Date of Evaluation
History: [patient] reports bilateral tinnitus most of the time with no dizziness. He denies any history of noise exposure. He was in the Army but basic training only and was never under fire. There is no childhood or family history of ear problems.
Hearing Test Results
| Hearing Loss | Right ear | Mild low frequency sensorineural loss at 500 Hz otherwise within normal through 4000 Hz dropping further to moderate high frequency loss with an excellent word recognition score. |
| Hearing Loss | Left ear | Within normal limits through 4000 Hz dropping to moderately severe high frequency sensorineural loss and an excellent word recognition score. |
Conclusions and Recommendations: Results show a low frequency asymmetry with the right ear worse than the left. The left ear thresholds are within normal through 4000 Hz dropping to a moderate high frequency sensorineural loss. The right ear is within normal through 4000 Hz except for a mild loss at 500 Hz and the high frequencies above 4000 Hz drop to moderately severe at 8000 Hz. Word recognition scores were excellent bilaterally. [patient] was advised that he may, of course, favor his left side since that is the better ear and with the high frequency loss may have increased difficulties hearing in noisy places. He is not considered to be a hearing aid candidate at this time. I do suggest he consult with his personal physician at his next physical regarding these findings as further testing could be considered. Otherwise, annual audiological testing is recommended to monitor the stability of his thresholds.
| Doctor's File Notes | History | Lab Test Results |
| Medication | Symptoms | Table of Contents |