Instructions
You are an intern in the ENT clinic. Douglas Fairbairn, 70, has had gradually worsening hearing for five years. His ear examination is normal. His audiogram has been reported.
Explain the audiogram result to Mr Fairbairn and agree a plan
- You do not need to take a history or examine the patient
Audiogram
Bilateral symmetrical sensorineural loss: 25 dB at 250 Hz falling to 60 dB at 4000 Hz; no air-bone gap. Speech discrimination 80%. Tympanometry normal.