The Rational Clinical Examination
David L. Simel, Drummond Rennie
Akshay Bagai, Paaladinesh Thavendiranathan, Allan S. Detsky
Clinical Scenarios, Why Is This Question Important?, Anatomy and Physiology of Hearing, Hearing Impairment, How to Perform Screening Tests for Hearing Impairment, Methods, Results, Case Resolution, Bottom Line, References
"A 77-year-old previously healthy woman in your primary care practice
comes to your office for a routine medical examination. She feels
well, has no complaints, and remains active. During a routine functional
inquiry, you inquire whether she feels she has any difficulty hearing.
She tells you yes. She says that her husband occasionally complains
that she is not hearing him very well. With further questioning,
she also reports that she sometimes has difficulty understanding
people at work. In social situations, she often has to ask others
to repeat themselves. What do you do next?..."
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