Main Concern: Itchy and plugged feeling in both ears. 

History:  Carl is a 58 year old factory worker. Carl has worked in noise for over 30 years and does not always wear hearing protection. CARL has constant bilateral “hissing” tinnitus for approximately 5 years. Carl has the TV volume turned up more than his wife prefers and has difficulties hearing at family gatherings. Carl denied a history of the following: ear infection, ear surgery, medical condition, and prescription medication. 

FIRST, YOU WILL NEED TO DEPOSIT SIMULATED CERUMEN IN EACH EAR.

Assessment: Below are Carl’s results after cerumen removal. Describe or illustrate otoscopy findings below.

Treatment: Write a script of your suggested treatment plan and a description of the procedure.

Summary and Recommendations: Write a summary of the appointment and include all recommendations based on the results.

Main Concern: Failed online hearing screening in one ear.

History: Carol is 47 years old and failed an online hearing screening in the left ear. Carol reported a few middle ear infections as a child but did not require any surgery or additional care. Carol’s father got his first set of hearing aids this year. Carol is on a blood thinner, cholesterol, and blood pressure medications. All other case history was unremarkable.

FIRST, YOU WILL NEED TO DEPOSIT SIMULATED CERUMEN IN EACH EAR.

Assessment: Below are Carol’s results after cerumen removal. Describe or illustrate otoscopy findings below.

Treatment: Write a script of your suggested treatment plan and a description of the procedure.

Summary and Recommendations: Write a summary of the appointment and include all recommendations based on the results.

Main Concern: Aural fullness and discomfort.

History: Karim is 7 years old and has been complaining about his left ear. Karim was born full-term without complications and passed his newborn hearing screening. Karim has had approximately 5 middle ear infections (MEI’s) since birth; usually in the left ear. In the past 12 months, Karim has had 2 MEI’s that were treated with antibiotics, prescribed by his family physician. Parents have no hearing concerns. Karim is doing well in school, but his parents have concerns about his pronunciation of /th/, /s/, and /r/. All other case history was unremarkable.

USE SMALL CARL EARS AND DEPOSIT SIMULATED CERUMEN IN EACH EAR

Assessment: Below are Karim’s results after cerumen removal. Describe otoscopy findings below.

Treatment: Write a script of your suggested treatment plan and a description of the procedure.

Summary and Recommendations: *After treatment, the tympanogram did not change and you completed a hearing assessment. Write a summary of the appointment and include all recommendations based on the results.

History: Eva is 31 years old and is expecting her second child. She has noticed a gradual decline in hearing in her left ear over the years. Her mother has had hearing issues for many years since her 20s-30s but has not sought treatment. She worked in a factory for a few summers while in university and often wore hearing protection. She denied having any other medical issues, prescription medications, dizziness, ear infections, or ear surgery.

FIRST, YOU WILL NEED TO DEPOSIT SIMULATED CERUMEN IN BOTH EARS

Assessment: Below are Eva’s results after cerumen removal. Describe otoscopy findings below.

Treatment: Write a script of your suggested treatment plan and a description of the procedure.

Summary and Recommendations: Write a summary of the appointment and include all recommendations based on the results.

Main Concern: Hearing loss, aural fullness, tinnitus all in one ear.

History:  Patrick is 43 years old and 3 days ago when he woke-up, he noticed a significant change in hearing in his right ear. He thought it was earwax and put oil in his ear hoping it would get better, but it has not. He saw his family physician who noted wax in both ears and recommended seeing an audiologist for cerumen removal. Patrick is a type-2 diabetic, and his condition is managed well. Patrick takes oral medications for his diabetes and high cholesterol. All other case history was unremarkable. 

FIRST, YOU WILL NEED TO DEPOSIT SIMULATED CERUMEN IN BOTH EARS

Assessment: Below are Patrick’s results before and after cerumen removal. Describe otoscopy findings below.

Treatment: Write a script of your suggested treatment plan and a description of the procedure.

Summary and Recommendations: Write a summary of the appointment and include all recommendations based on the results.