Medical Management of HL Flashcards
1
Q
What is the ideal timeline of pediatric hearing screening?
A
- Screening no later than 1 month
- Diagnosis no later than 3 months
- Intervention no later than 6 months
2
Q
What are risk factors for neonatal & late-onset HL?
A
- Family history
- Caregiver concern
- History of NICU stay
- In utero infections
- Congenital abnormalities or syndromes
- Culture-positive postnatal infections (i.e. meningitis)
- Post discharge risk factors: head trauma, chemotherapy, etc.
3
Q
What is the PCP’s role as the medical home for children with HL?
A
-Ensure that all assessments occur in a timely fashion and all services are provided
4
Q
What is the otologist’s role in the management of a child with HL?
A
- Diagnose
- Treat
- Refer
- Prevent
- Communicate
5
Q
What is included in otologic evaluation?
A
- Thorough case history
- Head/neck exam to ID anatomical markers
- Imaging to CNS lesins
- Lab Assessment
- Predict prognosis
6
Q
Describe options for medical management of hearing loss.
A
NOTE: Behavioral audiometry is always preferred**
- CIs
- BC devices
- Auditory brainstem implants
- Ear disease
- OM, OE
- Congenital CHL
- Inner ear malformations
