2A review of the ANP of the Ear The ear is broken up into 3 parts:patholoougytlines.com
3Tinnitus: Ringing in the ears. 2 types: Subjective- perceived sounds in the ear by the patient. Objective-actual noise made by vascvular tissue near the ear and can sometimes be heard by the doctor.
4Causes of Tinnitus Trauma to the ear Obstruction of the ear Infection Over doses of salicylatesTumorsArteriovenous malformations
5Signs and symptoms Ascultation of the neck for a buzzing sound. Pt complaining of any of the following sounds:RingingBuzzingRoaringHissing
6Treatment Treating the underling disease may lessen tinnitus Correct hearing lossTinnitus masker(worn like a hearing aid)Background noise on when going to sleep
7What does this mean in the pre-hospital setting? Tinnitus can be an indicator for other more serious disease processesIt can be distracting to the patient and can make communicating with them more difficult if it is severe.
8Interesting information on tinnitus Nearly every person will experience tinnitus in their lifetime.Tinnitus is becoming increasingly more common in young adults due to MP3 players and loud concerts.Chronic Tinnitus can cause depression and social anxiety
9Labrynthitis: an inflammation of the inner ear canals.
10Causes of Labrynthitis Upper respiratory infectionColdFluChicken poxmumpsMiddle ear infectionsBacterial infections
11Signs and symptoms Vertigo Dizziness Lightheaded Tinnitus Possibly nausea and vomiting
12TreatmentUsually labrynthitis goes away on its own. But antibiotics can be prescribed. It is common to treat the nausea and dizziness with anti-emetic drugs.
13What does this mean in the pre-hospital setting? Treat the nausea and vomitingBe cautious with a patient who is dizzy or has vertigo may not be good to let them walk too much.Not a lot EMS can do for Labrynthitis in the pre-hospital setting.
15Causes of Meinere’s disease Meineres disease has no known cause. Some speculate that it is an abnormality in the fluid of the inner ear. An unhealthy lifestyle can be a contributing factor in this disease.
16Signs and symptoms of Meinere’s: DizzinessVertigo attacks that can last several daysTinnitusHearing lossFeeling like your ear is full on the effected side
17Treatment: Changes in diet, sleep habits and lifestyle Medications: DiureticsAnti-vertigo medications(Anti-vert or Valium)Anti-emeticsIn extreme cases surgery (labrynthectomy)
18What does this mean in the pre-hospital setting? Treat the nausea/ and vomitingBe aware of dizziness and vertigoThey may be experiencing hearing loss and this may make communicating more difficult
19Interesting information: Can cause irritability and insomniaIt can effect your attention spanIt has been known to cause anxiety and depression.Exercise and a more healthy lifestyle can improve the signs and symptoms of this disease.In extreme cases people have been unable to work or perform daily tasks.