Presentation is loading. Please wait.

Presentation is loading. Please wait.

PowerPoint ® Lecture Slides prepared by Karen Dunbar Kareiva Ivy Tech Community College © Annie Leibovitz/Contact Press Images Chapter 15 Part D The Special.

Similar presentations


Presentation on theme: "PowerPoint ® Lecture Slides prepared by Karen Dunbar Kareiva Ivy Tech Community College © Annie Leibovitz/Contact Press Images Chapter 15 Part D The Special."— Presentation transcript:

1 PowerPoint ® Lecture Slides prepared by Karen Dunbar Kareiva Ivy Tech Community College © Annie Leibovitz/Contact Press Images Chapter 15 Part D The Special Senses © 2016 Pearson Education, Inc.

2 Hearing Hearing is the reception of an air sound wave that is converted to a fluid wave that ultimately stimulates mechanosensitive cochlear hair cells that send impulses to the brain for interpretation Properties of Sound Sound is a pressure disturbance (alternating areas of high and low pressure) produced by a vibrating object and propagated by molecules of the medium (air) © 2016 Pearson Education, Inc. 15.8 Sound Detection

3 Properties of Sound (cont.) Sound waves are created when an object moves: –Air molecules that are displaced by object movement are pushed forward into adjacent area, adding to air molecules already there Creates an area of high pressure due to compression of molecules together –As object returns to original position, the area it leaves now has fewer air molecules Creates an area of low pressure due to presence of fewer air molecules Referred to as rarefaction © 2016 Pearson Education, Inc.

4 Properties of Sound (cont.) Sound waves are alternating areas (waves) of compressions and rarefactions Object vibrating causes waves to move outward in all directions as air all around it is compressed and rarefied Kinetic energy of object is transferred to air molecules, which then transfer it to other air molecules –Wave energy declines with time and distance © 2016 Pearson Education, Inc.

5 Properties of Sound (cont.) Illustrated as an S-shaped curve, or sine wave –Compressions shown as crests, rarefactions as troughs © 2016 Pearson Education, Inc.

6 Figure 15.28a Sound: Source and propagation. © 2016 Pearson Education, Inc. Area of high pressure (compressed molecules) Area of low pressure (rarefaction) Crest Trough Wavelength Amplitude Distance A struck tuning fork alternately compresses and rarefies the air molecules around it. Air pressure

7 Figure 15.28b Sound: Source and propagation. © 2016 Pearson Education, Inc. Sound waves radiate outward in all directions.

8 Properties of Sound (cont.) Sound can be described by two physical properties: frequency and amplitude 1. Frequency Number of waves that pass given point in a given time Pure tone has repeating crests and troughs Wavelength –Distance between two consecutive crests –Shorter wavelength  higher frequency of sound –Wavelength is consistent for a particular sound © 2016 Pearson Education, Inc.

9 Properties of Sound (cont.) 1. Frequency (cont.) Frequency range of human hearing is 20–20,000 hertz (Hz  waves per second), but most sensitive between 1500 and 4000 Hz –Pitch: perception of different frequencies »Higher the frequency, higher the pitch –Quality: characteristic of sounds »Most sounds are mixtures of different frequencies »Tone: one frequency (ex: tuning fork) »Sound quality provides richness and complexity of sounds (music) © 2016 Pearson Education, Inc.

10 Figure 15.29a Frequency and amplitude of sound waves. © 2016 Pearson Education, Inc. High frequency (short wavelength)  high pitch 0.01 Frequency is perceived as pitch. 0.03 Low frequency (long wavelength)   low pitch Pressure 0.02 Time (s)

11 Properties of Sound (cont.) 2. Amplitude Height of crests Amplitude perceived as loudness: subjective interpretation of sound intensity –Measured in decibels (dB) –Normal range is 0–120 decibels (dB) »Normal conversation is around 50 dB »Threshold of pain is 120 dB –Severe hearing loss can occur with prolonged exposure above 90 dB »Amplified rock music is 120 dB or more © 2016 Pearson Education, Inc.

12 Figure 15.29b Frequency and amplitude of sound waves. © 2016 Pearson Education, Inc. High amplitude   loud Low amplitude  soft 0.010.03 Pressure 0.02 Amplitude (size or intensity) is perceived as loudness. Time (s)

13 Transmission of Sound to Internal Ear Pathway of sound 1. Tympanic membrane: sound waves enter external acoustic meatus and strike tympanic membrane, causing it to vibrate The higher the intensity, the more vibration 2. Auditory ossicles: transfer vibration of eardrum to oval window Tympanic membrane is about 20  larger than oval window, so vibration transferred to oval window is amplified about 20  © 2016 Pearson Education, Inc.

14 Transmission of Sound to Internal Ear (cont.) 3. Scala vestibuli: stapes rocks back and forth on oval window with each vibration, causing wave motions in perilymph Wave ends at round window, causing it to bulge outward into middle ear cavity 4a. Helicotrema path: waves with frequencies below threshold of hearing travel through helicotrema and scali tympani to round window 4b. Basilar membrane path: sounds in hearing range go through cochlear duct, vibrating basilar membrane at specific location, according to frequency of sound © 2016 Pearson Education, Inc.

15 Figure 15.30 Pathway of sound waves. © 2016 Pearson Education, Inc. Auditory ossicles MalleusIncus Oval window Cochlear nerve Stapes Scala vestibuli Helicotrema Scala tympani Cochlear duct Basilar membrane Tympanic membrane Round window 1 Sound waves vibrate the tympanic membrane. 1 Slide 2

16 Figure 15.30 Pathway of sound waves. © 2016 Pearson Education, Inc. Auditory ossicles MalleusIncus Oval window Cochlear nerve Stapes Scala vestibuli Helicotrema Scala tympani Cochlear duct Basilar membrane Tympanic membrane Round window 1 2 Sound waves vibrate the tympanic membrane. 1 Auditory ossicles vibrate. Pressure is amplified. 2 Slide 3

17 Figure 15.30 Pathway of sound waves. © 2016 Pearson Education, Inc. Auditory ossicles MalleusIncus Oval window Cochlear nerve Stapes Scala vestibuli Helicotrema Scala tympani Cochlear duct Basilar membrane Tympanic membrane Round window 1 2 3 Sound waves vibrate the tympanic membrane. 1 Auditory ossicles vibrate. Pressure is amplified. 2 Pressure waves created by the stapes pushing on the oval window move through fluid in the scala vestibuli. 3 Slide 4

18 Figure 15.30 Pathway of sound waves. © 2016 Pearson Education, Inc. 4a Auditory ossicles MalleusIncus Oval window Cochlear nerve Stapes Scala vestibuli Helicotrema Scala tympani Cochlear duct Basilar membrane Tympanic membrane Round window 1 2 3 4a Sounds with frequencies below hearing travel through the helicotrema and do not excite hair cells. Sound waves vibrate the tympanic membrane. 1 Auditory ossicles vibrate. Pressure is amplified. 2 Pressure waves created by the stapes pushing on the oval window move through fluid in the scala vestibuli. 3 Slide 5

19 Figure 15.30 Pathway of sound waves. © 2016 Pearson Education, Inc. 4b 4a 4b Auditory ossicles MalleusIncus Oval window Cochlear nerve Stapes Scala vestibuli Helicotrema Scala tympani Cochlear duct Basilar membrane Tympanic membrane Round window 1 2 3 4a Sounds with frequencies below hearing travel through the helicotrema and do not excite hair cells. Sounds in the hearing range go through the cochlear duct, vibrating the basilar membrane and deflecting hairs on inner hair cells. Sound waves vibrate the tympanic membrane. 1 Auditory ossicles vibrate. Pressure is amplified. 2 Pressure waves created by the stapes pushing on the oval window move through fluid in the scala vestibuli. 3 Slide 6

20 Resonance of the Basilar Membrane Resonance: movement of different areas of basilar membrane in response to a particular frequency Basilar membrane changes along its length: –Fibers near oval window are short and stiff Resonate with high-frequency waves –Fibers near cochlear apex are longer, floppier Resonate with lower-frequency waves So basilar membrane mechanically processes sound even before signals reach receptors © 2016 Pearson Education, Inc.

21 Figure 15.31-1 Basilar membrane function. © 2016 Pearson Education, Inc. Let’s uncoil the cochlea to see how it separates different frequencies of sound so that we can hear different pitches. Stapes Basilar membrane

22 Figure 15.31-2 Basilar membrane function. © 2016 Pearson Education, Inc. Long, floppy fibers Base The properties of the basilar membrane change along its length. Short, stiff fibers Apex As a result, different frequencies vibrate the basilar membrane in different places.

23 Sound Transduction Excitation of inner hair cells –Movement of basilar membrane deflects hairs of inner hair cells Cochlear hair cells have microvilli that contain many stereocilia (hairs) that bend at their base Longest hair cells are connected to shortest hair cells via tip links –Tip links, when pulled on, open ion channels they are connected to –Stereocilia project into K + -rich endolymph, with longest hairs enmeshed in gel-like tectorial membrane © 2016 Pearson Education, Inc.

24 Figure 15.27c Anatomy of the cochlea. © 2016 Pearson Education, Inc. Tectorial membrane Hairs (stereocilia) Outer hair cells Supporting cells Basilar membrane Inner hair cell Afferent nerve fibers Fibers of cochlear nerve

25 Sound Transduction (cont.) Excitation of inner hair cells (cont.) –Bending of stereocilia toward tallest ones pull on tip links, causing K + and Ca 2+ ion channels in shorter stereocilia to open K + and Ca 2+ flow into cell, causing receptor potential that can lead to release of neurotransmitter (glutamate) –Can trigger AP in afferent neurons of cochlear nerve –Bending of stereocilia toward shorter ones causes tip links to relax Ion channels close, leading to repolarization (and even hyperpolarization) © 2016 Pearson Education, Inc.

26 Figure 15.32 Bending of stereocilia opens or closes mechanically gated ion channels in hair cells. © 2016 Pearson Education, Inc. Basilar membrane at restHairs bent toward tallest stereociliumHairs bent away from tallest stereocilium Tectorial membrane Tip link Stereocilia Hair cell Basilar membrane Cochlear nerve axon A few channels are open; cell slightly depolarized K , Ca 2  Tip links tighten, opening mechanically gated ion channels. 1 More cations enter; cell depolarizes. 2 Neurotransmitter release. 3 Action potentials in cochlear nerve. 4 Tip links loosen, closing mechanically gated ion channels. 1 No cations enter; cell hyperpolarizes. 2 Neurotransmitter release. 3 Action potentials in cochlear nerve. 4

27 Sound Transduction (cont.) Role of outer hair cells –Nerve fibers coiled around hair cells of outer row are efferent neurons that convey messages from brain to ear –Outer hair cells can contract and stretch, which changes stiffness of basilar membrane –This ability serves two functions: Increase “fine-tuning” responsiveness of inner hair cells by amplifying motion of basilar membrane Protect inner hair cells from loud noises by decreasing motion of basilar membrane © 2016 Pearson Education, Inc.

28 15.9 Auditory Pathways to Brain Auditory Pathway Neural impulses from cochlear bipolar cells reach auditory cortex via following pathway: –Spiral ganglion  –Cochlear nuclei (medulla)  –Superior olivary nucleus (pons-medulla)  –Lateral lemniscus (tract)  –Inferior colliculus (midbrain auditory reflex center  –Medial geniculate nucleus (thalamus)  –Primary auditory cortex © 2016 Pearson Education, Inc.

29 Auditory Pathway (cont.) Some fibers cross over, some do not; so both auditory cortices receive input from both ears © 2016 Pearson Education, Inc.

30 Figure 15.33 The auditory pathway. © 2016 Pearson Education, Inc. Medial geniculate nucleus of thalamus Primary auditory cortex in temporal lobe Inferior colliculus Lateral lemniscus Superior olivary nucleus (pons- medulla junction) Cochlear nuclei Vibrations Midbrain Medulla Vestibulocochlear nerve Spiral ganglion of cochlear nerve Bipolar cell Spiral organ

31 Auditory Processing Perception of pitch: impulses from hair cells in different positions along basilar membrane are interpreted by brain as specific pitches Detection of loudness is determined by brain as an increase in the number of action potentials (frequency) that result when hair cells experience larger deflections © 2016 Pearson Education, Inc.

32 Auditory Processing (cont.) Localization of sound depends on relative intensity and relative timing of sound waves reaching both ears –If timing is increased on one side, brain interprets sound as coming from that side © 2016 Pearson Education, Inc.

33 Equilibrium Equilibrium is response to various movements of head that rely on input from inner ear, eyes, and stretch receptors Vestibular apparatus: equilibrium receptors in semicircular canals and vestibule –Vestibular receptors monitor static equilibrium –Semicircular canal receptors monitor dynamic equilibrium © 2016 Pearson Education, Inc. 15.10 Maintenance of Equilibrium

34 Figure 15.24b Structure of the ear. © 2016 Pearson Education, Inc. Oval window (deep to stapes) Entrance to mastoid antrum in the epitympanic recess Auditory ossicles Malleus (hammer) Incus (anvil) Tympanic membrane Round window Stapes (stirrup) Semicircular canals Vestibule Vestibular nerve Cochlear nerve Cochlea Pharyngotympanic (auditory) tube Middle and internal ear

35 The Maculae Maculae: sensory receptor organs that monitor static equilibrium –One organ located in each saccule wall and one in each utricle wall Monitor the position of head in space Play a key role in control of posture Respond to linear acceleration forces, but not rotation © 2016 Pearson Education, Inc.

36 Figure 15.26 Membranous labyrinth of the internal ear. © 2016 Pearson Education, Inc. Temporal bone Vestibular nerve Superior vestibular ganglion I nferior vestibular ganglion Cochlear nerve Maculae Round window Cochlear duct in cochlea Stapes in oval window Saccule in vestibule Utricle in vestibule Spiral organ Cristae ampullares in the membranous ampullae Facial nerve Anterior Posterior Lateral Semicircular ducts in semicircular canals

37 The Maculae (cont.) Anatomy of a macula –Each is a flat epithelium patch containing hair cells with supporting cells –Hair cells have stereocilia and special “true stereocilium” called kinocilium Located next to tallest stereocilia –Stereocilia are embedded in otolith membrane, jelly-like mass studded with otoliths (tiny CaCO 3 stones) Otoliths increase membrane’s weight and increase its inertia (resistance to changes in motion) © 2016 Pearson Education, Inc.

38 The Maculae (cont.) Anatomy of a macula (cont.) –Utricle maculae are horizontal with vertical hairs Respond to change along a horizontal plane, such as tilting head –Forward/backward movements stimulate utricle –Saccule maculae are vertical with horizontal hairs Respond to change along a vertical plane –Up/down movements stimulate saccule (Example: acceleration of an elevator) © 2016 Pearson Education, Inc.

39 The Maculae (cont.) Anatomy of a macula (cont.) –Hair cells synapse with fibers of vestibular nerve whose cell bodies are located in superior and inferior vestibular ganglia Part of vestibulocochlear cranial nerve (VIII) © 2016 Pearson Education, Inc.

40 Figure 15.34a Structure and function of a macula. © 2016 Pearson Education, Inc. Macula of utricle Macula of saccule Otolith membrane Otoliths Kinocilium Stereocilia Supporting cells Hair cells Vestibular nerve fibers

41 The Maculae (cont.) Activating receptors of a macula –Hair cells release neurotransmitter continuously Acceleration/deceleration causes a change in amount of neurotransmitter released –Leads to change in AP frequency to brain –Density of otolith membrane causes it to lag behind movement of hair cells when head changes positions Base of stereocilia moves at same rate as head, but tips embedded in otolith are pulled by lagging membrane, causing hair to bend Ion channels open, and depolarization occurs © 2016 Pearson Education, Inc.

42 The Maculae (cont.) Activating receptors of a macula (cont.) –Bending of hairs in direction of kinocilia: Depolarizes hair cells Increases amount of neurotransmitter release More impulses travel up vestibular nerve to brain –Bending of hairs away from kinocilia: Hyperpolarizes receptors Less neurotransmitter released Reduces rate of impulse generation –Thus brain is informed of changing position of head © 2016 Pearson Education, Inc.

43 Figure 15.34b Structure and function of a macula. © 2016 Pearson Education, Inc. Force Gravity Head Upright Steady stream of action potentials in vestibular nerve Hairs bend toward kinocilium Head tilted forward Hair cell depolarizes Nerve fiber excited Action potentials in vestibular nerve Hairs bend away from kinocilium Head tilted backwards Hair cell hyperpolarizes Nerve fiber inhibited Action potentials in vestibular nerve

44 The Cristae Ampullares Receptor for rotational acceleration is crista ampullaris (crista) –Small elevation in ampulla of each semicircular canal Cristae are excited by acceleration and deceleration of head –Major stimuli are rotational (angular) movements, such as twirling of the body –Semicircular canals are located in all three planes of space, so cristae can pick up on all rotational movements of head © 2016 Pearson Education, Inc.

45 The Cristae Ampullares (cont.) Anatomy of a crista ampullaris –Each crista has supporting cells and hair cells that extend into gel-like mass called ampullary cupula –Dendrites of vestibular nerve fibers encircle base of hair cells Activating receptors of crista ampullaris –Cristae respond to changes in velocity of rotational movements of head –Inertia in ampullary cupula causes endolymph in semicircular ducts to move in direction opposite body’s rotation, causing hair cells to bend © 2016 Pearson Education, Inc.

46 Figure 15.35a Location, structure, and function of a crista ampullaris in the internal ear. © 2016 Pearson Education, Inc. Crista ampullaris Hair bundle (kinocilium plus stereocilia) Fibers of vestibular nerve Hair cell Crista ampullaris Supporting cell Endolymph Ampullary cupula Membranous labyrinth Anatomy of a crista ampullaris in a semicircular canal

47 Figure 15.35b Location, structure, and function of a crista ampullaris in the internal ear. © 2016 Pearson Education, Inc. Ampullary cupula Scanning electron micrograph of a crista ampullaris (200  )

48 The Cristae Ampullares (cont.) Activating receptors of crista ampullaris (cont.) –Bending hairs in cristae causes depolarization Rapid impulses reach brain at faster rate –Bending of hairs in opposite direction causes hyperpolarizations Fewer impulses reach brain –Thus brain is informed of head rotations © 2016 Pearson Education, Inc.

49 The Cristae Ampullares (cont.) Activating receptors of crista ampullaris (cont.) –Axes of hair cells in complementary semicircular ducts are opposite Depolarization occurs in one ear, while hyperpolarization occurs in other ear –Endolymph will come to rest after a while, so this system detects only changes in movements © 2016 Pearson Education, Inc.

50 Figure 15.35c Location, structure, and function of a crista ampullaris in the internal ear. © 2016 Pearson Education, Inc. Section of ampulla, filled with endolymph Ampullary cupula Fibers of vestibular nerve Flow of endolymph At rest, the cupula stands upright. During rotational acceleration, endolymph moves inside the semicircular canals in the direction opposite the rotation (it lags behind due to inertia). Endolymph flow bends the cupula and excites the hair cells. As rotational movement slows, endolymph keeps moving in the direction of rotation. Endolymph flow bends the cupula in the opposite direction from acceleration and inhibits the hair cells. Movement of the ampullary cupula during rotational acceleration and deceleration

51 The Cristae Ampullares (cont.) Vestibular nystagmus –Semicircular canal impulses are linked to reflex movements of eyes –Nystagmus is strange eye movements during and immediately after rotation Often accompanied by vertigo –As rotation begins, eyes drift in direction opposite to rotation; then CNS compensation causes rapid jump toward direction of rotation –As rotation ends, eyes continue in direction of spin, then jerk rapidly in opposite direction © 2016 Pearson Education, Inc.

52 Equilibrium Pathway to the Brain Equilibrium information goes to reflex centers in brain stem –Allows fast, reflexive responses to imbalance so we don’t fall down Impulses from activated vestibular receptors travel to either vestibular nuclei in brain stem or to cerebellum Three modes of input for balance and orientation: –Vestibular receptors –Visual receptors –Somatic receptors © 2016 Pearson Education, Inc.

53 Figure 15.36 Neural pathways of the balance and orientation system. © 2016 Pearson Education, Inc. Input: Information about the body’s position in space comes from three main sources and is fed into two major processing areas in the central nervous system. Cerebellum Visual receptors Somatic receptors (skin, muscle and joints) Oculomotor control (cranial nerve nuclei III, IV, VI) (eye movements) Vestibular nuclei (brain stem) Central nervous system processing Spinal motor control (cranial nerve XI nuclei and vestibulospinal tracts) (neck, limb, and trunk movements) Output: Responses by the central nervous system provide fast reflexive control of the muscles serving the eyes, neck, limbs, and trunk. Vestibular receptors

54 Clinical – Homeostatic Imbalance 15.15 Equilibrium problems are usually unpleasant and can cause nausea, dizziness, and loss of balance Nystagmus in the absence of rotational stimuli may be present © 2016 Pearson Education, Inc.

55 Clinical – Homeostatic Imbalance 15.15 Motion sickness: sensory inputs are mismatched –Visual input differs from equilibrium input –Conflicting information causes motion sickness –Warning signs are excess salivation, pallor, rapid deep breathing, profuse sweating –Treatment with antimotion drugs that depress vestibular input, such as meclizine and scopolamine © 2016 Pearson Education, Inc.

56 15.11 Homeostatic Imbalances of Hearing Deafness Conduction deafness –Blocked sound conduction to fluids of internal ear Causes include impacted earwax, perforated eardrum, otitis media, otosclerosis of the ossicles Sensorineural deafness –Damage to neural structures at any point from cochlear hair cells to auditory cortical cells –Typically from gradual hair cell loss © 2016 Pearson Education, Inc.

57 Deafness (cont.) Sensorineural deafness research is under way to prod supporting cells to differentiate into hair cells Cochlear implants that convert sound energy into electrical signals are effective for congenital or age/noise cochlear damage –Inserted into drilled recess in temporal bone –So effective that deaf children can learn to speak © 2016 Pearson Education, Inc.

58 Figure 15.37 Boy with a cochlear implant. © 2016 Pearson Education, Inc.

59 Tinnitus Ringing, buzzing, or clicking sound in ears in absence of auditory stimuli Due to cochlear nerve degeneration, inflammation of middle or internal ears, side effects of aspirin © 2016 Pearson Education, Inc.

60 Ménière’s Syndrome Labyrinth disorder that affects cochlea and semicircular canals Causes vertigo, nausea, and vomiting Treatment: anti–motion sickness drugs in mild cases or surgical removal of labyrinth in severe cases © 2016 Pearson Education, Inc.

61 Developmental Aspects of the Special Senses Taste and Smell All special senses are functional at birth Chemical senses: few problems occur until fourth decade, when these senses begin to decline –Odor and taste detection is poor after 65 © 2016 Pearson Education, Inc.

62 Developmental Aspects of the Special Senses Vision Optic vesicles protrude from diencephalon during week 4 of development –Vesicles indent to form optic cups Stalks form optic nerves –Later, lens forms from ectoderm Vision is not fully functional at birth; babies are hyperopic because eyes are shortened –See only gray tones –Eye movements are uncoordinated –Tearless for about 2 weeks © 2016 Pearson Education, Inc.

63 Developmental Aspects of the Special Senses Vision (cont.) By 5 months of age, infants can follow objects, but acuity is still poor Depth perception and color vision develop by age 3 Adult eye size reached around 8–9 years of age Around year 40, lenses start to lose elasticity, resulting in presbyopia © 2016 Pearson Education, Inc.

64 Developmental Aspects of the Special Senses Vision (cont.) With age, lens loses clarity, dilator muscles are less efficient; visual acuity is drastically decreased by age 70 –Lacrimal glands less active, so eyes are dry, more prone to infection © 2016 Pearson Education, Inc.

65 Developmental Aspects of the Special Senses Hearing and Balance Ear development begins in 3-week embryo Inner ears develop from thickening of ectoderm called otic placodes, which invaginate into otic pit and otic vesicle Otic vesicle becomes membranous labyrinth, and surrounding mesenchyme becomes bony labyrinth © 2016 Pearson Education, Inc.

66 Developmental Aspects of the Special Senses Hearing and Balance (cont.) Middle ear structures develop from endodermal pharyngeal pouches, ossicles from neural crest cells, and pharyngeal cleft (branchial groove) develops into outer ear structures Newborns can hear, but early responses are reflexive in nature –By month 4, infants can turn head toward voices of family members © 2016 Pearson Education, Inc.

67 Developmental Aspects of the Special Senses Hearing and Balance (cont.) Language skills tied to ability to hear well Few ear problems until 60s, when deterioration of spiral organ becomes noticeable Hair cell numbers decline with age –Presbycusis: loss of high-pitch perception occurs first Type of sensorineural deafness © 2016 Pearson Education, Inc.

68 Clinical – Homeostatic Imbalance 15.16 Congenital problems of eyes are relatively uncommon, but incidence is increased by certain maternal infections Rubella (German measles) is dangerous, especially during critical first 3 months of pregnancy Common problems associated with rubella infections are blindness and cataracts © 2016 Pearson Education, Inc.

69 Clinical – Homeostatic Imbalance 15.17 Congenital abnormalities are common –Missing pinnae, closed or absent external acoustic meatuses –Maternal rubella causes sensorineural deafness © 2016 Pearson Education, Inc.


Download ppt "PowerPoint ® Lecture Slides prepared by Karen Dunbar Kareiva Ivy Tech Community College © Annie Leibovitz/Contact Press Images Chapter 15 Part D The Special."

Similar presentations


Ads by Google