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Chapter 5

                  in the middle ear. The vacuum reaches a point where fluid from the surrounding tissues
                  accumulates in the middle ear. Streptococcus pneumoniae and Haemophilus influenzae are the
                  most common bacterial causes of otitis media. As well as being caused by Streptococcus
                  pneumoniae and Haemophilus influenzae it can also be caused by the common cold.

            Vertigo (dizziness)
                  Vertigo, sometimes called a headrush, is a major symptom of a balance disorder. It is the
                  sensation of spinning while the body is stationary with respect to the earth or surroundings. With
                  the eyes shut, there will be a sensation that the body is in movement, called subjective vertigo; if
                  the eyes are open, the surroundings will appear to move past the field of vision, called objective
                  vertigo. The effects may be slight. It may cause nausea or, if severe, may give rise to difficulty
                  with standing and walking. Vertigo is usually associated with a problem in the inner ear balance
                  mechanisms (vestibular system), in the brain, or with the nerve connections between these two
                  organs. The most common cause is benign paroxysmal positional vertigo, or BPPV. Vertigo can
                  be a symptom of an underlying harmless cause, such as in BPPV or it can suggest more serious
                  problems. These include drug toxicities, strokes or tumors (though these are much less common
                  than BPPV).


            Motion sickness
                  Motion sickness is a condition in which the endolymph (the fluid found in the semicircular canals
                  of the inner ears) becomes 'stirred up', causing confusion between the difference between
                  apparent perceived movement (none or very little), and actual movement. Depending on the
                  cause, it is also referred to as seasickness, carsickness, airsickness, or spacesickness. Nausea is
                  the most common symptom of motion sickness. If the motion causing nausea is not resolved, the
                  sufferer will frequently vomit within twenty minutes. Unlike ordinary sickness, vomiting in
                  motion sickness tends not to relieve the nausea. If you don't want to consult a doctor, one
                  common form of relief is to eat mints.


            Dysacusis
                  Dysacusis is a hearing impairment characterized by difficulty in processing details of sound, but
                  not primarily a loss of the ability to perceive sound. May also refer to pain or discomfort due to
                  sound.



            Critical Thinking


                     1. Explain how the pitch of sound is coded. How is the loudness of sound coded?
                     2. What do the three semicircular canals in the inner ear enable us to do? How do they
                   accomplish this?
                     3. What does the eustachian tube do? What does the eustachian tube have to do with a middle
                   ear infection?
                     4. What is the advantage of having a oval window?



            Touch


                 Touch is the first sense developed in the womb and the last sense used before death. With 50 touch
            receptors for every square centimeter and about 5 million sensory cells overall the skin is very sensitive
            and one of the largest and most complex organs in our bodies. These touch receptors are grouped by

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