Wy uw Hf W\ Wi mi f lh i Wh V4 4) SD < nent WDD AAS, ii), TEL Stile Petal. by eich te lave ofall f daa is Sel bey using Cw Lones af of fread Svopeonazs as ashmuls fer iSpy cur~aed bone Condathon » C ~Piigeshic = Pregnoshic > Monitoring C pctlonity > “Sion of Ye A inanagdont- © Preynashic —» foc © Dicgnosh, + Presents f absene ASessmenl ef! treed rent acedure. ar Neary joss ether medi@l— or SanpCol_ of he “Ty AL Sb ear pathology. © SGeNIAg - Quik, eConomic e en Dekh Ploledute to idedify sub yet, alho audited! Shades over hin Ore need Further aubigel jeshs a high Z. grup. | —-sthea chiehia, Haug, industry . © Sekchion L SyPe neste, woe 5 sett Tehabibtehon Guipm Parca ) «manual. i Envicorent - Calbirahon Check © St caning Isler natn, ish. e QudemeZ HC o Compuler assis tea Audihredny - ofbgl&l examinaton i Patent Positioning « 6- Bastuchion 2 Kespeonse Stra 8. Gor Phone pla Ce mend g- a Selection « ‘. lo. Hrequany Sefuert—. I Signal presenacin amocanner 3 beCrechas CAAA 1. Lishner famihari Zection 1. The tho lekernuaahion , Q) Daeadis techaque.( lo db) » (A) Souter. hardiGped - ied When felt nob atcurke DATGIt with children and hadiGPed Rison Diy sive eden abot Confortable (exch not tHvesheld level_ - Q.madfied Aseudig , Lescarding techepur . “u | Atscase sese- } Time Cen Sumi) Fapade ... inersity fae Audigiun) D Tabular form & @ Seen eprserdain Fregenty AC unmasked ie * eid sab by AC masked ~ Relaled to ProGdure Be unmaskd << a. 4 to Cranine Re matted OL : for had (matted 7] —_——__ @ Axendiag Hechapn (Sab) (% Timid ConSiing KauV Ox¢ 3. 4 to to Subject ~ ica cf. ean an (Shee) ‘Spins _— PRystohgGl ae aoe, jata Variaby lity » af exanteer » Guironenk jashremank - PSychel oil ee sinter van'abs Tity eo eectal s Methalolg' ' pe ns ve Uys ee Nowal 6-7 Dudiometne Suite» Diseribottion Sansa landiGP. [uit 2-4 ° Diagnosis tybe, chyree & HE Nolerle q1-5 Diagnosis if Soma ciSeases « Nod Seer og - Seu WS Proflmd >ge ABGL-WSdk, amocanner 2 be—_— emnagd a Tp Peg : early @D Frat pening Loss. a -IS db defferenty betwen att sunGnizild Leen, dow ey ede || Us a) a fee Cal ud, ot ey adie’, sees @ lw Fre ue, : sone mere ce. diseate Fiepunces solh, He + 15-30 db belwen— sim tomy «Un Gnhelled Hypeorsion «Gna Spend lois a> Pres alc. PAs Aicondi HL > 1 S8 iPans Cre a neweped @Q High Frequancy AL LS + ally ote toxe'ty - hid YW shafe. on ae than | o = HyPotens ion . wy + Reto Gchtesr Ache Stee Ply SloPing [XD SER po Lo YY -\ @ NV supe @ Pyow'd fo a allen ae a Comal ar leo \ ; ormal extents ®Diet+ hawkd Graor ( Boctaral ar) = atoistic. 2 Suara sae * ay -alxest Npexpad \eve | 7 ig Aslets of heaves PProN Tole He gy amscanner 4 ig &Guusawae YmPanomtay No sider mT or mpanemn ‘Sfeuker he mean : oo = Ne ie OS oe, oe measucmed Velume (vg) Ves Am eshimale volume’ eh. air resid cra pie ap Eta mest we mh =loo “Vcs aa 3 " i 3 © Jrasieonk /wrdth. wer - : (Mga) / Poet So ckup 2s ale ME Choc! acgy a) Q _ Garpvine. _. CAmpihde) Yoho 2 doy os -5% Wesetvieg Soy we . Uaidth iy Bo — 1S0 das Io ea & ; é imal pressure ve, [fe A) :- Rak normal tn N Me, amplitude. and Pressure. t a fh i fighe Ac):-dS nermal but 7 ie SI Secensed penk Ke P - * . + OlpScleres'S . . , a Cpe Ald) (03 noma bt A E - * sofsitalar ditaralnigh Penk rahephic Scarting f- TH , are Gee ee ee LOS ° pro! aqandt ExGrol WOK . Thea pve pressure f ME ote c = shap notching SN - STR SGting PL a. . asitder disariGuakion amScanner - LsE the inkemly off HE 4 y fash Myf HE hansmession Sysbm - § rans af NE disease _. obscknss —oM vaistaberd ms 8 — z fesdb of metliGl Ht op OME. mos: + wah hon sa, pat apelin eualuahion in Gramncbs tobe ET Luchon -test- Fistula test LAY € Linen - Ex wax - CSoM net - oft's Extema « Cal discharge + Otomeasrys a WN Ge) A@blic rdiex © the veflexise Gatateo af Mata byPance ms CStoprlia ms Z. ++ Tensor Tyefant ms and assessed forth a@ashc lamtane assomsenent . Cin response te acoushe veller thresholel ) « ACoushe cof keX thee shold The lowest Sound lacl. tha cliots anacushic cofler reponse. = Cntralakal acashe reflex. tahig- a Aduintages 0 Sengihve to discider ofp te crossed vplex Patna 2 int axial __ bain stem lesions. Less Prac to attificksthan ‘Psifedeal_ as it har the Sia, Probe tone Now range of ART» 85— la db = lakniy Pred » Zoi& me C45 mse) se -hme - Steady stede Cemponert a ~~~ Fatale - (Oat espph Gatien SCHL. atsart exapt [2 sigh cc Diagne: PSVHL 2 mild, Ned» pretext: @ Pesnostic q Oy Sewer wo absent @ Screening Reto Cochlear lesion 4 de () AL Prediction, tdontili Gbion a. Fabel Los Bi Friiag, Hengcoeak « selection Qfindivral. He» AR Prevents. @ Gehtal AR 2 facil vere palsy —» AR Preto gles les. amocanner 3 beGQ Objectives lorquaye i i+ Entire Sys Pp re S oe 1. Vernal OF eat ee, nen aghol, ‘afemeabion oe pe ~fopish es for normal ton ghee slepmort a ittact Senry Chanel nse tay ee wnat Dra? Bescon «atime ge ° Nema Govekpne at. a Lenquage a7 . = Qworercss of Sound eg = Differertation of. diff. stund Sues « ident Com cespesodotion of Sud + Geapthasien of: Speech « Preparaton af— Vesponse + Expression = out pe £ lamuage. « factors offich'g Language. chuclasrent— ech. Adie eat j ree Exional— watonal » Lrirment » AT enton ~tche talks woth Bil ~ Memory . whem tHe child Sees , hears a Relabin heaven pearing, pecch . fet 2 years & Life 3 Chal pericd of lonpusge desclepmen « « inthis time 2 @Aan vente Chins GL, Neuse bio tod mat Ghien our in ange fo ahrapaate Shims (time. kehred Fundisn) wnrque o Speech aude mele] 1s Park of basic axtdunhon + PTA -» fue! inadion about oa Sensshuay net CommuriGhion ability: 2 fans) meaning, and pra the Shad levels - x se ws = 1 Gafirm Pra ws. a. peses discrimsation abilily. 3- Delermines thtoleronG fer speeth- stil: q. Help to Localize te site lesion 5- Help in Choesta Aiin ee * Fencwal. effect s of HL los of Sharpes & ey hI 2. loss af Gator over loudness 3. Ponatonous Speech - © faclas allel sed va AL Subjeck, = OnseL of HL = Huge o - 19Pe of KL - “Dageee = a uni — Bi Ledeal + nPeguvokion 6 WL Pecvingual Post high Preqenty - Low Frequen! d \i Suet oven 4 2 Speech material Gnatenads Nowels . alu Swntaas - Synthehic SartenGs : he ndee . ree a ed "on sense! Spobles 2 Me He with pele rk: veld ? ‘e Si ee ee ere ei Shede the clo Sypeflnt ; fehl ee Crom “Puephenl. ea dora and Fuad by ary asromet ’ velbular respon me Leese rang: seni The wnetenk ee Ish vat Nature of C Severity of pr Dusahow C. Dinter ¢ Frege associahen - M ovew eco eies -“ amocanner 3 beRT TG yy DY Ure te a My VS + Heung Aid K dein eg Sf 41 elechanic deuit angi ‘in Slates rae nie oat to enaiiie? healing’ impaired Peron to muke. maeXimarn ‘dual Heaneag hy amplifying Sounds in manner that Forik 2 Piicoophone = ampititier “receiver . apy ek 8 agushie Use oe @- elechalirde Sigoal, Sip Blouse 3 Signal « importack Sound Quatble ad Gmf/iable s raxionm Speck ine lhyibilty , lees affechon to backgroud Noise, * Maximum useful infeimaton from Cnuiromenked— » borbed . High Sound quality ~» mininum aberhon Micte phone? —+ infld tronsducer- Gave, Sound From atoushic Signal. ids elednal. Signals. estayes of Miceprone. devel Q.-Garbon Micephone . ©. Qypanic. eleclro megnakic. @. . Gripes tien ~ Gasist of two thin Plates 2 one Movable , other Bised which Form Condenser Capatrter) Seiyres A NiClephones according to dincthonul Ch caches ics or Pressure Comni- Svinackonal’\ Sensitive = Sound | From ball ; dirottion s Dressue gadienk C “Direchi i 2 Sie to found fiom one direckon. Crystal raicephone ehecired. cocaine Goss of Seveal. Tensistors heuted in Single idagyaleh Cau Transistor is Ke} alemank of amplifier alles) «Cored Nottag ¢ Geren both vollag:, Gane fo be Garrod OY OSmall Nothage . & ampliCiGakion. t ampli fer 0 acessi Ss Opaoyaty Rte am Plies ale s~ aecerdiea, bo odd -e aagle -ended © modified class AHT Goce mito _ Ly Conver ve. eleciGl_ sims ute amuchic Sianals . Gir Grduthin Tecjvel ) gone , pear ¢ Sn) MeV ub “Signal. my Sy me TYR) Aw ve Ty Ast Con duttion veteiver~ —9 aCeuske sigeal e Ac HA. Bone. Conduchion reCeiver —» viodoy signals e Re BA. ~( Bothered) Ree ZupPly - je of ChemiGll stored cre Conelled into elechicol. 4 rated . Se ae See a AQ Vife ~ TR bat ufe whe dischbge choraclerishiCs STRE. nominal__voltoge + Earmold oe in Woody HyPeHA. — Bobi He ear wh. 2 Its the molded ~ pot of Sewrd -hoxStucsion S slew Which Gnvey the Sound Geom vaceiver to car’ Ganck of the jnPained hea aa, subigch - jective. ° LE ane Scud effeciently Rrom the Yeceiver %o TN. 2. ean te WA on We Yona - 3. Thedifly ae Gusti Paramchers ot The saconing Sind . Cerileia” o& ideal cow weld t- e LD Provide —saksfacton CACoSte Seal - 2- Comfattalsle +o Near 3- owt je and gasealVwn ee Sy @ Mak of opealion. : aor ~ Channd. » Non - adaPlive MSH Chanel » Nereus adaptive @ _ Sesyol Processiog oes HA Digi. HA ee * - 4 tee a Seen, - Hybed QQ ass cite. fants digit. Cita onal) 2 Compwent of fully dite . mrcia phone. , : (age Bheasing Giller. Clow Pass Pitted) wT. A /D~ Converter _onphfer. . Contal PeGssi uit CCPu ) - . D/A cenv la A. alg te ge eatin (AID) pada. Syl Processing COsp) Digital Fe araleg Conversion CDIA) ( si Pressing CDSP) ° sw itages DiqtaL 3: ned Preessing Gs j sai on ! J : lew Power ConSump tion ines noise - Fe Producerboi hhy iwe ———. See | ee ee ee (ABR ¥ Mia, ‘tahion ez Advanteges;1. Ts an ebjechive rlisble non iavasive manuver. 2. Ge ear Specific jfermation 3. Net depend on Cerebral— S: lgrBlen He Neal expensive aqut nevi. 2. Need -hained perfon - Chaal agplCation :- @ TWreshold Ereinee — = Hewes theashold « ia difftlt +o Subj: tee young childron mental ally relared —handi@fved ) + Tyee HLY. @ seri see Na © Diarnasis ef nlawo otsbyiel lesion. ins Cechlear lesion Retr CAchlear lesion Ban skm lesion Monitoring indha apactios. dunn ing th Cochlear news. - Baa 5 Soe Procedure mranifadodng pnitoring in ICU pi a eer Stem * slid 2 fllunves absot exgept T tren later aiseak . amocanner 3 beee ae Pa aT fomsee eal ABR, rts Pash ctardient far Field eunked response 00 aia tee Pathway upto level ef thin Ginabs es safer lo msec fram Shroulus. AuchtOry 35° Rospenses 2 imp that ar gorerased 4 the. auditory rowral. Padhuoay Hat Gor be re@rded on “SGI = Not diced measure sf hearing + Gally as 25 uh Gestation «nol affeckd by Sled, Sedation. atterton . Ona op ABRXLOaves _ oi ah heme wk; de IT _y Prxinal 3 Newe ‘i TIL ~» Cochiear auacleus Ly Promina Waves AZ 6 SUP. oliuagy , Gmplex IT —e infnor Cel dadlns. cibsade Latency creat time Lg Wave fe + inter peak ee toe Sew, une oO wt! . tenlo si ao (ave WT wb #7) . ifant, newborn » Lo das . » wave SE iets Ke Ow BS 035 a fibres P78 Syo Chronous ~ ho Stmullus 6 chek ot msec Ooloo~t ABR yao llc Sumhenws ~ Je mous Gs ee ARR Gin Ad “nowpihy oT Oleg nies intensily 2 OP), Jo & int li Ses 50 pt ow & a pet ABR 2 PTA debok f shoul. 4 tesolahin who o Stal: us sjole+ Revpense Puancter + ove all Morphclogy _» sols waves K “Gee a chley GH, War wwe HF Ce inter wsave latent, COT, JIT 5 T-M) \mne soba ir. ae Ney differen@- Celine SC & ha. pales Cisse Tr ee + Amplitede rhe» Vela + NCrease. vepition vate —+ — Nomel_ «pes edlaptotien 9 ta Nia 2d2 Reto clxBhlear a ges Fadigqua— dolajed Yen albseik - 2 Diffaentidion betwen tyfes of duditoy Dap fachon - CHL —p Shika of all viaves a 4 wlio. ole 1g LY Gao Gea. resporce + SNHL = : gits tan det bf Normal sy a Gt aS + Neuval. » Behe cochlear lesion _ Te Wkes + Nema-Gd TE es cystt a nud to @ticlus. Seo subs * Audit neve} _. No ABR. g ple Sypchron ous. esd BC ABR eahesia — Gaal occlusion in rew.doin « 2. Discharing «ear. » cstinate SW Skedus oF Child. 2 PriSeae, er absence of Sensaffieual_ Component - ey ina infornahion abst f ICT —aSo takrverbiin 3 recor Sen'ad past op. follow up eases chled of Suey on woin oP? T-NM— Bs Compression 5 ABR 2 wosen —o Shunt revel Soll . amscanner 4 9-2 <> guuaalSo Ot | s (Au Neweprth oOHC 1. range 1S ch: inh. Hernan Rangples foochen in tha presen of- absent or “Bevel distorled~ ABR. +Ltrs adsense ff nieuwrad System” (nek an Cor disease) Q) « Foden $ ote funchion ( crests |) _ OAEs — Preset @ .-Lvidence none mfeurenen » Chrachters - AR absent - abnormal ’ ABR Abnoti PTA —« fem womb Prfcund CAlathiadiey) + Speech. disewiminsion not POPartional to Ti TA. @ o Cotmat er Smagjing study of Pein fa —+ Risk. Poctors 7 : = 1- iy Wshon ear! Sof ows oo somes a 3 Deca pesciant - Exchange Siv0, i OMe de Sahwalion —p ventilator 6- ATOS Z- Vie iabkction — C mumps Ee oto toxci days exposure . g- Brain TOTO. iy —.. Corgervtal lo - Héxd trauma Ne Pe moasurc}4 , bed bilth woeghe Mangement “waiting. and follon uP aie 3 Yeats Lp at pbs ls as aS we wn A ea aa pls & ~ re hobilitedion —» adult —. sPecth (Cadi - Le Chil > Auditery taining Suny —» cl — ge Fm | yews amocanner 3 ogo 4> guna| eee OY bee sney «, QUES Oe Matin @ a i My Sound “that atipinake fom Gchlea, Pofagaled ia NE aro Grbd and measured Py Sowhve Merges eee Fons ov eloked Cn "Spore to aGushic Stmubation) . . Classitekson Flashing ovler hair Cell. ces to Stimdy o ‘hae: —2 Grission tyfe cholecled in cbse of ex. Shims > 2MSSion equim Shi. Tensiert CTEoAE) ~ brief Sdimads —» Click _ tone pip. 2% Ofqin Distorrion DPORE)—» Zpure tors of. dilt. Fr es © Stimulus GF oABD—» Gutinow low level Pue-tone . © According ty ® "spentarous Se “re ladenty -« Conkinous «bub ex. sod. Ty. Evoked 2 short or Leng req. depen dandk> Labeney . + 5Postanous oAE TEA E . Evoke oAL Ry oh ee © toMy o img COALS en o Amplitude higher in Childe thon adult Chin Freund) 2 OHC loss and ME chawes with age, noise + Small car Gnal volume in irfaut, Child 2 High Freq. HL with qe Soh» Anplitude hither in £ than M » more @Ccupatioal “noise exposure 2 Jectic X Linked 2 Sm ex. Conk Volume in P. : ¢ Grail Physiah Aimersion of Ca@dniea inf. For differnt _» Rb Amplitude ‘vag Thom noise —e Gugh, daa? bredth, Ja TE of S Sedb DpotE if $ssREG RRR, = = S| 8.8.8. 8) WOOT > Probe Fitting . ex. Gural oar. debeis HOXb Oise _5 Mite team AmPlitude —.s 2db owe Morse Fisor ERG present . - OME eee Pat in serous Rusa % ate, Lo DRL oAE -.dbsad in Mutoid {uid ORE atrak ¢’ ABG > 3-35 av. Awosent e/ low fey. noise Veduced ec! Maid, Mod frequen ee ie DBeodb at S0,\eco _ absent After shap eda chom a De ClinGl appiichen its ee ¢ Diognastic [= Bredick. Pure. tore. Hyasteld. sin di(fiadt to test gidank, child, mentally reta/Sed ) a Mok ageriag 2- Cochler WAL. TEoRE — DPOAE — accufodtorb noise 3. ere Cahier lesion + Present _» if HL >3e db sugges Nenistiona not showannoma 2 Okset _» intwrpt bol. Sup Oly — lease odo toxic agit . = idepetic Sw Present 56 OFC oe stock. ° = eniére diese + Ose in OC mt nee + Robust-» in THC an Mudilah Menidra_—, lose_of Cokalten_ oAL, » Predict dahon of attack and glycoral PoAEs Latety -» Gily oHC Bae ; ARAN Sager, ~amscanner 3 +TNR IDS » Neo orn Sec 3 a enw 3 9 Childnen - Di¢ sy r eo pals SCleening pri ate Shoo. hoo ewes te deteck of{E . Moniboriog : 4 Shot term maj i mai ae a nitecing C in — hous) » Sly. etre Fee threshold “syst. on EAA Fail. = ION operabive in Alice : an 2- Mid jem monitoring C days — scales) 2M ok ototexic Ac s TW of idiopathic SSUAL. olan taties Pluck usking Nature of Meni(e ond cudeinnne oe bong - term monitor C oaths — “fears + oCCupational ho'Zords - + Sete Gchleor Chosges C Presoy Casis — D4) ia Tenaihas , hyPeroCusis —p absent: ek invasive , Simple poe arate coe Person : not affected by Physiologic om Subject - ‘ incr CI in Cschlear ‘on eee gen cen 88. a ae «Ligh Stable --s minor Chanyc. as rest « “s a » Porhology or eff. excitation o Li fedion:— am : here degree Site of disorder - ME Pedholog —e Qbosenk ee * ny; we thon ACR. Bin sei lesions | nop dalect Newt, BS Toth "er Subjeck wri} 2 Ger remain VK gh . amScanner + Wig guna)Bo aiding) 1. Y's!» | Def / electronic deuce é Pastial 7 tale: hee ‘Shgle meet ape ioe iD m re ‘ Sax UA responsive +o es cone F, ieliigtine + lana Pre operdive evaluation 1. uti Adioleg i Gl evaluation Do coe ard languoge 3 ‘ad ‘Oleg Cal __ 4- fa medi@l_ Qxaluation D- Neue Psycholoyr Gl . a A dbbeliolog Gd eudbuchon -Aiided - un aided Hearing threshoid + Speech . evatuahon _. Alckd — unaided. « imPedan@ tes}. - ABR 041. Es + ASSR. eValucs 1- Gn bm Pater audiokgral. Stebus 2. Ensure ophimal. hearing ail aied Li thing and USER . 3. Detect Auditory Sensitvity with We g- Detect Speech Pre@phron in HA. Q Auditory 445+. Cun aided) J. Visual. reinforcamenk audiomete 6-36 moth. 2- Gnditioned Play Gudvomety B-~6 Years 3. Convertronal. Pure don. audiomely > 67 —adult. Speech audiometry unaided Speech tet to delenmine speech ratelteyittlit ABR 5 rourg keabies Jessthan 6m - Confirm finding of behavioral - Peasures. Tone bus+ Shmulahin Gar elect lout foeg. beac Sens iti Cresidual haorreg) ASSR. — (Audijey steady Sti reprse the use Used together e' ABR to cule at cds nearly @ Heavieg aid Ria and assessmerik: » + man datory 40 have HA fr Pre ligpal children at leas Gr B- 6 months vefer CL ey + HA bemfik assessmod by ided Hearing fest. Dipided speSch te: - @ Speech and Language assess mort | @stoblish ba8e fine. level. of Speech and banquage . siki\\ pe cl « ensure that Patient is optimally aids and uses WA clorieg onsale hou sto hava. twintnum Wal. forvod Sf Sm oF Speech. WRocoPy- Te Pe Pare Potions Grol repo and (eGrrmancekion , = Hearing theshold wttulden 12-18 months —e Bil Profund SNL Je do HL booth ar- = Children > 1B moaths —e bil Seur to pefand “pode 4 Howaver. Chi\i if has les See WE apd Specth + HA Carry x. Se ds o HA benefit :. » BG monty headay cud Arial iy YeGmmended befor CI + Speech then so? roGmmended inthis Period + Month to ak wnake aie pois e! speech Progress « Auditory Skills . isto} ‘ear of Ghaticeted Jueskenn aves - Jive ideo Hoot SPexh, Sounds (a Child Anvirowert . HA benefits is Cxaninad sageren. of. Aided The shold _ i 5 dou aa CL PerformanG- sf usd Ratogestion Tasks Mined. oenefit. From amp frG@kion dekched by aS Cy CamScanners ws saunaSw AL Def / Subyechve SenSahion of. Hearing impawment sn one ac todth Cars, \eittin 3 ohys aol. Bedb on 3 Cosecjve fives : ; fecliote Higher im Cidextein So-bo Yous old lowest 2o-30 Feass M=F 27. —» Bilateral So7. —» Idvopdhic . c/P ; — 1. Subjective hearing imPaicn 2. aes itd & ee Points 3. wali Bo//: a q- Farin of. Causes QO Lifedion » ural. ~ Hepes C Siapler— Zaster— vari@lla~ CMv) - MunPs .ALTOs a ‘i + Meninge Gal Novag: tis an . Myc plas ©) Drug :- a Pisa . Ridin . — KRubdlla. = Aminogly@side @ Treutmed/c - ae MeLE + Sovaldi Cinkdferon) inner €ar GaCussion » SugiGl “ ctoloyic —© StopedeCtonny . ie non Ctoleyc Neéeplastic ‘a @ vaedlos -« A@ustic Newoma.. + Sickle Cul anemia — Poy ia + leukemia . — Muloma -Netho® basilar insufp. » Metastasis - WasCuler disease . CamScanner + 39> 4>g.n0alee erm ee > Vhane . wal = Alto immura— > VaSCular + Inha Cchlear membrane. breaks O vial _, 60-657. F Cases DofluniZe B _ (uP Rubella v2 @-( ie: mre _» middle age female. Brladerel__ { Auge sonmure Bo /. Bt diZ2ness > verte immer ear ) Suklen—, vabidy Pegessive lieafe Episodes — trudtiPle / OloSenGa. of. Systemic. iermuane. dagease @ vastullar —» lost tun_sfe Coches Ted Fiesty, Wan ex —» LabrintRin— occlusion affet Vert iovbar and audito: Symtoms —» Te occlusion of. bb): Suphty C enloohim) Cate Satlection of. loo Freq tus or apex. NOSid. S fa history taking . Sauk) for Cause —» Orgs, Taam ~ Sogey - HL _» dumaton — onset ~ aswciabed 4 pleas C vee io © medi@l— Hisken —» syst lupus vosCular — @ Pysal examinaton CotobyGl. examination) —» CHL. Head, neck —e mus — HZ ©) Tanning fa Test.—o diff. CHL or SWHL. Audiolegial gaia ore Gompick + speech irom +AR — vestibular Test 2 cbc, EER, western blot L -. gdp) oul po| = Watment: " + Jef, — Solis pathic - er ment sf known Cate @ owl cori@streid _. vasciar vial, inflection immane— lng | kg (max Cony daily ) ag Ta poring attatding to audicbgial. evaluation action Tra Tynpanic. —- aes a & Cpa nailed fo Splenic Gagstenid . @ Nase dilator :. ee Mow Ucadeakion (De Nod 1 pital zadion as arsaciated of Geo lymphatic hydraps. 5) AntivieaL : chvir I- / CS esos for lo cays) e Ln salt te ‘O iyé eee “a |g @ Diwelic +- Sis ea Rpts 637. —s SPowtoneuS retolve - 1 onset. of SNHL oo. vertigo C worse) is Age C beelowg 15 - > bo Ps Gey» bsber) q~ Audi C Profound —» Poor — C Buidelivas ) (YER macadadion) . feCommended - Q@ Ste adasis ie of CHL ae r uly evalludion(730dh) \do. Test. ible CHA) ophen . GHeSkIvId CamScanner + 439 4>g.u0al@® Aualilory Neuceprat hy @ drat. bu Baw erming fork 5 Rind» veduted 4ve. weber _. to better ear eee —e Shofen Ba Bosic @ + Audémetry : PTA —~» pele te Probund Specth -» decrase a disprepoltional + LonmitanGonclr} > TypPanogam —o Type A ie AR — absent. @ Special ter _, ABR —» absait . oAE, — oa amScanner 3 392 4>g.uaala ee ee Oe Pe ees ee © ow xclerass © Clinical © Taning fork Kinné test 1 ve 256 ely eee Bi2 1024 Lae. Weber Jest _. ralenQized to belter esr SCwabach tert © Sho/lened Bc @ Basic = Aulomeiy _. PTA CHL Mixed BL Ft Aorch - Cookie -loite . mal. . Cstafedial) mien ss Nedeade Lb Ceochiear) coe COREL Le diphasic early @ Special. test Reset (1 hPL) OAL ABR ie es level (Mixed L OAE, —» ansnt —» Cchlow oto L_» limited —» Stapedial oto CamScanner 3 U39- 4> guna!Wee Pe ee mre Q keto Cochlear lesion Clin Cal— e “Tearing fork Rinne _» Ave reduted weber _» +o beHer ear Sthuxbath. -» She/ened BC - ® Basic . 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