Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E...
Transcript of Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E...
![Page 1: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/1.jpg)
Assessing the Eyes & Ears
By: Faridokht YazdaniFaculty of Nursing-IAUN
1
![Page 2: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/2.jpg)
2
Assessing The Eyes
![Page 3: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/3.jpg)
3
![Page 4: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/4.jpg)
4
![Page 5: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/5.jpg)
5
![Page 6: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/6.jpg)
6
![Page 7: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/7.jpg)
7
![Page 8: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/8.jpg)
8
![Page 9: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/9.jpg)
9
![Page 10: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/10.jpg)
10
![Page 11: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/11.jpg)
11
![Page 12: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/12.jpg)
vision movement
sensory data from cornea eyelids
12
![Page 13: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/13.jpg)
13
![Page 14: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/14.jpg)
DevelopmentalVariations
14
![Page 15: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/15.jpg)
Snellen E chart:
3yr old 20/40
4yr old vision 20/30,
5-6yr old normal
tests: color blindness, regular Snellen
All around deterioration
15
![Page 16: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/16.jpg)
Cultural Variations
16
![Page 17: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/17.jpg)
HTNDM
17
![Page 18: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/18.jpg)
Vision loss
Double vision
Eye tearing
Eye drainage
Eye pain
Blurred Vision
Dry Eyes
Eye Appearance Changes
18
![Page 19: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/19.jpg)
HTN, DM
Lasix, Captopril, and Glucatrol
+ Family history of CV disease, DM, MS
Last eye exam 5 years ago
Widow: son and friends as supports
19
![Page 20: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/20.jpg)
Nursing Diagnosis
20
![Page 21: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/21.jpg)
Nsg Dx?
21
![Page 22: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/22.jpg)
Physical Assessment
: visual fields
(superior, inferior, nasal, temporal)
inspection, palpation, ophthalmoscopy
sitting
visual acuity charts (Snellen), penlight, ophthalmoscope, cotton ball, cotton swab, printed material
22
![Page 23: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/23.jpg)
Visual Acuity
Snellen eye chart
read newsprint 13 to 15eyes
identify color bars on Snellen or use color plates
come in from the periphery in all fields and note field cuts 23
![Page 24: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/24.jpg)
24
![Page 25: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/25.jpg)
25
![Page 26: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/26.jpg)
26
![Page 27: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/27.jpg)
A
27
![Page 28: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/28.jpg)
Palpation of External Structures
consistency and tenderness
: tenderness and excessive tearing
28
![Page 29: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/29.jpg)
Ophthalmoscopy
Red reflex: presence, opacities
Optic disc and physiologic cup: color, size, shape, borders, cup-disc ratio
Retinal vessels: size ratio of arteries and veins2:3, color, arteriole light reflex,
Retina: color, texture, exudates, lesions, hemorrhages, and aneurysms
Macula and fovea: color, size, location, lesions
fovea
29
![Page 30: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/30.jpg)
30
![Page 31: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/31.jpg)
Eye Pain
31
![Page 32: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/32.jpg)
Red Eye
32
![Page 33: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/33.jpg)
33
![Page 34: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/34.jpg)
34
![Page 35: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/35.jpg)
35
![Page 36: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/36.jpg)
36
![Page 37: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/37.jpg)
37
![Page 38: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/38.jpg)
Pupil size
38
![Page 39: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/39.jpg)
39
![Page 40: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/40.jpg)
Arcus Senile Cornea
40
![Page 41: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/41.jpg)
41
![Page 42: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/42.jpg)
hirschberg test
42
![Page 43: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/43.jpg)
(LP)
(HM)
(CF)
43
![Page 44: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/44.jpg)
44
![Page 45: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/45.jpg)
45
![Page 46: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/46.jpg)
Assessing the Ears
46
![Page 47: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/47.jpg)
Objectives
47
![Page 48: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/48.jpg)
Anatomy Review Structures
: auricle and external ear canal
tympanic membrane and auditory ossicles, eustachian tube
labyrinth, cochlea, organ of Corti, and CN VIII
48
![Page 49: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/49.jpg)
49
![Page 50: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/50.jpg)
FunctionsWhat are the functions of:
50
![Page 51: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/51.jpg)
Functions,
51
![Page 52: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/52.jpg)
Relationships of the Ears to Other Systems
52
![Page 53: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/53.jpg)
53
![Page 54: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/54.jpg)
CN VIII,
1st Level:
2nd Level:
3rd Level:
54
![Page 55: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/55.jpg)
55
![Page 56: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/56.jpg)
DevelopmentalVariations
Children Eustacian tubes are shorter, wider, more horizontal
therefore more prone to migrating bacteria from nasopharnyx
Young Adults Exposure to NOISE is most common cause of hearing
loss
Older Adults Hearing loss from aging, cerumen accumulation
56
![Page 57: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/57.jpg)
What symptoms would signal a problems with the ears?
57
![Page 58: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/58.jpg)
.
.
.
58
![Page 59: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/59.jpg)
conductive and sensorineural hearing loss
59
![Page 60: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/60.jpg)
Physical Assessment
60
![Page 61: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/61.jpg)
Inspection/Palpation of the External Ear
61
![Page 62: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/62.jpg)
62
![Page 63: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/63.jpg)
63
![Page 64: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/64.jpg)
Otoscopic Exam
: patency , color, drainage, lesions, and foreign objects
: color, intactness , landmarks , and mobility
64
![Page 65: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/65.jpg)
65
![Page 66: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/66.jpg)
Eardrum
66
![Page 67: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/67.jpg)
Ear Infection Acute Suppurative Otitis
67
![Page 68: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/68.jpg)
Binaural Tympanic-Membrane Perforation
68
![Page 69: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/69.jpg)
69
![Page 70: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/70.jpg)
Tests for Function
70
![Page 71: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/71.jpg)
71
![Page 72: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/72.jpg)
Whispering test
72
![Page 73: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/73.jpg)
73
![Page 74: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/74.jpg)
Weber's Test
74
![Page 75: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/75.jpg)
Rinne test
75
![Page 76: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/76.jpg)
Case Study
76
![Page 77: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/77.jpg)
Pertinent History Findings with Mr. Nejati
77
![Page 78: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/78.jpg)
78
![Page 79: Assessing the Eyes & Earsresearch.iaun.ac.ir/pd/yazdani-nurse/pdfs/UploadFile_7419.pdf · Snellen E chart: 3yr old 20/40 4yr old vision 20/30, 5-6yr old normal tests: color blindness,](https://reader033.fdocuments.in/reader033/viewer/2022042300/5ecb8cedcd41a27b745b70bb/html5/thumbnails/79.jpg)
79