Patient History

Age:                20

Gender:          M

The patient was diagnosed with a motor tick, neurological, 3-4 months ago. He has TMJ problems, and is seen by a specialist.  He has noise exposure – he is a music composer. He also scuba dives.  He believes he has a problem with his right eustachian tube.  He has migraines, about 1 per month.  He denies pain, dizziness, or use of ototoxic medications.  He says he has had normal hearing test results in the past. He had a cold on the day of the audio evaluation reported here.

□       When you read “denies” in a case report, does that mean that the audiologist is suspicious, or is that just standard term for “negative report”?
□       What does TMJ stand for, what are the typical symptoms of TMJ problems and which may relate to the ear?
□       What is an “ototoxic medication”? Give three examples of medications that are potentially ototoxic.

Otoscopy

Not reported

Case Credits
Case submitted by Tricia Sheehan, AuD, University of Miami