Page 134 - 2021 IDMT Digital
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EUSTACHIAN TUBE DYSFUNCTION
Introduction:
• 7KH HXVWDFKLDQ WXEH SURYLGHV YHQWLODWLRQ DQG GUDLQDJH IRU WKH PLGGOH HDU WR WKH
QDVRSKDU\Q[
• ,W LV QRUPDOO\ FORVHG RSHQLQJ RQO\ GXULQJ VZDOORZLQJ RU \DZQLQJ
• :KHQ WKH IXQFWLRQ LV FRPSURPLVHG DQG WKH DLU LQ WKH PLGGOH HDU EHFRPHV DEVRUEHG
QHJDWLYH SUHVVXUH UHVXOWV ZKLFK LV RIWHQ XQFRPIRUWDEOH RU SDLQIXO
Subjective:
• 6LJQV DQG 6\PSWRPV
o 6HQVH RI IXOOQHVV RU GLVFRPIRUW LQ WKH HDU PLOG WR PRGHUDWH KHDULQJ LPSDLUPHQW
o &UDFNOLQJ RU SRSSLQJ VRXQG ZLWK 9DOVDOYD
• )RFXVHG +LVWRU\
o 5HFHQW LOOQHVV DOOHUJLF UKLQLWLV DLU WUDYHO RU GLYLQJ
Objective:
• 3K\VLFDO ([DP
o (17 H[DP PD\ UHYHDO UHWUDFWHG QRQ PRELOH 70
o ,I UHFHQW YLUDO LOOQHVV RU DOOHUJLF UKLQLWLV WXUELQDWHV PD\ VKRZ K\SHUWURSK\ DQG
HU\WKHPD
Assessment:
• 'LIIHUHQWLDO
o 6HURXV RWLWLV PHGLD 70 VKRZV GXOOQHVV IOXLG DQG K\SRPRELOLW\
o %DURWUDXPD EORRG EHKLQG 70 RU LQMHFWHG 70 ZLWK KLVWRU\ RI H[SRVXUH WR FKDQJH
LQ SUHVVXUH
o 7\PSDQLF PHPEUDQH UXSWXUH VXGGHQ SDLQ
Plan:
• 3VHXGRHSKHGULQH
• 2[\PHWD]ROLQH FRPELQHG ZLWK D JHQWOH 9DOVDOYD PDQHXYHU
• $OOHUJLF SDWLHQWV ZLOO EHQHILW IURP LQWUDQDVDO FRUWLFRVWHURLGV
Patient Education:
• $YRLG DLU WUDYHO UDSLG DOWLWXGLQDO FKDQJH DQG XQGHUZDWHU GLYLQJ
• )ROORZ XS $FWLRQV
o 5HWXUQ LI SDLQ ZRUVHQV RU V\PSWRPV GR QRW UHVROYH ZLWK WUHDWPHQW
o ,I IHYHU RYHU ! ) GHYHORSV
Preceptor Directive:
• Green Directive: Routine Review by Preceptor IAW AFI 44-103
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