Hearing Screening
Hearing Screening: Introduction Print Section Listen Indications • Conductive hearing loss results from an obstruction of the air conduction pathway in the outer or middle ear. • Sensorineural hearing loss…
Regional Nerve Blocks for Bone Fractures
Indications Print Section Listen Digital Block • Provides analgesia in the fingers and toes for treatment of fractures, dislocations, and lacerations. Hematoma Block • Analgesia for fracture reduction. • Most…
Arthrocentesis
Arthrocentesis: Introduction Print Section Listen Indications • Diagnostic: Sampling of fluid for laboratory evaluation (eg, septic joint, inflammatory arthritis). • Therapeutic. • Injection of corticosteroids. • Injection of local anesthetic….
Lumbar Puncture
Indications Print Section Listen • Central nervous system (CNS) infection (viral, fungal, or bacterial) or malignancy. • Intracranial pressure or pseudotumor. • Metabolic studies. • Aminoacidopathies. • Neurotransmitter disorders. •…
Vision Screening
Indications Print Section Listen • All newborn infants and all children at subsequent well-child health supervision visits. • All premature infants. • Children with significant developmental delay or neurologic disorders….
Foreign Body Removal: External Auditory Canal
Indications Print Section Listen • Foreign body lodged in the external auditory canal. Contraindications Print Section Listen Absolute • Perforated tympanic membrane. Relative • Inability to visualize the tympanic membrane….
Corneal Abrasion and Eye Patching
Indications Print Section Listen • Suspected corneal abrasion. • History of eye trauma, prolonged use of contact lenses, or irritability in a nonverbal patient. • Abnormal vision. • Decreased visual…
Anterior Nasal Packing
Indications Print Section Listen • Persistent epistaxis localized anteriorly on the nasal septum that does not respond to digital pressure, topical vasoconstrictive agents, or cautery. Equipment Print Section Listen •…
Tympanometry
Indications Print Section Listen • Tympanometry directly measures the compliance of the tympanic membrane and ossicular chain, estimating middle ear pressure. • Tympanometry is primarily used to detect the presence…
Myringotomy and Tympanostomy Tube Insertion
Indications Print Section Listen • Otitis media with effusion (OME) persisting longer than 3 months. • Hearing loss > 30 dB in patients with OME. • Recurrent episodes of acute…
