Exposure to ototoxic drugs or other otic damage in past

Assignment Help Science

Reference no: EM133793424

Mr. Albert Johnston accompanies his wife Mary to the appointment today and explains that his wife seems to be having trouble hearing him when he talks with her in a normal tone of voice, and she is turning the TV up very loud, their apartment neighbors have commented on this. HPI: Mary is an 88-year-old woman and has been married for 50 years to Albert. Albert complains that Mary cannot hear or hears but does not understand (especially in a group); turns up radio or television louder to hear (also noted by family, friends, and neighbors); Mary complains of tinnitus; and she feels like people are "mumbling." PMH: HTN, hypercholesterolemia. Medications:

• ramipril 5mg po daily

• multivitamin daily,

• aspirin 81mg po daily

• rosuvastatin 10mg po every H.S. Vital signs are 120/88 Pulse: 88 Resp: 16 Temp: 97.9 F P02: 96% WT: 156 HT: 5'6"

QUESTIONS

1. Ask if Mary has had any exposure to ototoxic drugs or other otic damage in the past. Describe at least three.

2. What examinations will you perform on the ear? Describe the areas of the ear you will evaluate and what you will expect to find.

3. Diagnostic Testing:

Reference no: EM133793424

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