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ملاحظات جميلة ال ENT بيحبوا يسألوا فيها من قناة Cocci ربنا يجازيهم كل خير

ENT audiology 🧨Normal human ear can hear sounds with intensity range = 0 to 140 dB 🧨Whispering voice test is normally heared at 9 feet 🧨Conversational voice test is normally heared at 9 meters 🧨Frequency of Tunning fork used in audiological assessment 👉512 Hz 🧨Frequency tested by Pure tone audiometry 👉125 to 8000 Hz 🧨Intensity range tested by Pure tone audiometry 👉 -10 to 120 dB 🧨Intensity of sound used in speech discrimination test 40 dB above SRT 🧨In Tympanometry, pressure in external canal is changed from -200 mmH2O to +200 mmH2O 🧨Normal middle ear pressure 👉 0-25 mmH2O 🧨In type A tympanogram, peak is at zero 🧨Response to ABR is formed of 5 waves 🧨Free field audiometry is done in frequencies 500 to 4000Hz 🧨Speech discrimination score Normally 👉100% Conductive HL 👉100% but higher intensity Sensory HL 👉50-70% Neural HL 👉<40% 🧨Profound HL >90db 🧨Acute acoustic trauma : Hearing loss is max at 5500Hz 🧨Chronic acoustic trauma -Noise above 85 dB -Hearing loss is max at 4000Hz 🧨Stapedectomy is indicated in Stapedial otosclerosis if air bone gap >20 dB #notes_SS #cocci

✅the commonest congenital anomaly of the auricle Bat ear ✅The most common cause of Traumatic rupture of drum Hand slap Usually in pars tensa ✅Most common congenital anomaly of the middle ear Dehiscence of the bony facial canal ✅The most common affected joint in ossicular disruption Incudo-stapedial joint 🔴Don't squeeze furuncle in external ear ✅The most common route of infection in acute Otitis media Through eustachian tube ✅The Most common source of infection in acute Otitis media Nose ✅Otitis media is more common in infants & children ✅Otitis media complications are more common among infants & children ✅The most common type of chronic suppurative OM Tubo-tympanic (safe) type ✅The most common benign tumor of middle ear Glomus tumor ✅The most common malignant tumor of middle ear Squamous cell carcinoma ✅The most common complaint of Glomus tumor Pulsating tinnitus ✅The most common type of otosclerosis Stapedial otosclerosis ✅The most common cause of Sudden & flactuant Conductive Deafness Wax ✅The most common cause of bilateral Conductive hearing loss Secretory OM ✅The most common site of congenital cholesteatoma Petrous apex ✅The most accepted theory of cholesteatoma Primary acquired cholesteatoma (Prolonged ET obstruction) ✅The most common cause of perceptive Deafness is cochlear conditions (Sensory HL) ✅The most common cause of SNHL is Presbyacusis ✅The most important item for diagnosis of vertigo History ✅The most common cause of vertigo Benign paroxysmal positional vertigo ✅The 2nd most common cause of vertigo Vestibular neuritis ✅The most accurate method for diagnosis of nystagmus Electronystagmography ✅The most important balance test Video nystagmography ✅The most common type of mastoid air cells Cellular ✅Majority of cases of Sudden SNHL Idiopathic (viral or vascular) ✅The most recent hearing aids Digital hearing aids ✅The earliest nerve to be affected by Acoustic neuroma Trigeminal N (loss of corneal reflex) #notes_SS #cocci

🍭Compare bone conduction with air conduction in the same ear Rinne's test 🍭Compare bone conduction of both ears Weber test 🍭Compare bone conduction of patient with that of the examiner Schwbach's test 🍭Compare bone conduction of the patient with that of the examiner while pressing the tragus inward Absolute bone conduction test 🍭Level at which pt can repeat 50% of spondee words Speech Reception Threshold 🍭Threshold at which pt just detect presence of sound Speech Detection Threshold 🍭List of monosyllabic words presented to pt at 40 dB above SRT Speech Discrimination Threshold 🍭Record Child response to sound presented through Loud speakers Free field audiometry 🍭Recording of electric potential occuring in response to Auditory stimulation Auditory Brainstem Response 🍭Energy produced by outer hair cells of cochlea 👉propagated through middle ear 👉picked up in external canal Otoacoustic Emission 🍭Used to differentiate between cochlear & retrocochlear lesion ✔️Speech audiometry ✔️Otoacoustic emission 🍭Used in neonatal Screening Otoacoustic Emission 🍭Pressure at which peak of tympanogram occurs represent middle ear pressure 🍭In Absolute Bone Conduction test If pt has CHL 👉ABC is normal #notes_SS #cocci

اللهم افتح لنا أبواب حكمتك، وانشر علينا رحمتك، وامنن علينا بالحفظ والفهم، سبحانك لا علم لنا إلا ما علمتنا إنك أنت العليم الحكيم. اللهم افتح علينا بمعرفة العلم، وحسّن أخلاقنا بالحلم، وسهّلْ لنا أبواب فضلك، وانشر علينا من خزائن رحمتك، يا أرحم الراحمين. آخر ساعة من يوم الجمعة 🤍

كـلُ عـامٍ وأنـتمُ بخير 🤍 تقبل اللـه منا ومِنكُم صالـح الأعمـال.

متنسوش تدعو لأهلنا فى غزة و السودان و سوريا وكل بلاد المسلمين ربنا يفرج كربهم ويهونها عليهم . واللى لسه مدعاش ليا يدعى دلوقتى 🥹

استغلوا اليوم العظيم ده ف الدعاء مش عارفين هنعيشه تانى وإلا لا ، محدش يفضّل المذاكرة على الأعمال الصالحة والدعاء ، نحاول نوفق بين الاتنين لأنه مش هيتعوض و محدش ينسى ينوى للصيام إن ربنا يكفرلنا بيه ذنوب سنة ماضية وسنة جاية . وأخيرا تذكرونى فى دعائكم ولكم بالمثل 🤍

و دعواتكم لإخواننا فى فاقوس ربنا يباركلهم فى الوقت و يوفقهم ف الرمد بكرة بإذن الله و يكون سهل عليهم .