Name the combining forms, prefixes, and suffixes most commonly used to describe these organs and their parts.

Chapter 17
Sense Organs: The Eye and the Ear

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Learning Objectives

  • Identify locations and functions of the major parts of the eye and ear.
  • Name the combining forms, prefixes, and suffixes most commonly used to describe these organs and their parts.
  • Describe the pathologic conditions that may affect the eye and ear.

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Learning Objectives (cont’d.)

  • Identify clinical procedures that pertain to ophthalmology and otology.
  • Apply your new knowledge to understanding medical terms in their proper contexts, such as medical reports and records.

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Chapter 17
Lesson 17.1

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Introduction

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Light and sound applied to the sense organs of the eye and ear activate receptors that send signals to the appropriate brain regions in the cortex where they are translated into images and sounds.

What types of receptors exist to process information about our environment?

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The Eye

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What are the parts of the eye labeled in the diagram?

What are the functions of the different parts of the eye?

See Vocabulary (pp. 674-676) for definitions of the parts of the eye and their functions.

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The Eye

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What are the parts of the eye labeled in the diagram?

What are the functions of the different parts of the eye?

See Vocabulary (pp. 674-676) for definitions of the parts of the eye and their functions.

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The Eye (cont’d.)

  • Pupil
  • Conjunctiva
  • Cornea
  • Sclera
  • Choroid
  • Iris
  • Ciliary body
  • Lens
  • Fundus
  • Anterior chamber
  • Aqueous humor
  • Vitreous chamber
  • Vitreous humor
  • Retina
  • Optic nerve
  • Optic disc
  • Macula
  • Fovea centralis

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Why are corneal transplants often successful?

How many cones and rods are in the retina? (There are approximately 6.5 million cones and 120 million rods in the retina.)

There are three types of cones, each stimulated by one of the primary colors of light (red, blue, and green).

Which cones are most affected by color blindness? (either the red or green cones)

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Visual Pathways From Retina to Cortex

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Describe how light travels through the eye by following the pathways of the color coordinated tracts and visual fields.

What might happen if there are lesions in areas along the pathway leading to the right and left cerebral cortices?

Lesions of the cortical areas of the occipital lobe will likewise cause visual disturbance in the areas of the visual field where the information is normally interpreted by the brain.

See Figure 17-5 (p. 674) for pathway of light rays from cornea to cerebral cortex.

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QUICK QUIZ:

The soft, jelly-like material behind the lens in the vitreous chamber; helps maintain the shape of the eyeball….

 

sclera

vitreous humor

aqueous humor

fovea centralis

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CORRECT Answer is B, vitreous humor

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STRUCTURES AND FLUIDS

 

  • aque/o water
  • blephar/o eyelid
  • conjunctiv/o conjunctiva
  • cor/o pupil
  • corne/o cornea
  • cycl/o ciliary body

Combining Form Meaning

COMBINING FORMS, SUFFIXES, AND TERMINOLOGY

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STRUCTURES AND FLUIDS

 

  • dacry/o tears, tear duct
  • ir/o iris
  • irid/o iris
  • kerat/o cornea
  • lacrim/o tears
  • ocul/o eye

Combining Form Meaning

COMBINING FORMS, SUFFIXES, AND TERMINOLOGY

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STRUCTURES AND FLUIDS

 

  • ophthalm/o eye
  • opt/o eye, vision
  • optic/o eye, vision
  • palpebr/o eyelid
  • papill/o optic disc
  • phac/o lens of the eye

Combining Form Meaning

COMBINING FORMS, SUFFIXES, AND TERMINOLOGY

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STRUCTURES AND FLUIDS

 

  • phak/o lens of the eye
  • pupill/o pupil
  • retin/o retina
  • scler/o sclera (white of the eye)
  • uve/o uvea
  • vitre/o glassy

Combining Form Meaning

COMBINING FORMS, SUFFIXES, AND TERMINOLOGY

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CONDITIONS

 

  • ambly/o dull, dim
  • dipl/o double
  • glauc/o gray
  • mi/o smaller, less
  • mydr/o widen, enlarge
  • nyct/o night

Combining Form Meaning

COMBINING FORMS, SUFFIXES, AND TERMINOLOGY

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CONDITIONS

 

  • phot/o light
  • presby/o old age
  • scot/o darkness
  • xer/o dry

Combining Form Meaning

COMBINING FORMS, SUFFIXES, AND TERMINOLOGY

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CONDITIONS

 

  • -opia vision
  • -opsia vision
  • -tropia to turn

Suffix Meaning

COMBINING FORMS, SUFFIXES, AND TERMINOLOGY

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QUICK QUIZ:

Which term means inflammation of the eyelid?

 

ophthalmoplegia

keratitis

blepharitis

blepharoptosis

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CORRECT Answer is C, blepharitis

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Errors of Refraction

  • Astigmatism: defective curvature of the cornea or lens of the eye
  • Hyperopia: farsightedness
  • Myopia: nearsightedness
  • Presbyopia: impairment of vision due to old age reducing lens accommodation

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Do any of the students have any of these conditions? What are the causes?

How are these conditions corrected? (The following slide provides images of the errors and the correction.)

What is lens accommodation? (the refractory adjustment resulting when the muscles of the ciliary body produce flattening of the lens [for distant vision] and thickening and rounding [for close vision])

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Errors of Refraction (cont’d.)

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The dashed lines in B and C indicate the contour and size of the normal eye.

What error of refraction is associated with presbyopia? (an inability to adjust the lens for accommodation to near vision)

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Cataract: clouding of the lens

ABNORMAL CONDITIONS

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What is the surgical treatment for cataracts? How can vision be corrected in this process?

Surgical removal of the lens and implantation of an artificial lens behind the iris are treatments for cataracts.

If surgery isn’t possible, are there other treatments?

If an intraocular lens cannot be inserted, the patient may wear eyeglasses or contact lenses to help refraction.

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ABNORMAL CONDITIONS

Chalazion: small, hard, cystic mass on eyelid; formed as a result of chronic inflammation of sebaceous gland along margin of eyelid

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What is the treatment for this condition?

Chalazions often require incision and drainage.

Besides chalazion, what are some of the other eyelid abnormalities? See Table 17-1 Eyelid Abnormalities (p. 683)

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ABNORMAL CONDITIONS

  • Diabetic retinopathy – retinal effects caused by diabetes mellitus include:
  • microaneurysms
  • hemorrhages
  • dilation of retinal veins
  • neovascularization

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What is a treatment for diabetic retinopathy?

For severe hemorrhaging, laser photocoagulation and vitrectomy are helpful.

What is neovascularization?

An Internet search will lead to multiple sites focused on diabetes and vision.

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ABNORMAL CONDITIONS

Glaucoma: increased intraocular pressure damages retina and optic nerve

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Discuss the many forms of glaucoma.

Do most people have glaucoma in one eye or both eyes? Why?

If a patient has glaucoma in one eye, what is the likely cause? What is the likely treatment?

What is tonometry?

Tonometry measures intraocular pressure to detect glaucoma.

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ABNORMAL CONDITIONS

  • Hordeolum (stye): staph infection of a sebaceous gland in the eyelid
  • Macular degeneration: progressive damage to the macula of the retina
  • Nystagmus: repetitive rhythmic movements of one or both eyes.
  • Strabismus: abnormal deviation of the eye

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Discuss the location of the retina and macula.

Which form of macular degeneration (dry or wet) has a better prognosis and possible treatment?

Why is it important to treat strabismus in early childhood?

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ABNORMAL CONDITIONS

  • Retinal detachment: two layers of the retina separate from each other
  • Photopsia: bright flashes of light
  • Floaters: vitreous clumps of retina
  • Scleral buckle: belt to buckle retina to sclera
  • Pneumatic retinopexy: gas bubble injected in vitreous cavity to help reattach retina

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What are the symptoms, causes, and treatments for retinal detachments?

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Chapter 17
Lesson 17.2

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Diagnostic Procedures

  • Fluorescein angiography: dye injection to examine blood flow in the retina
  • Ophthalmoscopy: visual examination of eye interior through dilated pupil
  • Slit lamp microscopy: magnified view of expanded number of eye structures

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Ask students to name conditions that are diagnosed by the tests listed.

What type of eyedrop dilates the pupil? (mydriatic)

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Diagnostic Procedures (cont’d.)

Visual acuity test: assesses clarity of vision

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How is the Snellen chart used?

How is the ratio that describes visual acuity interpreted?

Have students perform the visual acuity test on each other.

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Diagnostic Procedures (cont’d.)

Visual field test: measures visual fields when eyes are fixed forward

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Have students take the visual field test in class (noted in lesson plan).

Are students surprised by the results of the test? Why or why not?

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Treatment

  • Enucleation: removal of entire eyeball
  • Laser photocoagulation: Argon laser creates inflammatory reaction that seals retinal tears and leaky blood vessels
  • LASIK: laser to correct errors of refraction by sculpting the cornea

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LASIK is an acronym for laser in situ keratomileusis (shaping of cornea).

Why can’t LASIK correct presbyopia?

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Treatment (cont’d.)

Keratoplasty: surgical repair of the cornea

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Keratoplasty: Also known as corneal transplant, the patient’s scarred or opaque cornea is replaced with a donor cornea.

Why does this procedure have such a high success rate compared to other transplants?

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Treatment (cont’d.)

Scleral buckle: Suture of silicone band to sclera over detached portion of retina

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In this procedure, the band pushes the two parts of the retina against each other to bring together the two layers of the detached retina.

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Treatment (cont’d.)

  • Phacoemulsification: ultrasound to break up lens for aspiration for cataract removal
  • Vitrectomy: removal of vitreous humor and replacing it with a clear solution

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What sorts of conditions utilize these treatments?

Are they successful in curing both the symptoms and the cause?

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Chapter 17
Lesson 17.3

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THE EAR

ANATOMY AND PHYSIOLOGY

  • Outer ear receives sound waves:
  • Sound waves travel to middle ear:
  • Sound vibrations reach inner ear (labyrinth)

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See Figures 17-20 (p. 689) and 17-21 (p. 690).

Name the three bones in the middle ear that move in response to vibrations of the tympanic membrane? (malleus, incus, stapes)

What is another name for the inner ear, and why is it referred to by this name? (It is called the labyrinth due to its circular, maze-like structure.)

What is the name of the bony, snail-shaped structure of the inner ear? (cochlea)

In addition to being the organ for hearing, what other important function is performed by the ear? (equilibrium)

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Anatomy of the Ear

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Anatomy of the Ear

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Ear Anatomy and Physiology (cont’d.)

  • Outer ear
  • Pinna or auricle: projecting flap
  • External auditory meatus (auditory canal)

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The external auditory meatus is lined with numerous cerumen glands which produce a waxy substance that lubricates and protects the ear.

Which part of the ear is most often pierced?

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Ear Anatomy and Physiology (cont’d.)

  • Middle ear
  • Tympanic membrane (eardrum)
  • Malleus
  • Incus
  • Stapes
  • Oval window
  • Eustachian tube

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How do these structures contribute to vibration?

Why are they susceptible to infection?

Why do conditions that affect the respiratory system also affect these structures?

The malleus, incus, and stapes make up the ossicles.

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Ear Anatomy and Physiology (cont’d.)

  • Inner ear: labyrinth
  • Cochlea
  • Auditory nerve fibers

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The oval window separates the middle and inner ear.

The cochlea contains perilymph and endolymph through which vibrations travel.

The cochlea also contains the organ of Corti in which tiny hair cells receive vibrations from the auditory liquids and relay the sound waves to the auditory nerve fibers.

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Ear Anatomy and Physiology (cont’d.)

  • Balance and equilibrium
  • Vestibule
  • Semicircular canals

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The semicircular canals contain the saccule and utricle.

The canals contain endolymph and hair cells.

Fluid and hair cells fluctuate in response to movement of the head. This information is transmitted through nerve fibers to the brain.

The brain sends information to the body’s muscles to maintain equilibrium.

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QUICK QUIZ:

What is the snail-shaped, spirally wound tube in the inner ear; which contains hearing sensitive receptor cells?

 

pinna

auricle

ossicle

cochlea

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CORRECT Answer is D, cochlea

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COMBINING FORMS

 

  • acous/o hearing
  • audi/o hearing
  • audit/o hearing
  • aur/o ear
  • auricul/o ear
  • cochle/o cochlea
  • mastoid/o mastoid process

Combining Form Meaning

COMBINING FORMS, SUFFIXES, AND TERMINOLOGY

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COMBINING FORMS

 

  • myring/o eardrum, tympanic membrane
  • ossicul/o ossicle
  • ot/o ear
  • salping/o Eustachian tube
  • staped/o stapes
  • tympan/o eardrum, tympanic membrane
  • vestibul/o vestibule

Combining Form Meaning

COMBINING FORMS, SUFFIXES, AND TERMINOLOGY

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SUFFIXES

 

  • -acusis or-cusis hearing
  • -meter instrument for measure
  • -otia ear condition

Suffix Meaning

COMBINING FORMS, SUFFIXES, AND TERMINOLOGY

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Symptoms and Pathologic Conditions

  • Acoustic neuroma: benign tumor arising from 8th cranial nerve, causes tinnitus, vertigo, dizziness, and decreased hearing
  • Cholesteatoma: skin cells and cholesterol in a sac in the middle ear (cyst-like mass associated with chronic infections)
  • Deafness: loss of ability to hear

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Why can surgery for acoustic neuroma lead to deafness and facial paralysis?

Nerve deafness (sensorineural hearing loss) results from impairment of the cochlea or auditory nerve.

What constitutes conductive deafness? (It results from impairment of the middle ear ossicles and membranes transmitting sound waves into the cochlea.)

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Symptoms and Pathologic Conditions (cont’d.)

  • Ménière disease: disorder of labyrinth with elevated endolymph pressure in cochlea and semicircular canals causing tinnitus, sensitivity to sound, progressive hearing loss, headache, nausea, and vertigo
  • Otitis media: inflammation of middle ear
  • Otosclerosis: hardening of bony tissue in labyrinth

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Why does fixation of the stapes bone cause deafness? What is the current therapy for this condition?

What is the current therapy for Ménière disease? How effective is the therapy?

Why do doctors put tubes in the ears?

What is the proper term for a surgical incision in the tympanic membrane and the insertion of a draining tube device?

Why does the anatomical structure of the Eustachian tube in children make them more susceptible to otitis media?

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Symptoms and Pathologic Conditions (cont’d.)

  • Tinnitus: sensation of noises (ringing, buzzing, whistling, booming) in ears
  • Vertigo: sensation of irregular motion (whirling) from disease of inner ear or nerve carrying messages from semicircular canals

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Ask students to make some quick head movements and ask if any students are experiencing vertigo.

What sorts of situations induce vertigo (e.g., rides at amusement parks, ear infections, elevator rides, etc.)? Does the vertigo described in these situations stem from the wrong message being carried by the vestibular nerve or from movement of the fluids in the semicircular canals?

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Clinical Procedures

  • Audiometry: audiometer is an electric device to determine hearing loss by frequency
  • Cochlear implant: Surgically implanted device allowing sensorineural hearing-impaired persons to understand speech
  • Ear thermometry: body temperature measured with infrared radiation from the eardrum

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How is audiometry performed?

See Figure 17-24 for an example of an audiometer.

With a cochlear implant, a small computer converts sound waves to electronic impulses that stimulate nerve fibers in ears.

What types of pathologies might require a cochlear implant for treatment?

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Clinical Procedures (cont’d.)

  • Otoscopy: visual examination of ear with small, hand-held scope
  • Tuning fork test
  • Rinne: hearing test using a vibrating fork against the mastoid bone (bone conduction) and in front of the auditory meatus (air conduction)
  • Weber: fork is placed on the center of the forehead; normal hearing has equal loudness in both ears.

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Obtain tuning forks and ask students to perform the Rinne and Weber tests on each other.

Obtain ear and oral thermometers. Ask students to compare their temperatures using both methods.

Is there a difference between the methods? If so, why?

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REVIEW SHEET

COMBINING FORMS

 

 

  • acous/o ___________
  • ambly/o ___________
  • aque/o ___________
  • audi/o ___________
  • audit/o ___________
  • aur/o ___________

Combining Form Meaning

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COMBINING FORMS

 

 

  • acous/o hearing
  • ambly/o dull, dim
  • aque/o water
  • audi/o hearing
  • audit/o hearing
  • aur/o ear

Combining Form Meaning

REVIEW SHEET

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COMBINING FORMS

 

 

  • auricul/o ___________
  • blephar/o ___________
  • conjunctiv/o ___________
  • cor/o ___________
  • corne/o ___________
  • cycl/o ___________

Combining Form Meaning

REVIEW SHEET

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COMBINING FORMS

 

 

  • auricul/o ear
  • blephar/o eyelid
  • conjunctiv/o conjunctiva
  • cor/o pupil
  • corne/o cornea
  • cycl/o ciliary body

Combining Form Meaning

REVIEW SHEET

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COMBINING FORMS

 

 

  • dacry/o ___________
  • dipl/o ___________
  • glauc/o ___________
  • ir/o ___________
  • irid/o ___________
  • kerat/o ___________
  • lacrim/o ___________

Combining Form Meaning

REVIEW SHEET

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COMBINING FORMS

 

 

  • dacry/o tears
  • dipl/o double
  • glauc/o gray
  • ir/o iris
  • irid/o iris
  • kerat/o cornea
  • lacrim/o tears

Combining Form Meaning

REVIEW SHEET

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COMBINING FORMS

 

 

  • mastoid/o ___________
  • mi/o ___________
  • mydr/o ___________
  • myring/o ___________
  • nyct/o ___________
  • ocul/o ___________

Combining Form Meaning

REVIEW SHEET

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COMBINING FORMS

 

 

  • mastoid/o mastoid process
  • mi/o smaller, less
  • mydr/o widen, enlarge
  • myring/o eardrum
  • nyct/o night
  • ocul/o eye

Combining Form Meaning

REVIEW SHEET

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COMBINING FORMS

 

 

  • ophthalm/o ___________
  • opt/o ___________
  • optic/o ___________
  • ossicul/o ___________
  • palpebr/o ___________
  • papill/o ___________
  • phac/o ___________

Combining Form Meaning

REVIEW SHEET

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COMBINING FORMS

 

 

  • ophthalm/o eye
  • opt/o eye
  • optic/o eye
  • ossicul/o ossicle
  • palpebr/o eyelid
  • papill/o optic disc
  • phac/o lens of the eye

Combining Form Meaning

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Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.

COMBINING FORMS

 

 

  • phak/o ___________
  • phot/o ___________
  • presby/o ___________
  • pupill/o ___________
  • retin/o ___________
  • salpin/o ___________
  • scler/o ___________

Combining Form Meaning

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Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.

COMBINING FORMS

 

 

  • phak/o lens of the eye
  • phot/o light
  • presby/o old age
  • pupill/o pupil
  • retin/o retina
  • salpin/o Eustachian tube
  • scler/o sclera (white of eye)

Combining Form Meaning

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Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.

COMBINING FORMS

 

 

  • scot/o ___________
  • staped/o ___________
  • tympan/o ___________
  • uve/o ___________
  • vestibul/o ___________
  • vitre/o ___________
  • xer/o ___________

Combining Form Meaning

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Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.

COMBINING FORMS

 

 

  • scot/o darkness
  • staped/o stapes
  • tympan/o eardrum
  • uve/o uvea
  • vestibul/o vestibule
  • vitre/o glassy
  • xer/o dry

Combining Form Meaning

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Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.

SUFFIXES

 

 

  • -acusis ___________
  • -cusis ___________
  • -meter ___________
  • -metry ___________
  • -opia ___________

Suffix Meaning

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Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.

SUFFIXES

 

 

  • -acusis hearing
  • -cusis hearing
  • -meter instrument for measure
  • -metry process of measurement
  • -opia vision

Suffix Meaning

REVIEW SHEET

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Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.

SUFFIXES

 

 

  • -opsia ___________
  • -otia ___________
  • -phobia ___________
  • -plegic ___________
  • -tropia ___________

Suffix Meaning

REVIEW SHEET

Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.

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Copyright © 2008, 2005 by Saunders, an imprint of Elsevier Inc. All rights reserved.

SUFFIXES

 

 

  • -opsia vision
  • -otia ear condition
  • -phobia fear
  • -plegic paralysis; palsy
  • -tropia to turn

Suffix Meaning

REVIEW SHEET

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Light and sound applied to the sense organs of the eye and ear activate receptors that send signals to the appropriate brain regions in the cortex where they are translated into images and sounds.

What types of receptors exist to process information about our environment?

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What are the parts of the eye labeled in the diagram?

What are the functions of the different parts of the eye?

See Vocabulary (pp. 674-676) for definitions of the parts of the eye and their functions.

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What are the parts of the eye labeled in the diagram?

What are the functions of the different parts of the eye?

See Vocabulary (pp. 674-676) for definitions of the parts of the eye and their functions.

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Why are corneal transplants often successful?

How many cones and rods are in the retina? (There are approximately 6.5 million cones and 120 million rods in the retina.)

There are three types of cones, each stimulated by one of the primary colors of light (red, blue, and green).

Which cones are most affected by color blindness? (either the red or green cones)

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Describe how light travels through the eye by following the pathways of the color coordinated tracts and visual fields.

What might happen if there are lesions in areas along the pathway leading to the right and left cerebral cortices?

Lesions of the cortical areas of the occipital lobe will likewise cause visual disturbance in the areas of the visual field where the information is normally interpreted by the brain.

See Figure 17-5 (p. 674) for pathway of light rays from cornea to cerebral cortex.

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CORRECT Answer is B, vitreous humor

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CORRECT Answer is C, blepharitis

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Do any of the students have any of these conditions? What are the causes?

How are these conditions corrected? (The following slide provides images of the errors and the correction.)

What is lens accommodation? (the refractory adjustment resulting when the muscles of the ciliary body produce flattening of the lens [for distant vision] and thickening and rounding [for close vision])

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The dashed lines in B and C indicate the contour and size of the normal eye.

What error of refraction is associated with presbyopia? (an inability to adjust the lens for accommodation to near vision)

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What is the surgical treatment for cataracts? How can vision be corrected in this process?

Surgical removal of the lens and implantation of an artificial lens behind the iris are treatments for cataracts.

If surgery isn’t possible, are there other treatments?

If an intraocular lens cannot be inserted, the patient may wear eyeglasses or contact lenses to help refraction.

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What is the treatment for this condition?

Chalazions often require incision and drainage.

Besides chalazion, what are some of the other eyelid abnormalities? See Table 17-1 Eyelid Abnormalities (p. 683)

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What is a treatment for diabetic retinopathy?

For severe hemorrhaging, laser photocoagulation and vitrectomy are helpful.

What is neovascularization?

An Internet search will lead to multiple sites focused on diabetes and vision.

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Discuss the many forms of glaucoma.

Do most people have glaucoma in one eye or both eyes? Why?

If a patient has glaucoma in one eye, what is the likely cause? What is the likely treatment?

What is tonometry?

Tonometry measures intraocular pressure to detect glaucoma.

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Discuss the location of the retina and macula.

Which form of macular degeneration (dry or wet) has a better prognosis and possible treatment?

Why is it important to treat strabismus in early childhood?

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What are the symptoms, causes, and treatments for retinal detachments?

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Ask students to name conditions that are diagnosed by the tests listed.

What type of eyedrop dilates the pupil? (mydriatic)

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How is the Snellen chart used?

How is the ratio that describes visual acuity interpreted?

Have students perform the visual acuity test on each other.

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Have students take the visual field test in class (noted in lesson plan).

Are students surprised by the results of the test? Why or why not?

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LASIK is an acronym for laser in situ keratomileusis (shaping of cornea).

Why can’t LASIK correct presbyopia?

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Keratoplasty: Also known as corneal transplant, the patient’s scarred or opaque cornea is replaced with a donor cornea.

Why does this procedure have such a high success rate compared to other transplants?

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In this procedure, the band pushes the two parts of the retina against each other to bring together the two layers of the detached retina.

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What sorts of conditions utilize these treatments?

Are they successful in curing both the symptoms and the cause?

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See Figures 17-20 (p. 689) and 17-21 (p. 690).

Name the three bones in the middle ear that move in response to vibrations of the tympanic membrane? (malleus, incus, stapes)

What is another name for the inner ear, and why is it referred to by this name? (It is called the labyrinth due to its circular, maze-like structure.)

What is the name of the bony, snail-shaped structure of the inner ear? (cochlea)

In addition to being the organ for hearing, what other important function is performed by the ear? (equilibrium)

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The external auditory meatus is lined with numerous cerumen glands which produce a waxy substance that lubricates and protects the ear.

Which part of the ear is most often pierced?

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How do these structures contribute to vibration?

Why are they susceptible to infection?

Why do conditions that affect the respiratory system also affect these structures?

The malleus, incus, and stapes make up the ossicles.

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The oval window separates the middle and inner ear.

The cochlea contains perilymph and endolymph through which vibrations travel.

The cochlea also contains the organ of Corti in which tiny hair cells receive vibrations from the auditory liquids and relay the sound waves to the auditory nerve fibers.

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The semicircular canals contain the saccule and utricle.

The canals contain endolymph and hair cells.

Fluid and hair cells fluctuate in response to movement of the head. This information is transmitted through nerve fibers to the brain.

The brain sends information to the body’s muscles to maintain equilibrium.

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CORRECT Answer is D, cochlea

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Why can surgery for acoustic neuroma lead to deafness and facial paralysis?

Nerve deafness (sensorineural hearing loss) results from impairment of the cochlea or auditory nerve.

What constitutes conductive deafness? (It results from impairment of the middle ear ossicles and membranes transmitting sound waves into the cochlea.)

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Why does fixation of the stapes bone cause deafness? What is the current therapy for this condition?

What is the current therapy for Ménière disease? How effective is the therapy?

Why do doctors put tubes in the ears?

What is the proper term for a surgical incision in the tympanic membrane and the insertion of a draining tube device?

Why does the anatomical structure of the Eustachian tube in children make them more susceptible to otitis media?

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Ask students to make some quick head movements and ask if any students are experiencing vertigo.

What sorts of situations induce vertigo (e.g., rides at amusement parks, ear infections, elevator rides, etc.)? Does the vertigo described in these situations stem from the wrong message being carried by the vestibular nerve or from movement of the fluids in the semicircular canals?

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How is audiometry performed?

See Figure 17-24 for an example of an audiometer.

With a cochlear implant, a small computer converts sound waves to electronic impulses that stimulate nerve fibers in ears.

What types of pathologies might require a cochlear implant for treatment?

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Obtain tuning forks and ask students to perform the Rinne and Weber tests on each other.

Obtain ear and oral thermometers. Ask students to compare their temperatures using both methods.

Is there a difference between the methods? If so, why?

The post Name the combining forms, prefixes, and suffixes most commonly used to describe these organs and their parts. appeared first on Infinite Essays.

Mention 4 pathological conditions of the eye, define them, explain the signs, symptoms, diagnosis, and treatment of each one

Answer the following questions using ONLY the powerpoint attached.

1. Mention 4 pathological conditions of the eye, define them, explain the signs, symptoms, diagnosis, and treatment of each one.

2. Divide the following terms, label the component parts and give the meaning of the medical term:

a. hemianopsia

b. anisoconea

c. conjunctivitis

d. meringotomy

e. tympanoplasty

3. Two symptoms of the at that can occur alone or in conjunction with other conditions are Tinnitus and Vertigo. Explain what each condition means (in one paragraph each)

4. Mention three medical terms that have the suffix -opia and two medical terms with the suffic -cusis. Divide them, label them and give their meaning.

5. What is tonometry, slit lamp microscopy, LASIK, vitrectomy, cochlear implants and audiometry. Explain

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Mrs. Harriet is a 68-year-old woman who is alert and oriented.  Allergies are Erythromycin. She presents to the emergency department with complaints of chest tightness, shortness of breath, cough, and congestion

Case study 1

Client Profile

Mrs. Harriet is a 68-year-old woman who is alert and oriented.  Allergies are Erythromycin. She presents to the emergency department with complaints of chest tightness, shortness of breath, cough, and congestion. She states, “I have been having these symptoms for three days now. I have been taking Maximum Strength Robitussin for my cough but it has not helped very much. When I woke up this morning. I felt very weak so I came in to be checked out.” Her vital signs are blood pressure 110/70, pulse 94, respiratory rate of 28, and temperature of 102.7 F. Her oxygen saturation on room air is 92%. She is placed on 2 liters (L) of oxygen by nasal cannula. The HCP prescribes a 12-lead electrocardiogram (ECG, EKG) and chest X-ray (CXR). Laboratory tests prescribed include complete blood count (CBC), basic metabolic panel (BMP), brain natriuretic peptide (B-type natriuretic peptide assay or BNP), total creatine kinase (CK, CPK), creatine kinase-MB (CPK-MB), and troponin. The HCP will also assess blood cultures x 2, AGs on room air, sputum culture and sensitivity (C &S), and asks that the client have a Mantoux (tuberculin, purified protein derivative, or PPD) test.

Case Study

Mrs. Harriet’s ECG shows normal sinus rhythm (NSR) with a heart rate of 98 beats per minute. The CXR reveals a right lower lobe(RLL) infiltrate. Laboratory tests include the following results: white blood cell cot (WBC) 12,2000 cells/mm3, 72& seg neutrophils with a left shift of 11% bands, and a BNP of 50.9 pg/mL. ABGs on room air is pH 7.44, partial pressure of carbon dioxide (PaCO2) 39 mmHg, bicarbonate (HCO3) 26.9 mEq/L, partial pressures of oxygen (PaO2) 58 mmHg, and oxygen saturation (SaO2) of 92%. Results of the sputum culture show Streptococcus pneumoniae. The CPK, CPK-MB, and troponin are all within normal limits. Mrs. Harriet is five feet three inches tall and weighs 224 pounds (101.8 kg). On assessment, the nurse hears expiratory wheezes and rhonchi bilaterally with diminished lung sounds in the right base. Her thoracic (chest) expansion is equal but slightly decreased on inspiration. Accessory muscle retraction is not noted, and she does exhibit central cyanosis.  The capillary refill of the client’s nail beds is four seconds.

Mrs. Harrier is admitted with acute bronchitis and pneumonia. The HCP prescribes oxygen via nasal cannula to keep the client’s saturations greater or equal to 95%, Ceftriaxone sodium, Erythromycin, Albuterol, Acetaminophen every four to six hours as needed, bed rest, an 1800 calorie diet, increased oral (PO) fluid intake to 2 to 4 liters per day, coughing and deep breathing exercises and use of the incentive spirometer (IS).

1. Discuss additional assessment data that would help gain a more thorough understanding or Mrs. Harriet’s symptoms?

2. Discuss the causes, pathophysiology, and symptoms of acute bronchitis?

3. Discuss the pathophysiology and causes of pneumonia in general?

4. Compare the defining characteristics of community-acquired pneumonia (CAP),  hospital-acquired pneumonia (HAP), and viral pneumonia?

5. Discuss the factors that place Mrs. Harriet at greater risk for the development of pneumonia?

6. Mrs. Harriet asks the nurse to explain what the HCP saw on her chest X-ray. She asks, “The doctor said something about a ‘trate’ he saw on my lung, What did he mean by that?” How would the nurse explain what an infiltrate is?

7. Briefly explain the pathophysiology and identify at least five clinical manifestations of the respiratory diagnosis that is being ruled out for Mrs. Harrier by administering the Mantoux test?

8. While awaiting test results to confirm if Mrs. Harriet has TB, what precautions should be taken when assigning her to a room and providing nursing care?

9. Discuss the measurement of induration that would indicate a positive Mantoux test for Mrs. Harrier. If she tested positive for exposure to TB but did not have assessment findings consistent with active disease, what medication could be prescribed, and what is the benefit of this treatment?

10. The nurse asked Mrs. Harriet if she has been using her incentive spirometer. Mrs. Harriet states, “I tried to use it a couple of times but I think it is broken.  When I blow into it, the ball does not go up like I was told it should.” How should the nurse intervene?

11. Briefly discuss the significance of each of the following laboratory results: (a) WBC 12,200 (b) 72%seg neutrophils, (c) left shift of 11% bands, (d) BNP 50.9 (e) results of sputum culture show S. Pneumoniae, (f) CPK WNL, (g) CPK-MB WNL, and (h) troponin WNL

12. Analyze Mrs. Harriet’s ABG results. Determine whether each value is high low or within normal limits: interpret the acid-base balance; determine if there is compensation, and indicate whether the client has hypoxemia.

13. The nurse calls the HCP to request a change in the medications that have been prescribed for Mrs. Harriet. Discuss which medication the nurse is concerned about being unsafe for this client.

14. Provide a rationale for each of the following prescribed components of Mrs. Harriets treatment plan: oxygen to keep the client’s oxygen saturation greater than or equal to 95%, Ceftriaxone sodium, Albuterol, Acetaminophen, bed rest, 1800 calorie diet, increased oral (PO) fluid intake to 2 to 4 liters per day, coughing and deep breathing exercises and use of the incentive spirometer (IS).

15. Mrs. Harriet was taking Dextromethorphan at home to help manage her cough. The HCP did not prescribe continued use of the Dextromethorphan during hospitalization. Explain this omission.

16. If it was learned that Mrs. Harriet has a past medical history of chronic obstructive lung disease (COPD), how would the HCP’s prescription that oxygen is delivered to keep the client’s oxygen saturation greater than or equal to 95% be changed?

17. Identify three priority nursing diagnoses that should be included in Mrs. Harriet’s plan of care.

18. You are the nurse providing discharge teaching to Mrs. Harriet. Briefly discuss what you will recommend to her regarding seeking follow-up care, lifestyle considerations, and how to help prevent Pneumonia in the future.

The post Mrs. Harriet is a 68-year-old woman who is alert and oriented.  Allergies are Erythromycin. She presents to the emergency department with complaints of chest tightness, shortness of breath, cough, and congestion appeared first on Infinite Essays.

 complete the capstone proposal template. The template is designed to guide you through specific steps that will become the blueprint to follow for the rest of your project.

Assignment:

Submit a proposal based on the Capstone proposal template.

complete the capstone proposal template. The template is designed to guide you through specific steps that will become the blueprint to follow for the rest of your project.

Project Title 
Write the name of your project: fall precaution on our 2B unit in a skilled rehab floor.

The aim of the project is to reduce the patient’s fall rate in the skilled nursing unit at an acute care facility through improving the fall precaution process. The unit consists of 48 bed with a population of stroke, medical, and surgical patients. The focus of the nursing staff education using handouts, brochures, and poster will be based on the results from pre and post intervention audits. The goal of this fall reduction project is to have the nursing staff learn, review, and apply fall prevention interventions for fall risk patients in order to help reduce fall rate by 5 percent within a five month period, from january2020 through june2020.

Project Description 
This should be a half page to a page detailed description of what exactly your project is.

Project Rationale 
Two to three paragraphs stating the need for, and justification of, selecting this project. Who will benefit and how will they benefit from this project (not including yourself)? What is the significance of the project, and how will it advance nursing science?

Personal/Professional Expectations 
Two to three paragraphs on what you hope to gain from this project, both professionally and personally.

Project Goals 
Succinctly describe the long-and short-term goals of your project. This may include a research question or hypothesis, depending upon the major objectives of the project.

Analysis of the Literature

Your proposal should also include a brief review of the existing research on your topic and a discussion comparing this research to your project focus. How will your proposed research meet the gaps in existing nursing knowledge? The proposal should address how you plan to review the existing literature, what sources you plan to use.

Procedure 
This is the major section of your proposal, and includes a step-by-step description of how you intend to carry out your project. It includes a discussion of how you intend to meet your goals, including resources you will need, where you intend to find them, and an estimated timeline of how long each step will take.

Evaluation 
Half a page to a page on how your project is to be evaluated. Is your healthcare organization/academic setting going to evaluate it? How? Community evaluation? What specifically will make your project a success, both to you and to others?

The post  complete the capstone proposal template. The template is designed to guide you through specific steps that will become the blueprint to follow for the rest of your project. appeared first on Infinite Essays.