Student.Handout.HEENT (2)

Apply 5 10 drops in the affected ear and allow it to

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Apply 5 – 10 drops in the affected ear and allow it to remain for 10 – 15 minutes Carefully rinse with an otic syringe filled with warm water Apply twice daily for ≤ 4 days If visible cerumen still remains or if symptoms persist after 4 days consult a clinician Photo adopted from: http://www.safemedication.com/safemed/MedicationTipsTools/HowtoAdminister/HowtoUseEarDropsProperly.aspx
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47 Water-Clogged Ears Excess water trapped in the ear after swimming or bathing Environment for pathogens Prevent by tilting head or ear to remove excess water Symptoms Wetness or fullness inside the ear Minor or gradual hearing loss Complications Itching, pain, inflammation, infection Risks Narrow, abnormal ear canal shape Excessive Cerumen Photo adopted from: http://clipart.coolclips.com/150/wjm/tf05147/CoolClips_vc004802.jpg
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48 Water-Clogged Ears Drying-Agent Isopropyl alcohol 95% in anhydrous glycerin 5% Only FDA approved product Auro-Dri Drops ®, Star Otic ® , Swim Ear Drops ® Age ≥ 12 years Apply 4 to 5 drops in affected ear Acetic acid 5% in isoprophyl alcohol 95% Bactericidal and antifungal properties 50:50 clinician prepared solution Photo adopted from: http://www.auroear.com/products/auro-dri-swimmers-ear
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49 Ear Infections Otitis Externa (“swimmer’s ear”) Pain is predominant complaint Requires physician referral Pathogens: Staph aureus, Pseudomonas aeruginosa ~10% due to fungal infection Prescription antibiotics Corticosteroids OTC pain medications Otitis Media Otitis Interna Photo adopted from: http://www.medicinenet.com/ear_infection/article.htm
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50 Patient Counseling Points Remove water after swimming or bathing Warn patients of the fragility of the EAC Irreversible damage can be caused by improper use of OTC treatments Excessive moisture Forceful irrigation Sharp objects Abrasions
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51 Oral Disorders
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Oral Disorders Dental caries Gingivitis Denture associated disorders Oral Pain and discomfort Tooth hypersensitivity Teething Aphthous stomatitis Herpes Simplex Labialis Xerostomia Photo adopted from: http://www.ortho360.com/wp-content/uploads/2009/05/brush.jpg
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53 Anatomy of the Tooth Photo adopted from: http://www.yalemedicalgroup.org/stw/Page.asp?PageID=STW026281
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54 Dental Caries Infectious disease of calcified tissues Plaque bacteria produce acidic byproducts that degrade tooth enamel Affects 20% of the population Risks Poor oral hygiene Receding gums Xerostomia Orthodontic appliances Tobacco products Alcohol consumption Photo adopted from: http://www.aquafreshscienceacademy.com/oral-health/enamel-protection/dental-cavities.html
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55 Proper Oral Hygiene Brush ≥ twice daily with a soft bristle toothbrush Switch toothbrush every ≤ 3 months History of caries brush after all meals Fluoride toothpaste +/- topical fluoride Floss ≥ once daily Oral irrigating device = additional benefit
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56 Topical Fluoride Treatments Benefits Reduces solubility of tooth enamel Interferes with plaque adherence
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Apply 5 10 drops in the affected ear and allow it to remain...

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