Page 121 - 2021 IDMT Digital

TINNITUS
Introduction:
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VRXUFH
• &DQ DFFRPSDQ\ DQ\ IRUP RI KHDULQJ ORVV
• RI WKH JHQHUDO SRSXODWLRQ H[SHULHQFHV WLQQLWXV
Subjective:
• 6LJQV DQG 6\PSWRPV
o 0D\ LQWHUIHUH ZLWK VOHHS DELOLW\ WR FRQFHQWUDWH DQG FDXVH SV\FKRORJLFDO GLVWUHVV
o 6HYHULW\ RI WLQQLWXV FRUUHODWHV SRRUO\ ZLWK GHJUHH RI KHDULQJ ORVV
o 4XDOLW\ SXOVDWLOH WRQDO RU FOLFNLQJ
o 9HUWLJR RU EDODQFH SUREOHPV
Objective:
• 3K\VLFDO ([DP
o &RPSOHWH +((17 LQFOXGLQJ WXQLQJ IRUN WHVWV
• 7RROV
o $XGLRPHWU\ WR UXOH RXW DVVRFLDWHG KHDULQJ ORVV
o ,I XQLODWHUDO WLQQLWXV HVSHFLDOO\ ZLWK KHDULQJ ORVV 05, WR U R YHVWLEXODU
VFKZDQQRPD DFRXVWLF QHXURPD
o ,I SXOVDWLOH RU VWDFFDWR ³FOLFNLQJ´ HYDOXDWH IRU YDVFXODU OHVLRQ ZLWK 05,
Assessment:
• 'LIIHUHQWLDO
o 7LQQLWXV LGLRSDWKLF KLJK SLWFKHG WRQDO QRLVH DVVRFLDWHG ZLWK KHDULQJ ORVV
WK
o 9HVWLEXODU VFKZDQQRPD WXPRU DIIHFWLQJ WKH FUDQLDO QHUYH FDXVLQJ XQLODWHUDO
KHDULQJ ORVV DQG WLQQLWXV
o ([SRVXUH WR H[FHVVLYH QRLVH FDXVLQJ WHPSRUDU\ WLQQLWXV
o 9HQRXV KXPV KHDUG E\ SDWLHQWV ZKR PD\ KDYH YDVFXODU DEQRUPDOLWLHV HYDOXDWH
ZLWK &7$ RU 05$
Plan:
• 7KH PRVW LPSRUWDQW WUHDWPHQW RI WLQQLWXV LV DYRLGDQFH RI H[SRVXUH WR H[FHVVLYH QRLVH
RWRWR[LF DJHQWV DQG RWKHU IDFWRUV WKDW FDXVH FRFKOHDU GDPDJH
• 1RUWULSW\OLQH PD\ LPSURYH WLQQLWXV LQ GHSUHVVHG SDWLHQWV

Patient Education:
• $OZD\V ZHDU KHDULQJ SURWHFWLRQ
• 8VH PXVLF RU ZKLWH QRLVH PDFKLQHV WR KHOS PDVN WLQQLWXV DW EHGWLPH
• )ROORZ XS $FWLRQV
o 5HWXUQ LI WLQQLWXV EHJLQV WR LQWHUIHUH ZLWK GDLO\ IXQFWLRQLQJ
Preceptor Directive:
• Green Directive: Routine Review by Preceptor IAW AFI 44-103

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