Deafness
ENT Hx
ENT Ex
Hx
Exposure to environmental noise
Drugs (salicylates, cisplatin and gentamicin)
Effect on social/work/education
Timing
Progression
Speech
Hx Recurrent ear infections, meningitis, ear or head trauma
FHx deafness( inc otosclerosis)
Triad of Hearing loss/fullness + vertigo + tinnitus > Meniere's
Ex
Conductive hear voice through bone conduction > speak soft
Neural > don't hear voice speak loud
Conductive:
Wax
Cholesteatoma
Otosclerosis (inherited)
OM
tumour
Neural
Hearing aids
Sign language
Support groups
ENT Ex
Hx
Exposure to environmental noise
Drugs (salicylates, cisplatin and gentamicin)
Effect on social/work/education
Timing
Progression
Speech
Hx Recurrent ear infections, meningitis, ear or head trauma
FHx deafness( inc otosclerosis)
Triad of Hearing loss/fullness + vertigo + tinnitus > Meniere's
Ex
Conductive hear voice through bone conduction > speak soft
Neural > don't hear voice speak loud
Conductive:
Wax
Cholesteatoma
Otosclerosis (inherited)
OM
tumour
Neural
Hearing aids
Sign language
Support groups