Medical Reporting - Acuity Hearing

Audiology Report Template

Acuity Hearing Maroubra

Shop 1 822–824 Anzac Parade

Maroubra NSW 2035

Phone: (02) 9190 8497

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Patient Details

Re:DOB:

Report Introduction

Diagnosed hearing loss
Thinks hearing has changed
One ear better than other
Others have commented on hearing
Has worn hearing devices
Recent colds or sinus congestion
Recent ear infections or discharge
Ringing, buzzing or other ear noise
Experiences dizziness
History of ear surgery
Exposure to loud noise
Family history of hearing loss

Results

Otoscopy

Left Ear:

Clear ear canal
Wax observed
Wax occlusion
Tympanic membrane intact
Tympanic membrane dull
Tympanic membrane retracted
Tympanic membrane perforation
Tympanic membrane scarring
Foreign body
Canal redness/inflammation
Discharge
Otitis externa signs
Fluid bubbles visible behind TM
Effusion and drops

Right Ear:

Pure Tone Audiometry

Left Ear:

Normal hearing
Mild hearing loss
Moderate hearing loss
Severe hearing loss
Profound hearing loss
High-frequency loss
Notched configuration
Conductive
Sensorineural
Mixed

Right Ear:

Normal hearing
Mild hearing loss
Moderate hearing loss
Severe hearing loss
Profound hearing loss
High-frequency loss
Notched configuration
Conductive
Sensorineural
Mixed

Tympanometry

Left Ear:

Type A
Type As
Type Ad
Type B
Type C
Normal ear canal volume
Large ear canal volume
Small ear canal volume

Right Ear:

Type A
Type As
Type Ad
Type B
Type C
Normal ear canal volume
Large ear canal volume
Small ear canal volume

Speech Audiometry

Speech testing completed
Speech testing not completed

Summary and Recommendations

Ear wax removal completed. Discussion of hearing results provided. Referral to ENT recommended.

Hearing aids discussed and recommended. Client will trial amplification. Discussed tinnitus and recommendations for management. DVA Tinnitus Annual Hearing Test Recommended

Please do not hesitate to contact me if you have any queries.

Yours sincerely,

Dean Zouroudis
Clinical Audiologist
B. AudEng, M. ClinAud, MAudA (CCP)