presbycusis. case 1 history 57 y/o male worker’s compensation insurance fell from tractor and...

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Presbycusis

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Page 1: Presbycusis. Case 1 History 57 y/o male Worker’s compensation insurance Fell from tractor and caused laceration to right external ear, feels that TM is

Presbycusis

Page 2: Presbycusis. Case 1 History 57 y/o male Worker’s compensation insurance Fell from tractor and caused laceration to right external ear, feels that TM is

Case 1 History

57 y/o male Worker’s compensation insurance Fell from tractor and caused laceration

to right external ear, feels that TM is perforated

Sudden awareness of hearing problem directly after blow to head/ear

Page 3: Presbycusis. Case 1 History 57 y/o male Worker’s compensation insurance Fell from tractor and caused laceration to right external ear, feels that TM is

Otoscopy

Dried blood in right ear canal, taken out, both TM’s visualized and normal

Page 4: Presbycusis. Case 1 History 57 y/o male Worker’s compensation insurance Fell from tractor and caused laceration to right external ear, feels that TM is
Page 5: Presbycusis. Case 1 History 57 y/o male Worker’s compensation insurance Fell from tractor and caused laceration to right external ear, feels that TM is
Page 6: Presbycusis. Case 1 History 57 y/o male Worker’s compensation insurance Fell from tractor and caused laceration to right external ear, feels that TM is
Page 7: Presbycusis. Case 1 History 57 y/o male Worker’s compensation insurance Fell from tractor and caused laceration to right external ear, feels that TM is

Conclusion

Bilateral sensorineural loss can either be from noise exposure, age or a combination of the two

Page 8: Presbycusis. Case 1 History 57 y/o male Worker’s compensation insurance Fell from tractor and caused laceration to right external ear, feels that TM is

Acoustic Neuroma

Page 9: Presbycusis. Case 1 History 57 y/o male Worker’s compensation insurance Fell from tractor and caused laceration to right external ear, feels that TM is

Case 1 History

58 year old female Diagnosed with enhancing internal

auditory canal lesion 2 years prior MRI shows no growth of lesion since

previous MRI

Page 10: Presbycusis. Case 1 History 57 y/o male Worker’s compensation insurance Fell from tractor and caused laceration to right external ear, feels that TM is
Page 11: Presbycusis. Case 1 History 57 y/o male Worker’s compensation insurance Fell from tractor and caused laceration to right external ear, feels that TM is
Page 12: Presbycusis. Case 1 History 57 y/o male Worker’s compensation insurance Fell from tractor and caused laceration to right external ear, feels that TM is

Case 2 History

46 y/o female One evening while running errands she heard

a pop and then loud tinnitus began Both ABR and ENG results were within

normal limits A CT scan showed a 4 mm acoustic neuroma

in the right internal auditory canal

Page 13: Presbycusis. Case 1 History 57 y/o male Worker’s compensation insurance Fell from tractor and caused laceration to right external ear, feels that TM is
Page 14: Presbycusis. Case 1 History 57 y/o male Worker’s compensation insurance Fell from tractor and caused laceration to right external ear, feels that TM is
Page 15: Presbycusis. Case 1 History 57 y/o male Worker’s compensation insurance Fell from tractor and caused laceration to right external ear, feels that TM is
Page 16: Presbycusis. Case 1 History 57 y/o male Worker’s compensation insurance Fell from tractor and caused laceration to right external ear, feels that TM is

Case 3 History

52 year old female History of right acoustic schwannoma Multiple surgical resections between

1972 and 1977 Reports headache and ear pain

Page 17: Presbycusis. Case 1 History 57 y/o male Worker’s compensation insurance Fell from tractor and caused laceration to right external ear, feels that TM is
Page 18: Presbycusis. Case 1 History 57 y/o male Worker’s compensation insurance Fell from tractor and caused laceration to right external ear, feels that TM is
Page 19: Presbycusis. Case 1 History 57 y/o male Worker’s compensation insurance Fell from tractor and caused laceration to right external ear, feels that TM is
Page 20: Presbycusis. Case 1 History 57 y/o male Worker’s compensation insurance Fell from tractor and caused laceration to right external ear, feels that TM is

Case 4 History

49 year old woman Underwent resection of a

cerebellopontine angle meningioma 7 months prior

Page 21: Presbycusis. Case 1 History 57 y/o male Worker’s compensation insurance Fell from tractor and caused laceration to right external ear, feels that TM is
Page 22: Presbycusis. Case 1 History 57 y/o male Worker’s compensation insurance Fell from tractor and caused laceration to right external ear, feels that TM is
Page 23: Presbycusis. Case 1 History 57 y/o male Worker’s compensation insurance Fell from tractor and caused laceration to right external ear, feels that TM is

Case 5 History

67 year old female Sudden hearing loss on right side Accompanied by violent vertigo two

years ago History of CVA one year ago on left side

Page 24: Presbycusis. Case 1 History 57 y/o male Worker’s compensation insurance Fell from tractor and caused laceration to right external ear, feels that TM is
Page 25: Presbycusis. Case 1 History 57 y/o male Worker’s compensation insurance Fell from tractor and caused laceration to right external ear, feels that TM is