Reference no: EM133937905
Assignment:
Your patient is a 39-year-old man with a history of sudden hearing loss in the right ear and vertigo. Before an incident several months earlier, the patient had no difficulty hearing or balancing. The course of symptoms is described as follows: The patient first noticed a feeling of fullness in his right ear along with a slight difficulty understanding through that ear on the phone. On the second day he noticed a ringing in that ear followed by a loud roar. He suddenly had the sensation of spinning and could not keep his balance; he got sick and vomited several times. He now feels that he has no hearing in the right ear, although the spinning sensation has completely disappeared. Both of his parents had difficulty hearing when they got much older. His greatest communication difficulty is in group situations or when people speak quietly to him on his right side.
Audiometric results indicate a fairly flat severe sensorineural hearing loss in the right ear, 250-8,000 Hz, and normal hearing in the left ear. Word discrimination scores were low for the right ear and excellent for the left. Tympanometry showed normal compliance, with slightly reduced mobility on the right side.
Diagnosis
1.) What is the probable etiology? Justify your diagnosis.
Case management
1.) How will you determine the candidacy for hearing aids (or other device)?
2.) How will you identify areas of difficulty and need?
3.) What type of hearing aid (if any) will you select and why?
4.) What are the desirable physical and electroacoustic characteristics of hearing aids?
5.) What is your treatment plan?
Reasons for the decision
1.) Use this section to justify your decision process for this case study. What exam
The battery results supported your decision, didn't they? What other diagnoses and treatments considered?