcutaneous
mineral deposits) are present
on the pinna.
A flaky scaliness on or behind
the auricle usually indicates
seborrhoeic dermatitis and
can be present on the scalp
and facial structures as well.
BY: ROMMEL LUIS C. ISRAEL III
62
63. ASSESSMENT
OF THE EENT
Examining the Outer Ear
• You need to carry out the
following in the examination of the
outer ear:
• Inspect the auricle of each ear for
size, shape, symmetry, colour, and
position.
• The skin should be the same
colour as the facial skin.
• Observe for moles, cyst,
deformities, or altered skin
integrity.
• Note any drainage from the ear
canal.
BY: ROMMEL LUIS C. ISRAEL III
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64. ASSESSMENT
OF THE ENT
Examining the Outer Ear
• To check the ears position,
draw an imaginary line from
the outer canthus of the eye
to the protuberance of the
occiput.
• The ear should touch or sit
just above this line.
• Expect the ear to be almost
vertical, with no more than a
100 posterolateral slant.
BY: ROMMEL LUIS C. ISRAEL III
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65. ASSESSMENT OF THE EENT
Examining the Outer Ear
• Palpate the auricle (pinna) for tenderness, swelling,
or nodules.
• Gently pull on the tragus and again on the helix to
check for pain and tenderness.
• Gloves are optional for this examination.
• Palpate the mastoid process. Be alert for pain,
tenderness, swelling, nodules, or lesions.
BY: ROMMEL LUIS C. ISRAEL III
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66. ASSESSMENT OF THE ENT
Performing an Otoscopic Examination
• To begin, assemble the otoscope.
• Attach the handle housing the battery pack to
the otoscope’s head, which contains a light
source and magnifying lens.
• Select and attach a speculum large enough to
fit the client’s ear canal comfortably.
BY: ROMMEL LUIS C. ISRAEL III
66
67. ASSESSMENT OF THE ENT
Performing an Otoscopic Examination
• out will additionally need to carry out the
following:
• Gently insert the otoscope into the ear canal
using one of two techniques.
• Hold the handle of the otoscope with the handle
facing up to allow you to brace your hand against
against the client’s head to stabilise the
instrument
BY: ROMMEL LUIS C. ISRAEL III
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68. ASSESSMENT OF THE ENT
Performing an Otoscopic Examination
• . This helps to prevent injury if the client moves their head
quickly.
• Inspect the auditory canal for the cerumen, redness or
swelling.
• You will see hairs and cerumen in the ear canal distal two-
thirds.
• Note excessive cerumen that may obstruct your view.
• You may need to remove it to complete your inspection.
BY: ROMMEL LUIS C. ISRAEL III
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69. ASSESSMENT OF THE ENT
Performing an Otoscopic Examination
• Inspect the tympanic membrane.
• Typically, middle ear problems will be evident by the
tympanic membrane’s appearance.
• Focus on the membrane’s colour and contour. It should be
pearly grey and appear concave at the umbo, handle of
malleus, and cone of light.
• Be alert for perforations, bulging, missing landmarks, or a
distorted cone of light.
BY: ROMMEL LUIS C. ISRAEL III
69
70. ASSESSMENT OF THE ENT
Performing an Otoscopic Examination
• Have the client sit in a comfortable position or lie down on
the side opposite the ear you wish to examine.
• Hold the otoscope handle in the space between your thumb
and index finger.
BY: ROMMEL LUIS C. ISRAEL III
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71. ASSESSMENT OF THE ENT
Performing an Otoscopic Examination
• Assist the client to tilt their head toward the shoulder
opposite the ear you are examining.
• Keeping in mind how the ear canal curves in an adult.
• Gently grasp the auricle and pull it up and back to straighten
the ear canal before inserting the speculum.
BY: ROMMEL LUIS C. ISRAEL III
71
72. ASSESSMENT OF THE ENT
Auditory Testing
• After the otoscopic examination, you will have the idea of how
well the client hears.
• If they often ask you what you said or speak extra loudly, in a
monotone, or with erratic volume, you may rightly suspect a
hearing problem.
• To investigate further, use a tuning fork to assess hearing
acuity.
BY: ROMMEL LUIS C. ISRAEL III
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73. ASSESSMENT OF THE ENT
Auditory Testing
• You will then carry out a voice – whisper test.
• Begin estimating hearing acuity by checking whether the client can hear you whisper by
carrying out the following:
• Instruct the client to occlude one ear with a finger.
• Stand two feet behind the client’s other ear and whisper a two-syllable word or phrase that
is evenly accented.
• Ask the client to repeat the word or phrase.
• Repeat the test with the other ear.
BY: ROMMEL LUIS C. ISRAEL III
73
74. ASSESSMENT OF THE ENT
Auditory Testing
• Normal finding is that the client should be able to repeat
words whispered from a distance of two feet.
• Abnormal findings include the client being unable to repeat
the words correctly or stating that they were unable to hear
anything. This indicates hearing loss.
BY: ROMMEL LUIS C. ISRAEL III
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75. ASSESSMENT OF THE ENT
Tuning Fork Tests
• Rinne and Weber tests help to determine whether the type of
hearing loss the client is experiencing is conductive or
sensorineural.
• In order to understand how these tests are evaluated, it is
important to know the difference between air and bone
conduction.
BY: ROMMEL LUIS C. ISRAEL III
75
76. ASSESSMENT OF THE ENT
Tuning Fork Tests
• Air conduction refers to the transmission of sound through
the ear canal, tympanic membrane and ossicular chain to the
cochlea and auditory nerve.
• Bone conduction refers to the transmission of sound through
the bones of the skull to the cochlea and auditory nerve.
BY: ROMMEL LUIS C. ISRAEL III
76
77. ASSESSMENT OF THE ENT
Tuning Fork Tests
• Tuning fork tests include:
• Rinne test
• Weber test
• Schwabach test
BY: ROMMEL LUIS C. ISRAEL III
77
78. ASSESSMENT OF THE ENT
A. Performing the Rinne Test
• If you suspect a hearing loss, perform the Rinne test.
• This test will help determine whether the loss is conductive
or sensor neural.
You will need to follow these steps:
• Without touching the tunes, hold a tuning fork by its base
with one hand.
• Activate the fork by striking it.
• Place the base of the vibrating tuning fork against the client’s
mastoid process, and ask the client to tell you when they no
longer hear the sound.
BY: ROMMEL LUIS C. ISRAEL III
78
80. ASSESSMENT OF THE ENT
Performing the Rinne Test
• Begin timing the interval (counting the number of seconds)
until the client no longer hears the sound.
• Then carry out the following:
• Quickly change the forks position to about 1 to 2cm from
the auditory canal.
BY: ROMMEL LUIS C. ISRAEL III
80
81. ASSESSMENT OF THE ENT
Performing the Rinne Test
• Hold the fork so that the tines face forward, maximising the
sound.
• Continue timing the interval to determine how long the
client hears this sound by air conduction.
BY: ROMMEL LUIS C. ISRAEL III
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82. ASSESSMENT OF THE ENT
• The following is a diagram illustrating this.
BY: ROMMEL LUIS C. ISRAEL III
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83. ASSESSMENT OF THE ENT
B. Performing the Weber Test
• To perform this test, activate the tuning fork as before.
• Place the base of the fork midline on the client head or
forehead.
• Ask whether they hear the sound in one ear or both.
Normally, they should hear the sound equally in both ears.
• If they do not, ask them which ear hears well.
BY: ROMMEL LUIS C. ISRAEL III
83
84. ASSESSMENT OF THE ENT
Performing the Rinne Test
• An abnormal finding is when sound lateralises to the
affected ear indicating unilateral conductive hearing loss.
• When sound lateralises to the unaffected ear, this occurs
with sensorineural loss related to nerve damage in the
impaired ear.
BY: ROMMEL LUIS C. ISRAEL III
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86. ASSESSMENT OF THE ENT
C. Performing the Schwabach Test
• To perform this test:
• Occlude one of the client’s ears by gently placing your finger
in the ear canal and moving it up and down to block hearing.
• Activate the tuning fork and place it on the mastoid process
behind the opposite ear.
BY: ROMMEL LUIS C. ISRAEL III
86
87. ASSESSMENT OF THE ENT
Performing the Schwabach Test
• If the client hears the sound, remove the tuning fork from
their mastoid process, occlude one of your own ears, and
place the tuning fork behind the mastoid process of your
other ear.
• Alternate the tuning fork between your mastoid process and
the client’s, and count the number of seconds until one of
you no longer hears the sound.
• Normally, you and the client will stop hearing the sound
after the same interval.
BY: ROMMEL LUIS C. ISRAEL III
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88. ASSESSMENT OF THE ENT
Assessment of the Nose
• Inspect the nose, noting any trauma, bleeding, lesions,
masses, swelling and asymmetry.
• The normal finding includes the nose being located
symmetrically in the midline of the face and is without
swelling, bleeding, lesions or masses.
• Abnormal finding includes a broken or swollen nose.
BY: ROMMEL LUIS C. ISRAEL III
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89. ASSESSMENT OF THE ENT
Assessment of the Nose
• Each nostril should be patent.
• Common abnormal findings include a nostril with a deviated
septum, foreign body, upper respiratory tract infection
allergies or polyps.
• A nasal speculum is also used to aid in viewing the nostrils.
BY: ROMMEL LUIS C. ISRAEL III
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90. ASSESSMENT OF THE ENT
Assessment of the Nose
• Inspect the mucus membranes for colour and discharge.
• Normal otoscopic findings include the nasal mucosa being
be pink or dull red without swelling or polyps.
• The septum is at the midline and without perforation, lesions
or bleeding.
BY: ROMMEL LUIS C. ISRAEL III
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91. ASSESSMENT OF THE ENT
Assessment of the Sinuses
• Observe the client’s face for any swelling around the nose
and eyes. Normal findings include there being no swelling
around the nose and eyes.
• When swelling is noted especially below the eyes, this may
be indicative of acute sinusitis that is characterised by
accumulation of purulent material in the paranasal sinuses.
BY: ROMMEL LUIS C. ISRAEL III
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92. ASSESSMENT OF THE ENT
• On palpation and percussion, the client should experience no
discomfort during palpation or percussion.
• The sinuses should be air-filled and therefore resonant to
percussion.
• Abnormal findings on percussion include dullness sound
produced is indicative of fluid or cells present in the sinus
cavity from an infectious or allergic process.
BY: ROMMEL LUIS C. ISRAEL III
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93. ASSESSMENT OF THE ENT
Assessment of the Mouth and Throat
• This assessment involves smelling the client’s breath, lips, tongue,
buccal mucosa, gums and teeth, and throat.
• The breath should smell fresh.
• A foul smell of halitosis can be a symptom of tooth decay, poor
oral hygiene, diseases of the gums, tonsils or sinuses.
• Breath that smells of acetone is common in malnourished clients
or those who have DKA.
BY: ROMMEL LUIS C. ISRAEL III
93
94. ASSESSMENT OF THE ENT
Assessment of the Mouth and Throat
• The lips and membranes should be pink and moist with no
evidence of lesions or inflammation.
• Pallor of the lips is an indicator of anaemia.
• Central cyanosis assessed on the lips signifies chronic
pulmonary disease or circulatory failure.
BY: ROMMEL LUIS C. ISRAEL III
94
95. ASSESSMENT OF THE ENT
• Swollen lips could be due to allergic reactions to medication,
food or other allergens.
• Cracked corners of the mouth on the lips, is a condition
referred to as angular cheilosis.
• It is either due to accumulation of saliva in the corners of the
mouth or nutritional deficiencies such as lack of riboflavin.
BY: ROMMEL LUIS C. ISRAEL III
95
96. ASSESSMENT OF THE ENT
• The tongue should be in the midline of the mouth.
• It should be pink moist, rough (from the taste buds) and
without lesions.
• The ventral surface of the tongue has prominent blood
vessels and should be moist without lesions.
• The lateral aspects of the tongue should be pink, smooth
and lesion free.
BY: ROMMEL LUIS C. ISRAEL III
96
97. ASSESSMENT OF THE ENT
• The tongue should be in the midline of the mouth.
• It should be pink moist, rough (from the taste buds) and
without lesions.
• The ventral surface of the tongue has prominent blood
vessels and should be moist without lesions.
• The lateral aspects of the tongue should be pink, smooth
and lesion free.
BY: ROMMEL LUIS C. ISRAEL III
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98. ASSESSMENT OF THE ENT
• The buccal mucosa (inside of the cheeks) can be assessed using a
penlight.
• It should be pink, moist, smooth and free of inflammation and
lesions.
• An adult normally has 32 teeth which should be white with
smooth edges in proper alignment and without caries.
• Black patches on the surface of the teeth may indicate dental
caries or cavities resulting from poor oral hygiene.
BY: ROMMEL LUIS C. ISRAEL III
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99. ASSESSMENT OF THE ENT
Assessment of the Mouth and Throat
• The throat can be assessed by asking the client to tilt the
head back and open the mouth widely.
• Ask the client to say, ‘ah’.
• A penlight is necessary during this assessment or a good
source of light.
BY: ROMMEL LUIS C. ISRAEL III
99
100. ASSESSMENT OF THE ENT
Assessment of the Mouth and Throat
• The throat should be pink and vascular and without swelling,
exudates or lesions.
• The client’s gag reflex should be present.
• Abnormal findings include the posterior pharynx being red with
white patches and this is a sign of infection (tonsillitis).
• A greyish membrane covering the tonsils, uvula and soft palate is
indicative of diphtheria
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