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Middle ear, most common of all types of hearing loss, result of serous ititis media
Conductive
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Involves interference with loudness of sound and may be monotone
Conductive hearing loss
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Perceptive or nerve deafness
Sensoineural
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Damage to inner ear structures or auditory nerve
sensironerual loss
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Type of brain damage and related to bilirubin and jaundice
Kernicterus
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most common problem with hearing aid
acustic feeback
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surgically implanted device, provides sensation of hearing used with seensoninerual hearing loss, goal to implant by 18 mo age
Cochlear
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Early detection by
3-6 mo
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Universal screen when?
newbornb before discharge
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Absense of babbleing by age of
7 mo
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Speech development
Primary importance
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Difficulty with articulation and may not hear higher frequenceis, may pronoucne spoon as poon
sensineural
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Socialization is
important
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most common ccongenital malignant tumor of childhood
retinoblastoma
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Most common sign of reinoblastoma
cat's eye reflex, whitish glow in pupil
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Strabismus common sign of
retinoblastoma
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blindness is a late sign of
retinoblastoma
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Stage 1 or 2 of retinoblastoma
surgery
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stage 3, or 4 retinoblastoma
Metastisis
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removal of eye
enucleation
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High survival rate 90%
retinoblastoma
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tumor may spontaneously regress
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radiation increases risk of developing cancer
retinoblastoma
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Care of surgical site of enucliation
- Clean wound
- Has little or no drainage
- Pink mucosal lining like the mouth
- Use of antibiotic ointment
- Irrigation solution before ointment applied
- change eye dressing daily
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