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Audiology Report for Joe Smith

Joe Smith, a 71-year-old patient, underwent an audiologic evaluation on March 15, 2016, revealing mild to severe sensorineural sloping hearing loss in both ears and a mild signal-to-noise ratio loss, indicating challenges in understanding speech amidst background noise. The tympanometry results were normal, and the patient reported constant aural fullness but no significant medical history related to hearing loss. Recommendations include follow-up with the referring physician, consideration of amplification, and the use of hearing protection in noisy environments.

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0% found this document useful (0 votes)
7 views1 page

Audiology Report for Joe Smith

Joe Smith, a 71-year-old patient, underwent an audiologic evaluation on March 15, 2016, revealing mild to severe sensorineural sloping hearing loss in both ears and a mild signal-to-noise ratio loss, indicating challenges in understanding speech amidst background noise. The tympanometry results were normal, and the patient reported constant aural fullness but no significant medical history related to hearing loss. Recommendations include follow-up with the referring physician, consideration of amplification, and the use of hearing protection in noisy environments.

Uploaded by

vivekpalakunnil
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© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd

My Clinic

5225 Pilsbury Lane


Audiologic Report Hometown, WI 55214
Phone: (608)878-6596
Fax: (608)878-6597

Patient Name: Joe Smith Audiologist: John Smith, Au.D.


Date of Birth: 04/05/1945 Title: Audiologist
Visit Date: 03/15/2016 Referring Provider: Joanne Topkins, M.D.

CONFIGURATION QuickSIN [EP]


Audiometer GSI-61 SNR Degree (Loss)
Calibration 07/03/2009 Mild (3-7 dB)
Reliability Good
Test Method Conventional
Transducer Inserts

TYMPANOMETRY [226 Hz] DPOAE Screen


Right Left Right Left
Type A A Pass Pass
Pressure (daPa) -55 -44
Admittance (cc) 1.22 1.44 PTA (3 Freqs)
ECV (cc) 1.24 1.14 Right Left
Gradient (daPa) 88 78 35 33.33

Neg: No significant reflex decay Pos: Significant reflex decay Abs: Absent Pres: Present WNL: Within Normal Limits Red: Reduced
NR: No Response CNS: Could Not Seal CNT/DNT: Could/Did Not Test WR: Word Recognition SF:Soundfield EP: Earphones
WORD RECOGNITION (Presentation: MLV / Word List: NU-6) SPEECH AUDIOMETRY (Word List: Spondees)
dBHL % Mask dBHL % Mask SAT SRT Mask MCL UCL
Right 65 88 40 70 96 45 Right 20 20 65 105
Left 65 84 40 70 92 45 Left 25 25 65 110

HISTORY: Primary concern: Possible decrease in hearing sensitivity, bilaterally. Aural fullness/pressure (Bilateral):
Constant. Denied any tinnitus, otalgia, fluctuations in hearing, vertigo, noise exposure, ear surgery, or family Hx of hearing loss.
All other medical history was unremarkable. Medications: Coumadin.
RESULTS: Otoscopy: Clear ear canals, bilaterally. Tympanometry: Normal TM mobility, middle ear pressure, and ear canal
volume, bilaterally. Pure tone testing (Symmetric): Right Ear - Mild-Severe Sensorineural Sloping Hearing Loss; Left Ear -
Mild-Severe Sensorineural Sloping Hearing Loss. Word Recognition: Excellent bilaterally. QuickSIN: Mild Signal-to-Noise
Ratio (SNR) loss indicating difficulty with speech understanding in the presence of background noise.
RECOMMENDATIONS:
1. Follow-up with Joanne Topkins, M.D. to review today's results.
2. Consider a trial with amplification.
3. Wear hearing protection whenever in noisy situations.
xx x x

Audiologist: Date: 03/15/2016


x John Smith, Au.D. xx x xx
License #: 223-344A
CC: Joanne Topkins, M.D., Peter Simpson, CPNP/APN, Michael Abers, M.D.

Joe Smith [DOB 04/05/1945] - 03/15/2016 - Page 1 of 1

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