Reason for Visit: 
Referred By: 

Patient seen today for hearing evaluation.  Questions decreased hearing bilaterally.  She is seen post-cerumen management with ENT.  Reports minimal perceived communication difficulty.  Tinnitus and current vertigo are denied.  Reports a remote history of vertigo over 10 years ago which resolved without intervention.  Denies family history of hearing loss.  No significant noise exposure history.   

 
Test Results (see Audiogram in MEDIA):
Tympanometry::
  Right::  Normal
  Left::  Normal

Tone Audiometry:: 
  Right::  Hearing within normal limits through 1000 Hz.  Mild - moderate sensorineural hearing loss 2-8 KHz.
  Left::  Hearing within normal limits through 1000 Hz.  Moderate - moderate/severe asymmetric sensorineural hearing loss 1500 - 8000 Hz.  Fair, asymmetric word recognition.

Speech Audiometry:
 Right::  SRT: 25 dBHL; WRS: 100% (70 dBHL)
  Left::  SRT: 30 dBHL; WRS: 60% (75 dBHL)
 
 Reliability::  Good
  Barriers to Learning:: No  
 
 
Recommendations:
Results reviewed and understood. Patient educated regarding listening strategies.  Patient educated. Amplification consultation recommended - patient defers at present. Follow up per Dr. Yarlagadda.