Case Studies in Audiology
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Audiogram Interpretation
Case A
Audiogram
Case B
Audiogram
Case C
Audiogram
Case D
Audiometrics
Case 1
Audiometrics
Case Management
Case 2
Audiometrics
Case 2 Discussion
Case 3
Audiometrics
Case Management
Case 4
Audiometrics
Case Management
Case 5
Audiometrics
Case 6
Audiometrics
Case 7
Audiometrics
Case 8
Audiometrics
Case 9
Audiometrics
Intro to Immittance & OAE
Case 1
Case 1 Audiometrics
Case 1 Immittance
Case 1 Otoacoustic Emissions
Case 1 Case Management
Case 2
Case 2 Audiometrics
Case 2 Immittance
Case 2 Otoacoustic Emissions
Case 2 and Lastly
Case 3
Case 3 Audiometrics
Case 3 Immittance
Case 3 Discussion and Case Management
Case 4
Case 4 Audiometrics
Case 4 Immittance
Case 4 Otoacoustic Emissions
Case 4 Patient Questions
Case 5
Case 5 Audiometrics
Case 5 Immmittance
Case 5 Otoacoustic Emissions
Case 5 Discussion and Case Management
Case 6
Case 6 Audiometrics
Case 6 Immittance
Case 6 Medical Notes
Case 6 Discussion
Case 7
Case 7 Audiometrics
Case 7 Immittance
Case 7 Case Management
Case 8
Case 8 Audiometrics
Case 8 Immittance
Case 8 Otoacoustic Emissions
Case 8 Discussion
Case 9
Case 9 Audiometrics
Case 9 Immittance
Case 9 Medical Notes
Case 9 Discussion
Case 10
Case 10 Audiometrics
Case 10 Immittance
Case 10 Discussion
Case 11
Case 12
Case 12 Audiometrics
Case 12 Immittance
Case 13
Case 13 – Right ipsilateral reflexes
Case 13 – Left Ipsilateral Reflexes
Case 13 – Right Contralateral Reflex Thresholds
Case 13 – Left Contralateral Reflex Thresholds
Case 13 Reflex Decay Examples
Case 14
Case 14 Audiometry
Case 14 Tympanometry
Case 14 Reflex Thresholds
Case 14 Reflex Decay – Right
Case 14 Reflex Decay – Left
Case 14 Discussion
Case 15
Case 15 Audiometric Evaluation
Case 15 Tympanograms
Case 15 Reflex Thresholds and Decay – Left
Case 15 Reflex Thresholds and Decay – Right
Case 15 – Discussion
Case 16
Case 16 Audiometry
Case 16 Tympanometry
Case 16 Left ear reflex data
Case 16 Right ear reflex data
Case 16 Discussion
Case 17
Advanced Immittance
Case 1
Case 1 Audiometrics
Case 1 Immittance
Case 2
Case 2 Audiometrics
Case 2 Immittance
Case 2 Case Management
Case 3
Case 3 Audiometrics
Case 3 Immittance
Case 3 Case Management
Case 4
Case 4 Audiometrics
Case 4 Immittance
Case 4 What the ENT diagnosed
Case 5
Case 5 Audiometrics
Case 5 Immittance
Case 6
Case 6 Audiometrics
Case 6 Immittance
Case 7
Case 7 Audiometrics
Case 7 Immittance
Case 8
Case 8 Audiometrics
Case 8 Immittance
Case 8 ENT Evaluation
Case 9
Case 9 Audiometrics
Case 9 Immittance
Case 9 ENT Evaluation
Case 9 Audiologic Management
Case 10
Case 10 Audiometrics
Case 10 Immittance
Case 10 ENT Evaluation
Case 11
Case 11 Audiometrics
Case 11 Immittance
Case 11 ENT Evaluation
Case 12
Case 12 Audiometrics
Case 12 Immittance
Case 12 Case Management
Case 13
Case 13 Audiometrics
Case 13 Immittance
Case 13 Case Management
Case 14
Case 14 Audiometrics
Case 14 Immittance
Case 14 ENT Evaluation and Case Management
Case 15
Case 15 Audiometrics
Case 15 Immittance
Case 15 ENT Consultation Report
Case 16
Case 16 Audiometrics
Case 16 Immittance
Case 16 Case Management
Case 17
Case 17 Audiometrics
Case 17 Immittance
Case 17 ENT Evaluation and Case Management
Intro to Auditory Electrophysiology
Case 1
Case 2
Audiometrics, OAEs and Immittance
ABR Latency Summary Form
Left Ear ABR
Right Ear ABR
Summarize Findings
Case 3
Click ABR
500 Hz ABRs
2000 Hz ABRs
4000 Hz ABR
Case 4
Admittance
Click ABR
500 Hz ABRs
4000 Hz ABRs
Summary and Recommendations
Case 5
Transient OAE Data
Distortion Product OAEs
1000 Hz ABR
500 Hz ABR
Case Management
Case 6
OAEs
Click ABR
500 Hz ABR
1000 Hz ABR
2000 Hz ABR
Case 7
Otoacoustic emissions
Click ABR
500 Hz ABR
1000 Hz ABR
1k Bone Conduction ABR
2000 Hz Hz ABR
Summary and Recommendations
Case 8
A Challenge with 500 Hz Testing
Click ABR
The 500 Hz response – stimulus artifact or not?
500 Hz Threshold
1000 Hz Threshold
2000 Hz Threshold
Case 9
Case 10
Case 10 Click ABR
Case 11
Click ABR
500 Hz
1000 Hz
2000 Hz
2000 Hz bone conduction
4000 Hz
Summary and Recommendations
Case 12
Click ABR
500 Hz ABR
1000 Hz ABR
2000 Hz ABR
4000 Hz ABR
Discussion
Case 13
Subtracting Waves
500 Hz ABR
Case 14
Click ABR
500 Hz ABR
2000 Hz ABR
Case 15
500 and 1000 Hz data
2000 and 4000 Hz data
1000 Hz bone conduction
Case 16
500 Hz
1000 Hz
2000 Hz
4000 Hz
Case 17
OAE data
1000 Hz Air Conduction
1000 Hz Bone Conduction
Case 18
Click ABR
OAE
500 Hz
1000 Hz
Case 19
500 Hz
1000 Hz
2000 Hz
4000 Hz
Collegiality
Advanced Auditory Electrophysiology
Case 1
OAE
Click ABR
500 Hz ABR
2000 Hz ABR
4000 Hz ABR
Summary and Recommendations
Case 2
Click ABR
500 Hz Data
2000 Hz Data
Summary and Recommendations
Case 3
Click ABR
500 Hz ABR
Case 4
Click ABR
Bone Click Testing
1000 Hz ABR
500 Hz ABR
2000 Hz ABR
4000 Hz ABR
Summarization and Recommendations
Case 5
Click ABR
Case 6
Left ear ABR data
Right ear ABR data
Case 7
ECoG
Case 8
Case 9
Case 10
Age 34 ABR and ECoG
Age 41 ABR and ECoG
Age 42
Age 46
Age 48
Age 50
Age 51
Case 11 placeholder
Case 12
ABR Results
ASSR Results
VRA 7 Months
Case 13
Follow up testing: tymps and OAEs
ASSR testing
Case 14
First and Second ASSR
Third ASSR
Pediatric Audiology
Case 1
Age 1
Age 2
Age 6
Case 2
Case 3
Case 4
Case 5
Case 6
Case 7
Case 8
Case 9
Second Evaluation Results
Third Evaluation
Case 10
Frequency-Specific ABR Thresholds
Click bone-conduction ABR testing
Summary and Recommendations
Case 11
Initial Evaluation at age 2.5
One month later
4.5 months after the initial evaluation
Case 12
Age 5 operative report
Age 5 Audiogram
11 months later – left ear surgery report
Facial reconstruction surgery and devices
Case 13
Case 14
Case 15
Audiometric Evaluation
Pitch Pattern Sequence Test
Dichotic Digits
Gap Detection – Auditory Fusion Test
Auditory Closure – Time Compressed Speech
Competing Sentence Test
Selective Attention – SSW
Summary and Recommendations
Case 16
Audiological Evaluation Result
Pitch Pattern Sequence Test
Dichotic Digits
Gap Detection / Auditory Fusion
SCAN-C
SSW
Vestibular / cerebellar screen
Summary and Recommendations
Case 17
Audiological Evaluation Results
Pitch Pattern Sequence Test
Dichotic Digits
Gap Detection / Auditory Fusion
Auditory Closure / Time Compressed Speech
SSW
Competing Sentence Test
Summary and Recommendations
Case 18
Immittance
Pitch Pattern Sequence Test
Dichotic Digits
Gap Detection / Auditory Fusion
SCAN
SSW
Case 19
Pitch Pattern Sequence Test
Dichotic Digits
SCAN
SSW
Auditory Closure / Time Compressed Speech
Gaps in Noise Test
Case 20
Audiologic Evaluation
Pitch Pattern Sequence Test
Dichotic Digits
Auditory Closure / Time Compressed Speech
Gap Detection
SCAN-C
SSW
Summary and Recommendations
Case 21
Medical Audiology
Case 1
1st Evaluation and Imaging Results
2nd Evaluation and Imaging
3rd Evaluation
4th and 5th Evaluations
6th Evaluation
7th Evaluation
Case 2
Audiometrics
Immittance
Management
Case 3
Audiometrics
ENoG
ABR
ENG
Case Conclusion
Case 4
Audiometry & Immittance
Otoacoustic Emissions
VEMPs
ABR
VNG
Case Discussion
Case 5
CT reports
ABR
Management
Case 6
ABR and OAE
Management
Case 7
Age 2 First Evaluation Results
Age 2 Years 2 Months, Second ABR
Audiogram, Age 4
Case 8
Audiology Evaluation
Medical Test Results
Discussion
Case 9
Case 10
Electroneuronography
Case 11
DPOAEs
VEMPs
Case 12
Audiometry and Immittance
Case 13
Audiometry and Immittance
MRI images
Case 14
6 months after intake appointment
7 months after intake appt
11 months after intake appointment
2.5 years post intake
Case Management
Case 15
3 patients, initial hearing status
Literature review
4 years post
6 years post
Case 16
Case 17
Case 18
Case 19
Audiometry Findings
VNG results
VEMP
ABR
Your Advice?
Amplification
Cases 1 and 2
Case 3
Case 4
Case 5
Case 6
Case 7
Case 8
Follow up
Case 9
Case 10
Case 11
Case 12
ABR Test Results
Audio age 3
Amplification Age 3
Audiogram 3 years 3 months
Audiograms at age 4
Amplification Verification Age 4 years 5 months
Case 13
Case 14
Follow-up information
Case 15
Vestibular
Case 1
Audiologic Evaluation
Oculomotor Testing
Positioning testing
Caloric Testing
Summary and Discussion
Case 2
Audiogram
Bedside Evaluation Results
Oculomotor test resuls
Positional tests
Caloric tests
Summary
Case 3
Audiogram
Oculomotor Tests
Positional Tests
Caloric Tests
Summary and Recommendations
Case 4
Audiometry
VNG oculomotor and positional test results
Caloric testing results
ENT Consults
Patient Falls / CT Scans Obtained
Physical Therapy Discharge Notes
Case 5
Bedside Vestibular Evaluation
Oculomotor tests
Positional Tests
Caloric Test Results
Summary and Tests to Order
Case 6
VNG Results
Discussion
Case 7
Audiological Evaluation
Oculomotor
Positional Test Results
Caloric Testing
Summary and Discussion
Case 8
Audiologic Evaluation
“Bedside” vestibular evaluation
Oculomotor Testing
Positioning Testing
Caloric Testing
Summary and Implications
Case 9
Bedside Evaluation
Oculomotor Testing
Positional Testing
Caloric Testing
Summary and Discussion
Case 10
DHI and HADS
Bedside Evaluation
Case 11
Test Results
Case 12
Letter from audiologist to primary care doctor
Audiogram
Physician Letters to Audiologist
Case 13
Audiologic Evaluation
Bedside Evaluation Results
Vestibular Evaluation Results
Case 14
Evaluation Results
Counseling
Cases 1-3
Patient A
Patient B
Patient C
Case 4
Case 5
A
B
C
D
E
F
G
Case 6
Case 7
Case 8
Case 9
Case 10
Case 11
Case 12
OAEs
The OAEs are below. Note the high noise levels.
What can you conclude from these responses?
