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Author: admin | 30.08.2013 | Category: Treatment For Ear Ringing

Paparella Ear, Head & Neck Institute has gathered a number of resources for our patients and their family members.
The following links will provide you an overview of a variety of topics related to problems with the ears, nose, sinus, throat and more. Optic nerve: Use a Snellen chart and a flash-light to check pupillary reflexes in each eye. Sensory: Touch the jaw, cheek, and forehead with patient's eyes closed and check for sensation.
Motor: Ask patient to clench teeth and feel masseter (sides of forehead) and temporalis muscles (below ear-lobes). Facial nerve: Ask patient to puff cheeks, smile with teeth visible, and crease forehead (act surprised). Accessory nerve: With patient facing left, ask them to face right and resist by pushing on their face in the opposite direction. This station requires students to know the indications, contraindications, and risks of complications of catheterization before beginning, and also know the parts of the catheter and what they are used for. Students will be expected to perform a short anamnesis, informed consent, actually using the (direct) ophthalmoscope to inspect a patient's eyes, and then they'll be presented with a picture of the fundus and asked to interpret it. If the patient is wearing contact lens, you must leave the number on the ophthalmoscope at zero. Hold the ophthalmoscope properly: like an ice-cream cone but with your index finger vertical.

Left-left-left, right-right-right: inspect the patient's left eye, with your left eye, using your left hand. Turn the ophthalmoscope on and start from about 30 cm away by trying to focus the circle of light into their pupil. At first, the image of the fundus visible through the ophthalmoscope will be blurry, but eventually when you get very, very close to the patient (almost touching), you will be able to see the blood vessels on the fundus. If you can see some blood vessels, move slightly towards the patient's lateral side while following the blood vessels to the optic disc.
Mention that you can see the optic disc, which appears like a bright full-moon in the night-sky, where all the blood vessels converge.
The foveal reflex is hard to see but it appears as a tiny light in the middle of the macula.
Ensure you can identify a few common diseases such as glaucoma and diabetic retinopathy just by looking at the photograph. This is a 15 minute station that can involve one of three scenarios: hemorrhagic shock, non-hemorrhagic shock, or dehydration.
Abbocath is the name of the company that produces the over-the-needle catheters that are locally known by this name. Isotonic: Isotonic is usually the most commonly used solution, specifically, ringer lactate. For many patients, animation provides an ideal way to learn about ENT conditions and treatment options.

Paparella Ear, Head & Neck Institute wishes to acknowledge The American Academy of Otolaryngology-Head and Neck Surgery for use of this educational information. Each is quite different and requires a different anamnesis, physical exam, prescription, and education. The patient needs to have AFB (acid-fast) smear done using a sample from their skin lesion. It isn't painful and dangerous but you'll need to shine a light into their eyes and get very close to their face.
The doctor may ask some questions such as: what other exams are performed when glaucoma is suspected?
The doctor may ask questions such as how often an IV line needs to be reinstalled and if you must puncture more distally or proximally.
This is because packed RBCs require some time to be warmed and the patient's blood-group to be assessed. The doctor may ask further questions such as: how often does the urine bag need to be changed?
Colloids may be given afterwards to keep the fluid volume inside the vessels high if needed.

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