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Ototoxic
Permanent damage to auditory nerve
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chloramphenicol
Irritates optic nerve
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opiod analgesics, sedatives and antidepressant meds
Alter perception of stimuli
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RAS
- in brainstem
- mediates all sensory stimuli to the cerebral cortex
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T/F
pt can receive stimuli while in a deep sleep
T
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effects of deprivation
- cognitive
- affective
- perceptual
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Affective
boredom, restless, anxious
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perceptual
coorination, color, acuarcy, daydream
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objective visual assesment
- physical
- visual aquity
- pupil function
- intraocular pressure
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refraction
eyes ability to bend the light rays so that they fall on the retina
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refractive error
- when light does not focus properly
- major symptom is blurred vision
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refractive problems
- myopia
- hyperopia
- presbyopia
- astigmitism
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-
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presbyopia
farsighted from aging
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astigmitism
uneven curvature of the cornea
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visual impairment
vision that can not be fully corrected
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low vision
impaired vision that can not be treated with contacts, glasses or meds
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severe visual impairment
in people who are unable to read ordinary newsprint even with correction. may or may not be legally blind
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legally blind
20/200 or less in the better eye with correction or pereph field 20 degree or less
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extraoccular disorders
- trauma
- inflammation
- infection
- hordeolum
- chalazion
- blepharitis
- conjunctivitis
- keratitis
- corneal ulcer
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hrodeolum
- sty
- infection of seabacous gland in upper and lower lids
- small
- s. auerus
- painful
- warm/moist compress
- ACUTE
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Chalazion
- chronic inflammatory granuloma
- upper lid
- compress, drain, steroid
- hard
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Blepharitis
- chronic bilateral inflammation
- crust
- entire eyelid
- antibiotic
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conjuctivitis
- bacteria or virus
- pink eye (acute)
- allergens
- chlamydia
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when to get your medical eye exam
- over 60- annually
- 18-60- every 1-2 years
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keratitis
- inflammation or infection of corea
- bacterial
- viral(HSV)
- fungal
- parasitic
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corneal ulcer
- -tissue loss caused by non treatment of infection of the cornea
- -bacteria, virus or fungi
- -aggressive treatment
- -can cause perm blindness
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intraocular disorders
- cataract
- retinopathy
- macular degeneration
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cataract
- an opaicity of the lens
- in 1 or both eyes
- blurry or cloudy vision
- gradual
- "white pupil"
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retinopathy
- process of microvasculaar damage to the retina
- "diabetes"
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retinal detatchment
- separation of the lens from the back part of the eye
- -floaters or light flashes, cobwebs
- -surgical
- -loss of central and periphrial vision
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macular degeeneration
- -most common irreversible central vision loss in ppl over 60
- -two forms: dry and wet
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maccualr degeneration
-dry
-wet
dry: more common, close vision tasks are difficult
wet: more severe, AMD related blindness, rapid onset vision loss.
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maccualr degeneration symptoms
- blurred or darken vision
- scotomas(blind spots)
- metamorphosia(distortion)
- ophthalmoscopy
- meds and therapy
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glaucoma
group of disorers charecturized by increased IOP and the consequences of elevated pressure, optic atrophy and peripheral vision loss
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angle
place where outflow occurs
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open angle glaucoma
- -most common
- -outflow of aqueous humor is decreased in trab meshwork
- -drainage channels are clogged
- -slow, gradual periph loss
- -w/o symptoms
- untreated= tunnel vision
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close angle glaucoma
- -lens bulging forward
- - pupil dialation
- -drug induced
- - acute, pain
- -halos, blurr, redness
- -rainbows
- -sudden
- -cental vision reduced
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opthalmoscopic exam
provides magnified view of the retina and optic nerve head
ex: retina detatchment, glaucoma
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gonioscopy
- -use of goniolens with sit lamp to view angle between the eyes cornea and iris
- - used to determine open or close angle
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tonometry
- dertermine intraocular pressure
- glaucoma
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external otitis
- infamation or infection of the epithelium of auricle and ear canal
- -swimmer ear
- -otalgia(ear pain) is first sign
- -otoscopic exam
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otitis media
- infection of tympanum, ossicle and space of middle ear
- -colds, allergy trap bacteria
- -inflammation pushes on TM
- -normally in children
- -pain, fever, malaise, reduced hearing
- -antibiotics, surgery, tubes
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otosclerosis
- hereditary
- -most common cause of hearing loss in young adults
- - ear cant amplify sound
- -spongy bone growth prevents stapes from moving
- -bilateral
- -otoscope exam
- -microdrill, laser, prosthesis
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labrinths
- acute
- inflammation of labrinths
- sx: vertigo, n/v, nystagmus, tinnits
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menieres disease
- -excesive endolymph accumulation in labrynth
- chronic
- -cause unknown
- -onset by triggers
- -attacks several times a year, unpredictable
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menieres disea symptomss
fullness, severe vertigo, muff hearing, drop attatcks
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conductive hearing loss
conditions in the outter or middle ear that impair the transmission of sound through air to the inner ear
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conductive hearing loss
cause
symptoms
cause: otitis media w/ enfusion
sx: cant hear faint sounds, hear better in noisy enviornment
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sensioneural
- -damage to cochlea or vestiobuccular nerve
- -reduced ability to hear faint or high pitched sounds, when heard, unclear or muff.
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prebycusis
- -hearing loss associated with aging
- - cause unknown
- -gradual, progressive
- -inability to hear high freq
- -can be sensory, neural, metabolic, cochlear
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