tinnitus- -auditory perception not produced by an external stimulus
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what is tinnitus commonly described as?- -ringing, roaring, hissing or whooshing
Is tinnitus high pitch or low pitch?- -it can range from high pitch to low pitch or even a
noise like sound with no pitch type
objective tinnitus- -tinnitus which can be heard by placing a stethoscope over the
patient's ear
- -
subjective tinnitus- -patient perceives sound in the absence of objective sound
source
is subjective or objective tinnitus more common?- -subjective
what are three possible mechanisms that produce tinnitus?- --outer hair cell
decoupling from the tectorial membrane
-hyperactivity of neural firing
, -hypoactivity of neural firing
What are four ways tinnitus is characterized? (vary in, how often, arises, heard where)-
Page | 2 --It can vary in pitch, loudness and tonal quality
-It may be constant, pulsed or intermittent
-it can arise slowly or suddenly
-it may be hear in the ears or the head
how does tinnitus affect someones life?- -an individual can be annoyed by tinnitus
what is the structure that is the underlying cause of tinnitus?- -cochlea
what is one underlying cause of tinnitus?- --aspirin
-noise exposure
-other factors
, what are the two major systems involved in tinnitus?- --limbic system
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-autonomic nervous system
how does the limbic system affect tinnitus?- -involves motivation, mood and
emotions and may result in mood swings and telling the brain that the sound is bad
how does the autonomic nervous system affect tinnitus?- -it prepares the body for
physical action (fight or flight) and tries to fix the sound or make it go away
what is habituation?- -decreasing responsiveness with repeated stimulation
how does habituation relate to tinnitus?- -when a patient is introduced to a neutral
noise in gaps of silence, it allows for the patient to change their perception of tinnitus
consent- -everyone has a right to know what procedures will be performed and what
will be expected during the appointment
assumed consent- -not a formal written consent, for certain non-invasive procedures
such as when taking a case history
assent- -children cannot provide legal consent but it is good to have their assent and
to explain in simplified, age appropriate