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Lecture Mosby's paramedic textbook (4th ed) - Chapter 23: Diseases of the eyes, ears, nose, and throat

This chapter include objectives: Identify the purpose of the patient care report; describe the uses of the patient care report; outline the components of an accurate, thorough patient care report; describe the elements of a properly written emergency medical services (EMS) document; describe an effective system for documenting the narrative section of a prehospital patient care report;. | 9/10/2012 1 Chapter 23 Diseases of the Eyes, Ears, Nose, and Throat 2 Lesson 23.1 The Eyes and Ear 3 Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 1 9/10/2012 Learning Objectives • Label diagram of the eye. • Describe the pathophysiology, signs and symptoms, and specific management techniques for each of the following disorders of the eye: conjunctivitis, corneal abrasion, foreign body, inflammation (Chalazion and Hordeolum), glaucoma, iritis, papilledema, retinal detachment, central retinal artery occlusion, and orbital cellulitis. 4 Learning Objectives • Label diagram of the ear. • Describe the pathophysiology, signs and symptoms, and specific management techniques for each of the following conditions that affect the ear: foreign body; impacted cerumen; labyrinthitis, Meniere’s disease, otitis media, and perforated tympanic membrane. 5 Conditions of the Eye • Eye composed of three layers – Fibrous tunic • Sclera • Cornea – Vascular tunic • Choroid • Ciliary body • Iris – Nervous tunic • Retina 6 Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 2 9/10/2012 7 Conditions of the Eye • Accessory structures – – – – Eyebrows Eyelids Conjunctiva Lacrimal gland • Purpose of accessory structures – – – – Protect Lubricate Move Aid in function 8 Which assessment will you perform on an unconscious patient to determine whether there is pressure on cranial nerve III? 9 Copyright © 2013 by Jones & Bartlett Learning, LLC, an Ascend Learning Company 3 9/10/2012 Conjunctivitis • Inflammation or infection of conjunctiva (membrane lining of eye) • “Pink eye,” “Madras eye” • Common causes – Bacterial infection – Viral infection – Allergic reaction – Incompletely opened tear duct (newborns) 10 11 Conjunctivitis • Very contagious – Early diagnosis and treatment can prevent spread • Can affect both eyes • Often associated with a cold • If viral cause – .