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Tinnitus (low-pitched)
Severe vertigo
Aural fullness
Hearing loss can fluctuate
Meniere's disease

Absent acoustic reflexes
otosclerosis

ECV: Normal
Otoscopy: No cerumen, reddened TM
Symptoms: Fever, ear pain, difficulty hearing,
tugging on ears, change in school performance
otitis media

Tinnitus
noise induced hearing loss

Tinnitus (high-pitched)
Difficulty hearing in background noise
Presbycusis

ECV: normal
Otoscopy: Clear of cerumen, whitish mass behind TM
Cholesteotoma

Absent acoustic reflexes in right ear
Unilateral tinnitus (high-pitched)
Difficulty understanding speech in affected ear
Some dizziness
Acoustic neuroma

ossicular disarticulation

Tinnitus (high-pitched)
Usually patient is very sick from other medical conditions that warrant medications
ototoxicity

Loud ringing in left ear
Straining behavior to speech in left ear
SRT left: 70 dB. Responded with several half-spondees
malingering

Mild Conductive loss
Flat Tymp
Large ECV
TM Perforation

Acoustic reflexes: Absent
Otoacoustic emissions: Present
ABR: Absent
WRS: Poor
Auditory Neuropothy Spectrum disorder

Woke up with no hearing in the left ear
Tinnitus
Aural fullness
Sudden SNHL

Mixed loss-conductive components
Middle ear is normal
Present ARTs
EVA