11-07-2008, 10:20 AM
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EAR problem - guest78
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11-07-2008, 11:38 AM
ans is C,
Cerumen plugs that completely occlude the external ear canal are best approached first with a ceruminolytic to soften the wax and loosen adherence to the ear canal. Curettes are most effectively used when the occlusion is partial, allowing passage of the curette behind the plug. Irrigation could be attempted, though it is also more effective after use of a ceruminolytic and in the setting of a partial blockage where the irrigation solution can reach past the plug to push it out. Additionally, irrigation should be done with a 20-mL or smaller syringe to decrease the risk of rupturing the tympanic membrane. Audiogram should be ordered only if the hearing loss persists after removal of the cerumen. The patient™s social withdrawal may be a sign of depression. Screening for depression is warranted, and if persistent after hearing issues are addressed, then an antidepressant like fluoxetine may be warranted.
11-08-2008, 09:18 PM
thick wax, will lubricate first and make it soft before removing - great Q . aNS. C
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