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NURS 116 FINAL EXAM STUDY GUIDE LATEST UPDATE 2020(WORKS 100%)

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space via the eustachian tube, leading to infection and inflammation. Chronic otitis media • Usually results from recurrent acute otitis media and eustachian tube dysfunction, but may also be due to trauma or other disea ...

space via the eustachian tube, leading to infection and inflammation. Chronic otitis media • Usually results from recurrent acute otitis media and eustachian tube dysfunction, but may also be due to trauma or other diseases • Involves permanent perforation of the tympanic membrane, with or without recurrent pus formation • Often accompanied by changes in the mucosa and bony structures (ossicles) of the middle ear • May lead to formation of a cholesteatoma (non-cancerous cyst or mass that contains epithelial cell debris), which can cause conductive hearing loss • Incidence of cholesteatoma is highest in children and young adults. • Treatment may include surgical repair of the perforated tympanic membrane (tympanoplasty) to restore sound conduction and the integrity of the middle ear or surgical removal of cholesteatoma 2 Symptoms Acute otitis media: • Mild to severe pain in the affected ear • Fever • Diminished hearing • Dizziness • Vertigo • Tinnitus • Pus in the mastoid air cells often causes mastoid tenderness. • Tympanometry or air insufflation (blowing air into the ear) may reveal decreased movement of the tympanic membrane. • Tympanic membrane rupture, or perforation, may release a purulent discharge. • Myringotomy (surgical incision of the tympanic membrane) may be performed to relieve the pressure. Recurrent acute otitis media: • Refers to repeated incidences of acute otitis media, such as three in 6 months or four in 12 months. Serous otitis media: • Fluid in the middle ear without inflammation • Reported sensation of “snapping” or “popping” and acute hearing loss in the affected ear • May cause severe vertigo (sensation of whirling or rotation) • Sometimes becomes chronic (continuing for more than 3 months) and is more often linked to development of sensory hearing loss Risk Factors Otitis media occurs more frequently during winter months. Certain factors may increase a child’s risk for developing otitis media, including: • Allergies • Attendance at child care centers • Exposure to tobacco smoke • Pacifier use, which can alter dental structure and lead to eustachian

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