Chapter 15 – Special Senses
Supplemental Medical Record Activity 15-1
Chronic Suppurative Otitis Media
Term
Canaloplasty
Cerumen
Eustachian tube
Ossicular chain
Peritympanic incision
Postauricular
Purulent debris
Resected
Tympanic membrane perforation
Tympanosclerosis
Definition
Reconstruction of the ear canal
Waxy secretion in the ear canal
Tube that connects the nose and throat to the
middle ear
Sequence of the three ossicles (malleus, incus,
stapes)
Cut made around the tympanic membrane
Behind the ear
Foreign matter consisting of pus
Operative procedure to remove or shorten
Hole in the flat membranous structure at the end
of the ear canal
Hardening of the tympanic structures
Analysis:
1. Pt had a perforated tympanic membrane.
2. No, but middle ear mucosa was mildly inflamed.
3. Lacrimal probes were passed to check for obstruction.
4. Peritympani
5. 3-0 Vicryl
6. Malleus
7. Saline soaked gelfoam.
Supplemental Medical Record Activity 15-2
Cataract
Term
Cataract
BP
c/d ratio
Conjunctiva
EOMS
Exudate
Foveal reflexes
Gonioscopy
Iridodonesis
Lacrimal apparatus
Normocephalic
Definition
Opacities that form on lens of eye
Blood pressure
Ophthalmology term for cup to disc ratio
Thin mucous membrane that lines the inner
surface of the eyelids and passes over the cornea
Extraocular movements
Fluid or cellular debris that has deposited on tissue
surfaces – usually the result of inflammation
Movement on the surface of a pit on the retina
Examination of the angle of the posterior chamber
Abnormal quivering of the iris upon eye movement
Structures making up the tear ducts
Pertaining to a normally shaped head
PERRLA
Retinopathy
Sclera
Synechiae
Trabecular meshwork
WD
WN
Pupils equal, round, reaction to light and
accommodation
Any disease process of the retina
Outermost layers of the eyeball
Adhesions at the base of the iris to the cornea
General term for supporting or anchoring strands
of connective tissue
Well-developed
Well-nourished
Analysis:
1. Cataract
2. No
3. In bright light and under night driving conditions.
4. Non evidenced
5. Glaucoma is open angle, mild and well-controlled.
Supplemental Medical Record Activity 7-4
Allergic Rhinitis
Term
Exacerbates
Hypertrophy
Nasopharynx
Otoscopic
Rhinitis
Rhinorrhea
Septoplasty
Turbinate
Definition
Increases in severity
Increase in size of the body, organ or a structure
due to growth rather than tumor formation
Part of the pharynx situated above the soft palate
Pertaining to an instrument used to examine ear
Inflammation of nasal mucosa
Thin, watery discharge from the nose
Repair of the nasal septum
Shaped like an inverted cone
Analysis:
1. Septoplasty and turbinate reduction.
2. Significant improvement in airway passage
3. Sneezing and watery rhinorrhea as well as a tickling of the palate and burning of the eyes.
4. Somewhat pale and edematous with a serous discharge.
5. Double strength Vancenase AQ and Allegra; see an allergist to undergo definitive allergy
testing.
Supplemental Medical Record Activity 7-3
Peritonsillar Abscess
Term
Cervical adenopathy
Edema
Erythema
Erythematous
Mucopurulent
Nasopharyngitis
Oropharynx
Peritonsillar abscess
Pharyngitis
Purulent
Rhinoscopy
Submandibular
Tonsillectomy
Definition
Disease process of the cervical glands
Excessive accumulation of fluid in the tissue
Redness
Pertaining to redness
Thick, puslike mucous drainage
Inflammation of the nose and throat
Back of the throat
Infected wound surrounding the tonsils
Inflammation of the throat
Containing pus
Procedure to visually examine the nose
Below the mandible (lower jaw bone)
Excision of the tonsils
Analysis:
1. Recurrent pharyngitis and peritonsillar abscess
2. Left submandibular lymph node
3. Mucopurulent drainage with erythematous inflammation of the adenoid pad
4. No, there was no purulent drainage
5. Augmentin and Ibuprofen.