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Q1 Briefly describe the structure of human ear and how the ears contribute to our hearing...

Q1 Briefly describe the structure of human ear and how the ears contribute to our hearing



Q2 The major organ systems and their vital components are given in the template. Please complete the file from the Handouts for the unit and upload in the "Attach Files" section of the question. Identify one (1) common disorder affecting each organ or component and list two (2) signs and symptoms of each disorder, problem or complaint.
Organ System

Organs / Components

Common disorders, problems and complaints

Two (2) signs and symptoms

Cardiovascular system

Heart

E.g. Congestive cardiac failure

Shortness of breath, edema and fatigue.






Q3 You are required to insert a naso gastric tube for a resident. What cautions and contraindications will you look for prior to using Xylocaine jelly as a lubricant during tube insertion ?

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Answer #1

Structure. The human ear consists of three parts—the outer ear, middle ear and inner ear. ... The inner ear contains the otolith organs—the utricle and saccule—and the semicircular canals belonging to the vestibular system, as well as the cochlea of the auditory system.

Structure of Ear:

Each ear consists of three portions:

(i) External ear,

(ii) Middle ear and

(iii) Internal ear.

1. External Ear:

It comprises a pinna, external auditory meatus (canal) & tympanic membrane.

(i) Pinna:pinna is a projecting elastic cartilage covered with skin. Its most prominent outer ridge is called the helix. The lobule is the soft pliable part at its lower end composed of fibrous and adipose tissue richly supplied with blood capillaries. It is sensitive as well as effective in collecting sound waves.

(ii) External Auditory Meatus:

It is a tubular passage supported by cartilage in its exterior part and by bone in its inner part. The meatus (canal) is internally lined by hairy skin (stratified epithelium) and ceruminous glands (wax glands). The latter are modified sweat glands which secrete a waxy substance— the cerumen (ear wax) which prevents the foreign bodies entering the ear.

(iii) The tympanic membrane (tympanum):

Separates the tympanic cavity from the external auditory meatus. It is thin and semi-transparent, almost oval, though somewhat broader above than below. The central part of the tympanic membrane is called the umbo. The handle of the malleus is firmly attached to the membrane’s internal surface.

Functions of External Ear:

It directs sound waves towards the tympanic membrane. The sound waves produce pressure changes over the surface of the tympanic membrane. The cerumen (ear wax) prevents the entry of the foreign bodies into the ear.

2. Middle Ear:

It includes the following:

(i) The tympanic cavity, filled with air is connected with the nasopharynx through the Eustachian tube (auditory tube), which serves to equalize the air pressure in the tym­panic cavity with that on the outside.

The incus in turn is connected with the stapes, which is attached to the oval membrane covering the fenestra ovalis (oval window) of the inner ear. Malleus is the largest ossicl e, however, stapes is smallest ossicle. Stapes is also the smallest bone in the body.

(iii) Two skeletal muscles, the tensor tympani attached to the malleus and the stapedius attached to the stapes, are also present in the middle ear. Stapedius is the smallest muscle in the body.

(iv) The middle ear is connected with the inner ear through two small openings closed by the membranes. These openings are (a) fenestra ovalis (oval window) as mentioned above and (b) fenestra rotunda (round window).

3. Internal Ear:

There is a body cavity on each side enclosed in the hard periotic bone which contains the perilymph. The later corresponds to the cerebrospinal fluid. A structure, the membranous labyrinth floats in the perilymph. The membranous labyrinth consists of three semicircular ducts, utricle, saccule, endolymphaticus and cochlea.

(i) Semicircular Ducts:

There are present three semicircular ducts; the anterior, the posterior and the lateral semicircular ducts. They arise from the utricle. The anterior and posterior semicircular ducts arise from crus commune.

Each semicircular duct is enlarged at one end to give rise to a small rounded ampulla. The anterior and lateral semicircular ducts bear ampullae at their anterior ends, while the posterior duct contains an ampulla at its posterior end.

Each ampulla contains a sensory patch of cells, the crista Each crista consists of two kinds of cells, the sensory and supporting cells. The sensory cells bear long sensory hairs at their free ends and nerve fibres at the other end. The sensory hairs are partly embedded in a gelatinous mass, the cupula. The cristae are concerned with balance of the body.

(ii) Utricle, Endolymphaticus and Saccule:

The utricle is a dorsally placed structure to which all the three semicircular ducts are connected. The saccule is a ventrally situated structure which is joined with the utricle by a narrow utriculosaccular duct. From this duct a long tube, the ductus endolymphaticus arises which ends blindly as the saccus

endolymphaticus. Both utricle and saccule contain sensory patches, the maculae. A macula comprises sensory and supporting cells similar to those of the crista. The hair are not actually motile and are embedded in a gelatinous membrane, the otolith membrane in which there are also found very small crystals of calcium carbonate, the otolith. The cristae and maculae are the receptors of balance.

Cochlea:

It is the main hearing organ which is connected with saccule by a short ductus reuniens leading from the saccule. It is spirally coiled that resembles a snail shell in appearance. It tapers from a broad base to an almost pointed apex.

Internally it consists of three fluid filled chambers or canals, the upper scala vestibuli, lower scala tympani, and the middle scala media (cochlear duct). Both scala vestibuli and scala tympani are filled with perilymph.

1. Mechanism of Hearing:

The sound waves are collected by the external ear up to some extent. They pass through the external auditory meatus to the tympanic membrane which is caused to vibrate. The vibrations are transmitted across the middle ear by the malleus, incus and to the stapes bones. The latter fits into the fenestra ovalis. The perilymph of the internal ear receives the vibrations through the membrane covering, the fenestra ovalis.

From the perilymph the vibrations are transferred to the scala vestibuli of cochlea and then to scala media through Reissner’s membrane. Thereafter, the movements of endolymph and tectorial membrane stimulate the sensory hairs of the organ of Corti.

The impulses thus received by the hair cells are carried to the brain (temporal lobe of each cerebral hemisphere) through the auditory nerve where the sensation of hearing is felt (recognised).

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