Lesson 1Audiogram configurations an diagnostic reasoning: high-frequency sloping sensorineural loss typical a noise-induced hearing loss vs flat or mixed lossesExamines common adult audiogram patterns, emphasizing high-frequency sloping sensorineural loss from noise exposure versus flat or mixed losses, an how dese configurations inform diagnosis, prognosis, an management choices.
Reading an describing audiogram shapesNoise-induced high-frequency sloping lossAge-related versus noise-related patternsIdentifying mixed an conductive componentsImplications fi counseling an treatmentLesson 2External an middle ear exam: otoscopy findings fi rule out wax, tympanic membrane pathology; when fi perform tympanometry in adultsCovers adult otoscopic an middle ear check, including recognition a cerumen, tympanic membrane pathology, an when tympanometry indicated, wid emphasis pon documentation an implications fi further testing.
Systematic adult otoscopy techniqueCommon cerumen an canal findingsRecognizing tympanic membrane pathologyIndications fi tympanometry in adultsImpact pon audiologic test planningLesson 3Objective tests: OAEs fi cochlear outer hair cell function, when fi order ABR/EP fi retrocochlear concernsReviews objective tests fi adult check, focusing pon OAEs fi cochlear status an indications fi ABR or other evoked potentials when retrocochlear pathology or nonorganic hearing loss suspected.
OAE types an clinical applicationsInterpreting absent or reduced OAEsWhen fi order diagnostic ABR testingABR patterns in retrocochlear diseaseObjective tests in difficult-to-test adultsLesson 4When fi refer fi medical imaging or ENT: asymmetric loss, severe unilateral tinnitus, or abnormal neurologic signsClarifies when adults wid hearing loss or tinnitus should referred fi ENT or imaging, focusing pon asymmetric loss, unilateral tinnitus, neurologic signs, an red-flag histories dat suggest serious underlying pathology.
Audiometric criteria fi ENT referralRed-flag tinnitus an unilateral symptomsNeurologic an vestibular warning signsWhen fi request MRI or CT imagingCoordinating care an reporting findingsLesson 5Comprehensive adult audiologic history: noise exposure, ototoxic medications, gradual vs sudden onset, communication situations, tinnitus characteristics, medical comorbiditiesGuides collection a a thorough adult audiologic history, including noise exposure, ototoxic drugs, onset pattern, communication challenges, tinnitus features, an comorbidities, fi support accurate diagnosis an tailored management.
Characterizing onset an progressionOccupational an recreational noise historyMedication, illness, an ototoxic riskCommunication an listening situation reviewTinnitus description an impact inquiryLesson 6Key evidence-based resources an clinical practice guidelines fi adult audiologic managementOutlines key evidence-based guidelines an consensus statements dat shape adult audiologic check an management, emphasizing how fi locate, interpret, an apply dem to everyday clinical decisions fi adults wid hearing loss an tinnitus.
Major audiology an ENT guideline sourcesKey adult hearing check recommendationsBest practices fi adult hearing aid fittingGuideline use in tinnitus checkKeeping current wid evolving evidenceLesson 7Workplace accommodations an communication strategies: meeting strategies, assistive listening devices (FM/remote mic), legal/occupational considerations fi office workersCovers workplace communication needs a office workers wid hearing loss, including meeting strategies, remote microphone systems, reasonable accommodations, an legal protections under disability an employment regulations.
Assessing workplace listening demandsEnvironmental an meeting modificationsRemote microphone an FM system optionsTraining communication partners at workLegal an occupational rights overviewLesson 8Diagnostic audiometry: pure-tone air an bone conduction testing, masking principles, interpretation a air-bone gapsProvides a structured approach to adult diagnostic audiometry, including pure-tone air an bone conduction, masking principles, an interpretation a air-bone gaps fi distinguish sensorineural from conductive components.
Pure-tone air conduction proceduresBone conduction an vibrotactile responsesWhen an how fi apply maskingInterpreting air-bone gaps accuratelyQuality control an retest criteriaLesson 9Follow-up plan: hearing aid trials, rehabilitation, auditory training, monitoring progression an counseling fi preventive hearing conservationDescribes how fi design an individualized follow-up plan, including hearing aid trials, auditory training, counseling, an monitoring progression, wid strategies fi preventive hearing conservation an long-term patient engagement.
Structuring hearing aid trial periodsScheduling an content a follow-up visitsAuditory training an communication rehabMonitoring thresholds an functional outcomesPreventive hearing conservation counselingLesson 10Red flags fi urgent medical referral in adults: sudden sensorineural hearing loss, asymmetric loss, focal neurological signs, fluctuating symptomsDetails clinical warning signs dat require urgent medical referral, including sudden sensorineural loss, asymmetry, neurologic findings, an fluctuating symptoms, wid timelines, documentation tips, an patient counseling points.
Criteria fi sudden sensorineural lossRecognizing clinically significant asymmetryFocal neurologic an vestibular signsFluctuating hearing an episodic symptomsUrgent referral pathways an counselingLesson 11Tinnitus check: tinnitus history, psychoacoustic measures, Tinnitus Handicap Inventory an counseling approachesExplores comprehensive tinnitus check in adults, including detailed history, psychoacoustic measures, validated questionnaires such as di Tinnitus Handicap Inventory, an how results guide counseling an management planning.
Key elements a tinnitus case historyPitch an loudness matching methodsMinimum masking level an residual inhibitionUsing Tinnitus Handicap Inventory scoresLinking check to care planningLesson 12Management options: hearing aid candidacy, selection criteria, verification (real-ear measures), an fitting protocolsDetails adult hearing aid candidacy, selection, verification, an fitting, including needs check, technology matching, real-ear measures, an counseling fi support realistic expectations an device adoption.
Determining candidacy an motivationSelecting style an technology levelPrescriptive targets an fitting formulasReal-ear verification an fine-tuningOrientation an expectation counselingLesson 13Tinnitus management: sound therapy, counseling (CBT principles), referral options, an hearing aid-based tinnitus approachesReviews tinnitus management strategies fi adults, including sound therapy options, CBT-informed counseling, hearing aid-based approaches, an criteria fi referral to psychology, ENT, or multidisciplinary tinnitus clinics.
Education an reassurance techniquesSound therapy an sound enrichmentCBT principles in tinnitus counselingHearing aids wid tinnitus featuresReferral to specialized tinnitus servicesLesson 14Differential diagnoses: noise-induced hearing loss profile, age-related changes, ototoxicity, Meniere’s disease indicators, conductive componentsDiscusses differential diagnosis a adult hearing loss, contrasting noise-induced profiles, age-related changes, ototoxicity, Meniere’s indicators, an conductive components, an how test findings guide medical referral.
Noise-induced versus presbycusis patternsOtotoxicity history an audiometric signsFeatures suggestive a Meniere’s diseaseIdentifying conductive an mixed lossesIntegrating data fi differential reasoningLesson 15Speech audiometry: speech reception threshold (SRT), word recognition scores (WRS), supra-threshold testing an significance fi real-world communicationExplains speech audiometry procedures an interpretation, including SRT, word recognition scores, an supra-threshold tests, an how dese results relate to real-world communication, counseling, an hearing aid expectations.
Speech reception threshold proceduresWord recognition test selectionInterpreting WRS an rollover patternsSupra-threshold an speech-in-noise testsLinking results to communication needs
