Audiology/Otologic Case History Flashcards
When diagnosis is obscure, often the answer can be found in the ___________.
Case history
What are the four main questions that patients want the answer to?
Is there a problem?
How serious is the problem?
What is the cause of the problem?
What type of treatment will reduce/overcome the problem?
What are the two forms of obtaining case history?
Written and Oral
What are advantages and disadvantages of a written case history?
Advantages: efficiency, easy to obtain, consistency, can go back to it later
Disadvantages: you can ‘lie’ on it, different from one to one interaction (can’t ‘read’ the patient)
What are advantages and disadvantages of an oral case history?
Advantages: more personal, questions are based on the patient, gives the patient the opportunity to explain, relationship building
Disadvantages: could go down the wrong pathway, parents may not be able to accurately fill out forms for teens, kids may lie in front of parents
What are the parts of an audiologic history?
Observation of the patient’s behavior (can identify some hearing loss)
Essentials
General and Specific Questions
What are the essentials in an audiologic history?
Identifying information
Health History (including the families)
Hearing history (including the families) - amplification history and previous evals
If the patient is a child: developmental history and educational history
What general and specific questions should be included in an audiologic history?
Symptom related (what brought you here today? when did it start? bilateral/unilateral? history of ear infections? pain?) Communication related (concerns? history of exposure to loud sounds?)
What are the types of histories collected from the patient?
Case history
Audiologic history
Otologic history
In otologic history, what do you look for?
If the hearing loss is unilateral, bilateral, symmetric, fluctuating, progressive Tinnitus Dizziness/vertigo Pain History of drainage
