Case Presentation GTA 302 Audiology Clinic I
GTA 304 Audiology Clinic II
Case Presentation
Tan Lee Xuan117385Patients ProfilePatients Initial : MFRN :
B075290Date of Birth : 06-10-1990Age : 25 years oldGender :
MaleRace : MalayReferred from : ORL Clinic Date of Clerking :
19-03-2015
Patients HistoryA history of nasal hemangiopericytomaSurgery was
done in 2003 and Defaulted follow-up on radiotherapy since 20041st
phase was done2nd phase was postponed due to facial trauma
resulting from a Motor Vehicle Accident on 23-08-2004Right cheek
swelling & lateral subconjunctival hemorrhage
Tinnitus onset about 15 years ago on left ear
Present SituationNew caseReferred from ORL clinic for hearing
assessmentPatient claimed that the hearing level get worse in both
ears & does not improved after the surgery Tinnitus
bilaterallyleft ear is about 15 years ago right ear is just
developed recentlylouder in the left earsound like sea waves
patient is already get used to it
Present SituationHas problem in listening in noisy environmentNo
otalgia, no otorrhea, no noise exposure and no family history of
hearing loss were reported
Previous Assessment (2014)ORL
Pure Tone Audiometry result
Mild to moderate mixed hearing loss in the right ear
Moderate to profound sensorineural hearing loss in the left
ear15-01-2014
XXXXXPrevious Assessment (2011)ORL
Pure Tone Audiometry result
Moderate to severe sensorineural hearing loss in the right
ear
Severe to profound mixed hearing loss in the left ear
2011
XXXXX
]]]]]
>>>>>Previous Assessment (2012)ORL
Pure Tone Audiometry result
Moderate to profound sensorineural hearing loss in the right
ear
Severe to profound sensorineural hearing loss in the left
ear2012
XXXX
]]]]]
>>>>>Latest Audiological Findings
(06-11-2014)Otoscopic Examination
Partially occluded external auditory canal with wax and intact
tympanic membrane in the right ear
Clear external auditory canal with minimal wax, tympanic
membrane could not be visualised in the left ear
Audiological Findings Pure Tone Audiometry result
Profound sensorineural hearing loss in the left ear
Moderate to profound mixed hearing loss in the right ear
XXXXX
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