SUBJECTIVE- WHICH CAN OLY BE HEARD BY THE PATIENT OBJECTIVE-CAN EVEN BE HEARD BY THE EXAMINER WITH...
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Transcript of SUBJECTIVE- WHICH CAN OLY BE HEARD BY THE PATIENT OBJECTIVE-CAN EVEN BE HEARD BY THE EXAMINER WITH...
BY-DR.SUDEEP K.C.
TINNITUS
-DEFINED AS RINGING SOUND OR NOISE IN THE EAR.
-MAY BE UNILATERAL OR BILATERAL-IT MAY VARY IN PITCH AND LOUDNESS AND
HAS BEEN VARIOUSLY DESCRIBED BY THE PATIENT AS ROARING,HISSING ,SWISHIN, RUSTLING OR CLICKING SOUND.
-IT IS MOSTLY HEARD IN THE QUITE ENVIROMENT AND IS MORE ANNOYING.
TINNITUS
TYPES OF TINNITUS
SUBJECTIVE- WHICH CAN OLY BE HEARD BY THE PATIENT
OBJECTIVE-CAN EVEN BE HEARD BY THE EXAMINER WITH THE USE OF STEHOSCOPE
CAUSES OF TINNITUS
• SUBJECTIVE-ORIGINATE FROM EXTERNAL EAR,MIDDLE EAR, INNER EAR, VIIITH NERVE OR CNS.
• OBJECTIVE –MOSTLY VASCULAR LESIONS LIKE GLOMUS TUMOUR OR CAROTID ARTERY ANEURYSM .
• TINNITUS SYNCHRONOUS WITH RESPIRATION MAY OCCUR DUE TO ABNORMALLY PATENT EUSTACHIAN TUBE .
• SOMETIME TINNITUS IS PSYCHOGENIC AND NO CAUSE CAN BE FOUND IN THE EAR OR CNS.
CAUSES OF TINNITUS
1.SUBJECTIVE CAUSES- OTOLOGIC-
IMPACTED WAX FLUID IN THE MIDDLE EAR ACUTE AND CHRONIC OTITIS MEDIA ABNORMALLY PATENT EUSTACHIAN TUBE MENIERE’S DISEASE OTOSCLEROSIS PRESBYACUSIS NOISE TRAUMA OTOTOXIC DRUGS TUMOURS OF VIII TH NERVE
»NON OTOLOGIC• DISEASE OF CNS • ANAEMIA• ARTERIOSCLEROSIS• HYPERTENSION• HYPOTENSION• HYPOGLYCAEMIA• EPILEPSY• MIGRAINE
2.OBJECTIVESVASCULAR TUMOURS OF MIDDLE
EAR(GLOMUS TUMOUR)ANEURYSM OF CAROTID ARTERYPALATAL MYOCLONUS
TINNITUS SHOULD BE DIFFERENTIATED FROM AUDITORY HALLUCINATION
3.PSYCHOGENIC
TREATMENTTREATMENT SHOULD BE DIRECTED TOWARDS
THE CAUSE IF NO CAUSE FOUND THEN
1.REASSURANCE AND PSYCHOTHERAPY
2.TECHNIQUES OF RELAXATION AND BIOFEEDBACK
3.SEDATION AND TRANQUILIZERS
4.MASKING OF TINNITUS
• TINNITUS MASKERS CAN BE USED IN PATIENTS WHO HAVE NO HEARING LOSS.
• THEY ARE WORN LIKE A HEARING AID• USE OF TINNITUS MASKER FOR A SHORT TIME
MAY PROVIDE, IN SOME INDIVIDUALS, A SYMPTOM FREE PERIOD FOR SEVERAL HOURS DUE TO THE PHENOMENON OF RESIDUAL INHIBITION
T H A N K
Y OU