pseudo-deafness
Introduction
Introduction to falsehood The pseudo-sputum is also called the dressing, and the hearing system has no organic lesions and the hearing is normal. Puppets have no mental trauma, but know that their hearing is normal, because they have intentionally pretended to deaf. In order to make the ear "lesion" significant, there are also self-injured ear, pure tone audiometry is mostly sputum, and the passenger observation and hearing is completely normal. Audiological examination helps identify false tendons, but care should be taken to identify functional deafness. Analyze the patient's etiology and behavioral motivation to understand whether it is related to trauma, and to persuade the unwilling to cooperate with the examiner. Express sympathy for the patient's experience, and imply that the results of the examination are inconsistent with the facts, understand the social level of the patient's education, family background, economic status, etc., and obtain the trust and cooperation of the patient with a cordial discourse and respect. Because the patient tries to cover up his true hearing level, there are often abnormal words and deeds, and the nurse takes the transfer and grooming method. More talk with patients, patiently listen to the patient's narrative, reduce their psychological pressure, achieve mental relief, and communicate with relevant personnel in the patient's social relationship, mobilize all aspects of strength, help patients face the reality, with inspection and treatment. basic knowledge The proportion of sickness: 0.01% Susceptible people: no special people Mode of infection: non-infectious Complications: sudden deafness
Cause
Pseudo-sickness
Cause:
Puppets have no mental trauma, but know that their hearing is normal, because they have intentionally pretended to deaf. In order to make the ear "lesion" significant, there are also self-injured ear, pure tone audiometry is mostly sputum, and the passenger observation and hearing is completely normal.
Prevention
False prevention
Analyze the causes and behavioral motives of patients with false sputum, and find out whether they are persuading with those who are unwilling to cooperate with the examiner. Express sympathy for the patient's experience, and imply that the results of the examination are inconsistent with the facts, understand the social level of the patient's education, family background, economic status, etc., and obtain the trust and cooperation of the patient with a cordial discourse and respect. Because the patient tries to cover up his true hearing level, there are often abnormal words and deeds, and the nurse takes the transfer and grooming method. More talk with patients with false sputum, patiently listen to the patient's narrative, reduce their psychological pressure, achieve mental relief, and communicate with relevant personnel in the patient's social relationship, mobilize all aspects of strength, help patients face the reality, with inspection and treatment.
Complication
Pseudoquinone complications Complications sudden deafness
Hearing loss, sudden deafness, false sounds, etc. may occur.
Symptom
False symptoms, common symptoms, hearing loss, hearing loss, hearing loss
False sputum, also known as bluffing, refers to the hearing system that is disease-free or has only minor damage, and consciously exaggerates the degree of hearing impairment. The motives for pretending are very complicated, and many nicknames are unilaterally severe, which is easily seen by both pseudo-sui. Puppets are very alert, and some are familiar with conventional audiometry methods. Even with some special audiometry methods, it is difficult to confirm the diagnosis.
Pseudo-sputum is mainly manifested in repeated test thresholds. Inconsistent language recognition is also inconsistent. Objective trust tests such as sacral muscle reflex cochlear electrogram and brainstem evoked potential are not normal.
Examine
False inspection
Since the admittance of acoustic impedance, auditory evoked potentials and otoacoustic emission audiometry, the accurate identification of false sputum has not been a problem.
Diagnosis
False diagnosis and identification
The main diagnostic methods are: repeated auditory results are difficult to mutate, no loudness reverberation, speech acceptance threshold and recognition rate are low, self-trace measurement curve is V-shaped, sacral muscle acoustic reflection and auditory brainstem evoked potential normal. There was no change in the report vestibular function. Pure tone audiometry is a subjective hearing test that is easily disguised or exaggerated by the subject, but the result is the preferred indicator for accurate quantitative diagnosis of the subject's hearing level. Therefore, the tester must accurately estimate the true hearing of the subject based on the objective test results, and obtain the trust and cooperation of the subject in order to obtain the true hearing of the subject.
All patients need to go through detailed medical history, perform routine clinical examination of otolaryngology, and then perform pure tone hearing threshold test. Review the pure tone audiometry for suspicious persons with initial examination results. If necessary, combine acoustic conduction or auditory brainstem response, auditory related potential. Check, initial hearing abnormalities, and finally determine that the hearing is normal or determined to be false. However, the final hearing threshold is more than 15db lower than the initial hearing threshold. It is determined to be exaggerated deafness. The behavioral audiometry and behavioral observation of the subjects is the first step in deafness. Because the subjects try to cover up their true hearing level, they often say that they are too nervous or nervous. According to the type of the main cause and the way of injury, combined with the patient's mental state and behavior, they can often judge the hearing level of the subject. Whether it is false.
