This document provides medical terminology definitions and abbreviations for terms related to the special senses (eyes, ears, nose, and throat). It defines terms such as pressure equalizing tube (PE tube), which is a small tube surgically inserted into the eardrum; eye, ear, nose, and throat (EENT), which refers to the medical specialty; and bone conduction, which is the conduction of sound to the inner ear through the skull bones. Other terms defined include otitis media (OM), inflammation of the middle ear; emmetropia (EM), the condition of normal vision; exotropia (XT), an outward deviation of the eyes; and visual acuity (VA), the clearness or
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1-Relationship of thorax to neck .
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My Goals::::
1-Relationship of thorax to neck .
2-relationship of thorax to upper limb.
3-relationship of thorax to breasts : pleural cavity - pleural and Lung .
The Efficacy of Mobile ESWL Service (One year review)Shady Nafie
Abstract Objective. Extracorporeal shockwave lithotripsy (ESWL) is the management of choice for ureteric and renal stones 20 mm or smaller, with a stone clearance rate of up to 89%. This study determined whether such a high success rate could apply to centres using mobile ESWL, by reviewing the performance at one centre that provides such a service. Material and methods. Between July 2011 and July 2012, 222 patients (median age 51 years, range 18-90 years) underwent one to five sessions of ESWL for ureteric and renal stones (mean size 15 mm, range 4-22 mm). Stone clearance was regarded as residual fragments 2 mm or smaller after completion of sessions. Results. In total, 110 out of 222 patients (49%) were clear of stones. Stones were radiopaque in 198 (89%) and radiolucent in 24 patients (11%), with clearance rates of 48% and 63%, respectively. Regarding size, 36 (16%) were 1-5 mm, 144 (65%) 5-10 mm, 28 (12%) 10-15 mm, eight (4%) 15-20 mm and six (3%) larger than 20 mm, with clearance rates of 61%, 55%, 18%, 13% and 50%, respectively. In total, 173 (78%) were renal stones and 49 (22%) ureteric, with respective clearance rates of 49% and 51%. For kidney stones, 15 (9%) were in the upper, 32 (18%) in the mid, 75 (43%) in the lower pole and 51 (30%) in the pelvis, with clearance rates of 52%, 59%, 49% and 41%; for ureteric stones, 32 (65%) were in the upper, 10 (20%) in the mid and seven (15%) in the lower ureter, with clearance rates of 47%, 70% and 43%, respectively. Conclusion. The performance of mobile ESWL was significantly poorer than expected, and this may be related to a lack of clinical ownership. The authors believe that such a service should be permanently placed on site.
Use focusing Shock Waves to breakdown
a stone into small pieces.
Shock waves are acoustic pulses.
Pass through better in water and solid but
not in air.
Introduce in 1980 by Dornier which is a supersonic aircraft company
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3. Pressure Equalizing Tube
• A small tube that is surgically inserted into
the eardrum. It may be required due to:
- A substantial hearing loss in patients with otitis media
- Poor response to antibiotics
- Otitis media with fluid for more than 3 months
- Recurrent episodes of acute otitis media
- Chronic retraction of the eardrum.
- Significant eustachian tube problems with flying or altitude changes
7. Bone Conduction
• Abbreviated BC
• The conduction of sound to the inner ear through the bones of
the skull.
• Bone conduction is the reason why a person's voice sounds
different to him/her when it is recorded and played back.
• There are 2 types of bone conduction that are recognized
-compressional bone conduction: high pitched
sounds cause segments of the skull to vibrate
individually which stimulate the sensory cells that are involved
in receiving sound waves in the air.
-inertial bone conduction: low pitched sounds vibrate the entire
skull, causing it to move while the suspended sensory parts of
the inner ear remain at rest.
8. Both ears
• Abbreviated AU
• Abbreviation used in charting to quickly
denote that the patient is having issues
with both of their ears.
10. Otitis Media
• Abbreviated OM
• Inflammation of the middle ear, a middle
ear infection.
• Usually what is the cause for most ear
aches, the other being otitis externa.
• Though severely painful, otitis media is not
threatening and usually heals on its own
within 2–4 weeks.
12. emmetropia
• Abbreviated EM
• The condition of the normal eye when
parallel rays are focused exactly on the
retina and vision is perfect.
• An emmetropic eye does not need
corrective lenses.
14. exotropia
• Abbreviated XT
• refers to an outward deviation of the eyes
(outward drift)
• Although it commonly begins around age
2 to 4 years, it can appear at any age.
19. Visual acuity
• Abbreviated VA
• Is acuteness or clearness of vision, which
is dependent on the sharpness of the
retinal focus within the eye and the
sensitivity of the interpretative faculty of
the brain.