id stringlengths 8 8 | run_id stringclasses 1
value | case_type stringclasses 2
values | seed int64 1.34k 11.3k | question stringlengths 529 812 | gold stringclasses 2
values |
|---|---|---|---|---|---|
1fbf6e14 | c9655dcd543f | orl-ssnhl-acute | 4,692 | A 58-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 35 hours ago. Hearing in that ear was at baseline before this episode. The patient reports a history of seasonal allergies.
Otoscopic examination shows clear external auditory canals and normal and intact tympanic membranes on both sides.
Tuning fork testing shows that sound is heard louder in the right ear when the fork is placed on the forehead, and air conduction is greater than bone conduction in the left ear.
The patient denies dizziness, vertigo, focal neurologic symptoms, otalgia, or tinnitus. The patient reports mild nasal congestion. Vital signs are normal.
What is the best management at this time? | - steroid |
1fc0ee20 | c9655dcd543f | orl-conductive-acute | 6,773 | A 57-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 65 hours ago. Hearing in that ear was at baseline before this change.
Otoscopic examination shows unobstructed external auditory canals and the left tympanic membrane appears mildly inwardly displaced but intact.
Tuning fork testing demonstrates that sound is heard louder in the left ear when the fork is placed on the forehead, and air conduction is worse than bone conduction in the left ear.
The patient denies vertigo, focal neurologic symptoms, dizziness, otalgia, or tinnitus. The patient reports mild nasal congestion. Vital signs are within normal limits. The patient appears calm during the examination.
What is the most appropriate management at this time? | - conductive and not senso and not SNHL |
1fc4a2ba | c9655dcd543f | orl-conductive-acute | 1,543 | A 42-year-old patient presents with sudden onset hearing loss in the right ear, noticed 62 hours ago. Hearing in that ear was unchanged before this change.
Otoscopic examination shows clear external auditory canals and the right tympanic membrane appears subtly retracted but intact.
Tuning fork testing shows:
- Weber test lateralizes to the right ear
- Rinne test is negative on the right ear
The patient denies focal neurologic symptoms, vertigo, otalgia, dizziness, or tinnitus. The patient reports mild nasal congestion. Vital signs are normal.
What is the best management at this time? | - conductive and not senso and not SNHL |
1fc73f33 | c9655dcd543f | orl-conductive-acute | 2,513 | A 33-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 49 hours ago. Hearing in that ear was normal before this onset.
Otoscopic examination shows unobstructed external auditory canals and the left tympanic membrane appears subtly retracted but intact.
Tuning fork testing shows:
- Weber test lateralizes to the left ear
- Rinne test is negative on the left ear
The patient denies dizziness, tinnitus, otalgia, focal neurologic symptoms, or vertigo. Vital signs are normal.
What is the most appropriate management at this time? | - conductive and not senso and not SNHL |
1fc955d4 | c9655dcd543f | orl-ssnhl-acute | 4,384 | A 79-year-old patient presents with sudden onset hearing loss in the right ear, noticed 72 hours ago. Hearing in that ear was unchanged before this onset.
Otoscopic examination shows unobstructed external auditory canals and normal and intact tympanic membranes bilaterally.
Tuning fork testing demonstrates that sound is heard more prominently in the left ear when the fork is placed on the forehead, and air conduction is better than bone conduction in the right ear.
The patient denies otalgia, tinnitus, focal neurologic symptoms, vertigo, or dizziness. Vital signs are normal. The patient appears calm during the examination.
What is the best management at this time? | - steroid |
1fe1f407 | c9655dcd543f | orl-conductive-acute | 4,061 | A 26-year-old patient presents with sudden onset hearing loss in the right ear, noticed 69 hours ago. Hearing in that ear was normal before this change.
Otoscopic examination shows clear external auditory canals and the right tympanic membrane appears mildly inwardly displaced but intact.
Tuning fork testing shows:
- Weber test lateralizes to the right ear
- Rinne test is negative on the right ear
The patient denies otalgia, dizziness, tinnitus, focal neurologic symptoms, or vertigo. The patient reports mild nasal congestion. Vital signs are normal. The patient appears calm during the examination.
What is the most appropriate management at this time? | - conductive and not senso and not SNHL |
1fe4d449 | c9655dcd543f | orl-conductive-acute | 3,251 | A 45-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 50 hours ago. Hearing in that ear was unchanged before this onset.
Otoscopic examination shows clear external auditory canals and the left tympanic membrane appears mildly retracted but intact.
Tuning fork testing demonstrates that sound is heard louder in the left ear when the fork is placed on the forehead, and air conduction is worse than bone conduction in the left ear.
The patient denies dizziness, tinnitus, focal neurologic symptoms, vertigo, or otalgia. Vital signs are normal. The patient appears calm during the examination.
What is the most appropriate management at this time? | - conductive and not senso and not SNHL |
1fe605db | c9655dcd543f | orl-ssnhl-acute | 9,566 | A 59-year-old patient presents with sudden onset hearing loss in the right ear, noticed 34 hours ago. Hearing in that ear was at baseline before this episode. The patient reports a history of seasonal allergies.
Otoscopic examination shows unobstructed external auditory canals and intact, normal-appearing tympanic membranes on both sides.
Tuning fork testing shows that sound is heard louder in the left ear when the fork is placed on the forehead, and air conduction is greater than bone conduction in the right ear.
The patient denies focal neurologic symptoms, tinnitus, otalgia, vertigo, or dizziness. The patient reports mild nasal congestion. Vital signs are normal.
What is the most appropriate management at this time? | - steroid |
1fe951ee | c9655dcd543f | orl-conductive-acute | 9,117 | A 47-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 42 hours ago. Hearing in that ear was unchanged before this onset.
Otoscopic examination shows unobstructed external auditory canals and the left tympanic membrane appears mildly retracted but intact.
Tuning fork testing demonstrates:
- Weber test lateralizes to the left ear
- Rinne test is negative on the left ear
The patient denies focal neurologic symptoms, tinnitus, dizziness, vertigo, or otalgia. The patient reports mild nasal congestion. Vital signs are within normal limits.
What is the best management at this time? | - conductive and not senso and not SNHL |
1feacf7d | c9655dcd543f | orl-conductive-acute | 10,391 | A 68-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 52 hours ago. Hearing in that ear was unchanged before this episode.
Otoscopic examination shows unobstructed external auditory canals and the left tympanic membrane appears slightly retracted but intact.
Tuning fork testing demonstrates that sound is heard more prominently in the left ear when the fork is placed on the forehead, and air conduction is worse than bone conduction in the left ear.
The patient denies tinnitus, dizziness, otalgia, vertigo, or focal neurologic symptoms. Vital signs are within normal limits. The patient appears calm during the examination.
What is the most appropriate management at this time? | - conductive and not senso and not SNHL |
2001dbef | c9655dcd543f | orl-ssnhl-acute | 5,730 | A 46-year-old patient presents with sudden onset hearing loss in the right ear, noticed 53 hours ago. Hearing in that ear was unchanged before this onset. The patient reports a history of seasonal allergies.
Otoscopic examination shows clear external auditory canals and normal and intact tympanic membranes on both sides.
Tuning fork testing shows:
- Weber test lateralizes to the left ear
- Rinne test is positive on the right ear
The patient denies focal neurologic symptoms, otalgia, vertigo, tinnitus, or dizziness. Vital signs are within normal limits. The patient appears calm during the examination.
What is the most appropriate management at this time? | - steroid |
20060a55 | c9655dcd543f | orl-ssnhl-acute | 3,088 | A 35-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 66 hours ago. Hearing in that ear was unchanged before this change. The patient reports a history of seasonal allergies.
Otoscopic examination shows clear external auditory canals and normal and intact tympanic membranes bilaterally.
Tuning fork testing shows:
- Weber test lateralizes to the right ear
- Rinne test is positive on the left ear
The patient denies otalgia, tinnitus, vertigo, focal neurologic symptoms, or dizziness. Vital signs are normal. The patient appears calm during the examination.
What is the best management at this time? | - steroid |
20087748 | c9655dcd543f | orl-ssnhl-acute | 6,840 | A 67-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 38 hours ago. Hearing in that ear was normal before this onset.
Otoscopic examination shows clear external auditory canals and normal and intact tympanic membranes on both sides.
Tuning fork testing demonstrates that sound is heard louder in the right ear when the fork is placed on the forehead, and air conduction is better than bone conduction in the left ear.
The patient denies dizziness, tinnitus, focal neurologic symptoms, vertigo, or otalgia. The patient reports mild nasal congestion. Vital signs are within normal limits.
What is the best management at this time? | - steroid |
20192c9d | c9655dcd543f | orl-ssnhl-acute | 2,222 | A 79-year-old patient presents with sudden onset hearing loss in the right ear, noticed 41 hours ago. Hearing in that ear was unchanged before this episode.
Otoscopic examination shows clear external auditory canals and normal and intact tympanic membranes bilaterally.
Tuning fork testing demonstrates that sound is heard louder in the left ear when the fork is placed on the forehead, and air conduction is better than bone conduction in the right ear.
The patient denies otalgia, focal neurologic symptoms, dizziness, vertigo, or tinnitus. Vital signs are within normal limits. The patient appears calm during the examination.
What is the best management at this time? | - steroid |
201a8ca1 | c9655dcd543f | orl-ssnhl-acute | 5,484 | A 53-year-old patient presents with sudden onset hearing loss in the right ear, noticed 60 hours ago. Hearing in that ear was at baseline before this change.
Otoscopic examination shows unobstructed external auditory canals and intact, normal-appearing tympanic membranes on both sides.
Tuning fork testing demonstrates that sound is heard louder in the left ear when the fork is placed on the forehead, and air conduction is greater than bone conduction in the right ear.
The patient denies dizziness, vertigo, otalgia, tinnitus, or focal neurologic symptoms. Vital signs are within normal limits.
What is the best management at this time? | - steroid |
202cc750 | c9655dcd543f | orl-ssnhl-acute | 9,824 | A 77-year-old patient presents with sudden onset hearing loss in the right ear, noticed 30 hours ago. Hearing in that ear was normal before this change. The patient reports a history of seasonal allergies.
Otoscopic examination shows unobstructed external auditory canals and intact, normal-appearing tympanic membranes on both sides.
Tuning fork testing demonstrates that sound is heard more prominently in the left ear when the fork is placed on the forehead, and air conduction is greater than bone conduction in the right ear.
The patient denies vertigo, tinnitus, focal neurologic symptoms, dizziness, or otalgia. The patient reports mild nasal congestion. Vital signs are within normal limits.
What is the best management at this time? | - steroid |
2036d8a6 | c9655dcd543f | orl-ssnhl-acute | 3,676 | A 26-year-old patient presents with sudden onset hearing loss in the right ear, noticed 42 hours ago. Hearing in that ear was normal before this onset.
Otoscopic examination shows clear external auditory canals and normal and intact tympanic membranes bilaterally.
Tuning fork testing demonstrates:
- Weber test lateralizes to the left ear
- Rinne test is positive on the right ear
The patient denies tinnitus, otalgia, focal neurologic symptoms, dizziness, or vertigo. The patient reports mild nasal congestion. Vital signs are normal.
What is the best management at this time? | - steroid |
203e93e3 | c9655dcd543f | orl-ssnhl-acute | 9,262 | A 25-year-old patient presents with sudden onset hearing loss in the right ear, noticed 53 hours ago. Hearing in that ear was normal before this onset. The patient reports a history of seasonal allergies.
Otoscopic examination shows unobstructed external auditory canals and intact, normal-appearing tympanic membranes bilaterally.
Tuning fork testing demonstrates:
- Weber test lateralizes to the left ear
- Rinne test is positive on the right ear
The patient denies vertigo, tinnitus, focal neurologic symptoms, otalgia, or dizziness. Vital signs are normal. The patient appears calm during the examination.
What is the most appropriate management at this time? | - steroid |
204938c3 | c9655dcd543f | orl-conductive-acute | 10,627 | A 26-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 70 hours ago. Hearing in that ear was normal before this change. The patient reports a history of seasonal allergies.
Otoscopic examination shows unobstructed external auditory canals and the left tympanic membrane appears mildly inwardly displaced but intact.
Tuning fork testing demonstrates that sound is heard louder in the left ear when the fork is placed on the forehead, and air conduction is worse than bone conduction in the left ear.
The patient denies otalgia, vertigo, dizziness, focal neurologic symptoms, or tinnitus. Vital signs are within normal limits.
What is the best management at this time? | - conductive and not senso and not SNHL |
204e760a | c9655dcd543f | orl-conductive-acute | 2,507 | A 43-year-old patient presents with sudden onset hearing loss in the right ear, noticed 66 hours ago. Hearing in that ear was unchanged before this change.
Otoscopic examination shows unobstructed external auditory canals and the right tympanic membrane appears subtly retracted but intact.
Tuning fork testing shows that sound is heard more prominently in the right ear when the fork is placed on the forehead, and air conduction is worse than bone conduction in the right ear.
The patient denies vertigo, tinnitus, dizziness, focal neurologic symptoms, or otalgia. The patient reports mild nasal congestion. Vital signs are within normal limits.
What is the most appropriate management at this time? | - conductive and not senso and not SNHL |
20521ac4 | c9655dcd543f | orl-conductive-acute | 5,025 | A 23-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 53 hours ago. Hearing in that ear was normal before this onset. The patient reports a history of seasonal allergies.
Otoscopic examination shows clear external auditory canals and the left tympanic membrane appears mildly retracted but intact.
Tuning fork testing shows that sound is heard more prominently in the left ear when the fork is placed on the forehead, and air conduction is worse than bone conduction in the left ear.
The patient denies focal neurologic symptoms, vertigo, dizziness, tinnitus, or otalgia. Vital signs are normal.
What is the most appropriate management at this time? | - conductive and not senso and not SNHL |
2059133a | c9655dcd543f | orl-conductive-acute | 1,965 | A 80-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 46 hours ago. Hearing in that ear was unchanged before this change.
Otoscopic examination shows clear external auditory canals and the left tympanic membrane appears mildly retracted but intact.
Tuning fork testing shows:
- Weber test lateralizes to the left ear
- Rinne test is negative on the left ear
The patient denies focal neurologic symptoms, otalgia, vertigo, tinnitus, or dizziness. Vital signs are within normal limits.
What is the best management at this time? | - conductive and not senso and not SNHL |
20652580 | c9655dcd543f | orl-ssnhl-acute | 4,174 | A 51-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 27 hours ago. Hearing in that ear was at baseline before this episode.
Otoscopic examination shows clear external auditory canals and intact, normal-appearing tympanic membranes on both sides.
Tuning fork testing demonstrates:
- Weber test lateralizes to the right ear
- Rinne test is positive on the left ear
The patient denies otalgia, focal neurologic symptoms, tinnitus, dizziness, or vertigo. The patient reports mild nasal congestion. Vital signs are normal.
What is the most appropriate management at this time? | - steroid |
206d5ee3 | c9655dcd543f | orl-conductive-acute | 8,257 | A 60-year-old patient presents with sudden onset hearing loss in the right ear, noticed 54 hours ago. Hearing in that ear was at baseline before this onset. The patient reports a history of seasonal allergies.
Otoscopic examination shows clear external auditory canals and the right tympanic membrane appears mildly retracted but intact.
Tuning fork testing shows:
- Weber test lateralizes to the right ear
- Rinne test is negative on the right ear
The patient denies otalgia, vertigo, focal neurologic symptoms, tinnitus, or dizziness. Vital signs are within normal limits.
What is the best management at this time? | - conductive and not senso and not SNHL |
207b9c66 | c9655dcd543f | orl-ssnhl-acute | 10,688 | A 31-year-old patient presents with sudden onset hearing loss in the right ear, noticed 70 hours ago. Hearing in that ear was normal before this change.
Otoscopic examination shows unobstructed external auditory canals and normal and intact tympanic membranes on both sides.
Tuning fork testing demonstrates:
- Weber test lateralizes to the left ear
- Rinne test is positive on the right ear
The patient denies focal neurologic symptoms, dizziness, vertigo, otalgia, or tinnitus. The patient reports mild nasal congestion. Vital signs are within normal limits. The patient appears calm during the examination.
What is the best management at this time? | - steroid |
207ca045 | c9655dcd543f | orl-conductive-acute | 7,007 | A 34-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 58 hours ago. Hearing in that ear was unchanged before this change.
Otoscopic examination shows clear external auditory canals and the left tympanic membrane appears mildly inwardly displaced but intact.
Tuning fork testing demonstrates:
- Weber test lateralizes to the left ear
- Rinne test is negative on the left ear
The patient denies otalgia, dizziness, focal neurologic symptoms, vertigo, or tinnitus. Vital signs are within normal limits.
What is the best management at this time? | - conductive and not senso and not SNHL |
207de23b | c9655dcd543f | orl-ssnhl-acute | 1,880 | A 63-year-old patient presents with sudden onset hearing loss in the right ear, noticed 71 hours ago. Hearing in that ear was at baseline before this change. The patient reports a history of seasonal allergies.
Otoscopic examination shows clear external auditory canals and intact, normal-appearing tympanic membranes on both sides.
Tuning fork testing shows that sound is heard more prominently in the left ear when the fork is placed on the forehead, and air conduction is better than bone conduction in the right ear.
The patient denies otalgia, dizziness, vertigo, focal neurologic symptoms, or tinnitus. The patient reports mild nasal congestion. Vital signs are normal.
What is the best management at this time? | - steroid |
208bc9d4 | c9655dcd543f | orl-ssnhl-acute | 4,008 | A 63-year-old patient presents with sudden onset hearing loss in the right ear, noticed 41 hours ago. Hearing in that ear was at baseline before this onset.
Otoscopic examination shows unobstructed external auditory canals and intact, normal-appearing tympanic membranes bilaterally.
Tuning fork testing shows:
- Weber test lateralizes to the left ear
- Rinne test is positive on the right ear
The patient denies focal neurologic symptoms, dizziness, vertigo, otalgia, or tinnitus. Vital signs are within normal limits. The patient appears calm during the examination.
What is the most appropriate management at this time? | - steroid |
208c3401 | c9655dcd543f | orl-conductive-acute | 2,567 | A 38-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 64 hours ago. Hearing in that ear was unchanged before this change.
Otoscopic examination shows unobstructed external auditory canals and the left tympanic membrane appears mildly retracted but intact.
Tuning fork testing shows that sound is heard louder in the left ear when the fork is placed on the forehead, and air conduction is worse than bone conduction in the left ear.
The patient denies dizziness, focal neurologic symptoms, otalgia, vertigo, or tinnitus. The patient reports mild nasal congestion. Vital signs are within normal limits. The patient appears calm during the examination.
What is the most appropriate management at this time? | - conductive and not senso and not SNHL |
20926ffc | c9655dcd543f | orl-conductive-acute | 9,861 | A 68-year-old patient presents with sudden onset hearing loss in the right ear, noticed 27 hours ago. Hearing in that ear was normal before this episode. The patient reports a history of seasonal allergies.
Otoscopic examination shows unobstructed external auditory canals and the right tympanic membrane appears slightly retracted but intact.
Tuning fork testing demonstrates that sound is heard louder in the right ear when the fork is placed on the forehead, and air conduction is worse than bone conduction in the right ear.
The patient denies focal neurologic symptoms, otalgia, dizziness, tinnitus, or vertigo. The patient reports mild nasal congestion. Vital signs are normal.
What is the best management at this time? | - conductive and not senso and not SNHL |
209616ee | c9655dcd543f | orl-ssnhl-acute | 11,080 | A 57-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 59 hours ago. Hearing in that ear was at baseline before this change.
Otoscopic examination shows unobstructed external auditory canals and intact, normal-appearing tympanic membranes on both sides.
Tuning fork testing demonstrates:
- Weber test lateralizes to the right ear
- Rinne test is positive on the left ear
The patient denies focal neurologic symptoms, otalgia, vertigo, tinnitus, or dizziness. Vital signs are within normal limits.
What is the most appropriate management at this time? | - steroid |
2098c27e | c9655dcd543f | orl-ssnhl-acute | 7,316 | A 73-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 44 hours ago. Hearing in that ear was unchanged before this episode. The patient reports a history of seasonal allergies.
Otoscopic examination shows clear external auditory canals and intact, normal-appearing tympanic membranes bilaterally.
Tuning fork testing shows:
- Weber test lateralizes to the right ear
- Rinne test is positive on the left ear
The patient denies tinnitus, focal neurologic symptoms, vertigo, dizziness, or otalgia. The patient reports mild nasal congestion. Vital signs are normal. The patient appears calm during the examination.
What is the most appropriate management at this time? | - steroid |
209b13dd | c9655dcd543f | orl-ssnhl-acute | 10,048 | A 48-year-old patient presents with sudden onset hearing loss in the right ear, noticed 41 hours ago. Hearing in that ear was unchanged before this onset.
Otoscopic examination shows unobstructed external auditory canals and intact, normal-appearing tympanic membranes on both sides.
Tuning fork testing shows:
- Weber test lateralizes to the left ear
- Rinne test is positive on the right ear
The patient denies dizziness, focal neurologic symptoms, tinnitus, vertigo, or otalgia. The patient reports mild nasal congestion. Vital signs are normal.
What is the most appropriate management at this time? | - steroid |
20aa0783 | c9655dcd543f | orl-conductive-acute | 6,893 | A 50-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 24 hours ago. Hearing in that ear was at baseline before this episode.
Otoscopic examination shows unobstructed external auditory canals and the left tympanic membrane appears mildly inwardly displaced but intact.
Tuning fork testing shows:
- Weber test lateralizes to the left ear
- Rinne test is negative on the left ear
The patient denies focal neurologic symptoms, dizziness, otalgia, tinnitus, or vertigo. Vital signs are within normal limits.
What is the most appropriate management at this time? | - conductive and not senso and not SNHL |
20b08145 | c9655dcd543f | orl-ssnhl-acute | 7,884 | A 67-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 52 hours ago. Hearing in that ear was unchanged before this episode.
Otoscopic examination shows clear external auditory canals and intact, normal-appearing tympanic membranes on both sides.
Tuning fork testing demonstrates:
- Weber test lateralizes to the right ear
- Rinne test is positive on the left ear
The patient denies focal neurologic symptoms, otalgia, vertigo, dizziness, or tinnitus. Vital signs are normal. The patient appears calm during the examination.
What is the most appropriate management at this time? | - steroid |
20b2fe9e | c9655dcd543f | orl-conductive-acute | 5,191 | A 39-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 49 hours ago. Hearing in that ear was unchanged before this onset.
Otoscopic examination shows clear external auditory canals and the left tympanic membrane appears mildly inwardly displaced but intact.
Tuning fork testing demonstrates:
- Weber test lateralizes to the left ear
- Rinne test is negative on the left ear
The patient denies vertigo, otalgia, tinnitus, dizziness, or focal neurologic symptoms. Vital signs are within normal limits.
What is the best management at this time? | - conductive and not senso and not SNHL |
20bc006d | c9655dcd543f | orl-ssnhl-acute | 10,152 | A 79-year-old patient presents with sudden onset hearing loss in the right ear, noticed 39 hours ago. Hearing in that ear was normal before this change.
Otoscopic examination shows clear external auditory canals and intact, normal-appearing tympanic membranes on both sides.
Tuning fork testing shows:
- Weber test lateralizes to the left ear
- Rinne test is positive on the right ear
The patient denies vertigo, dizziness, focal neurologic symptoms, otalgia, or tinnitus. Vital signs are normal.
What is the most appropriate management at this time? | - steroid |
20c0c3f0 | c9655dcd543f | orl-ssnhl-acute | 2,512 | A 41-year-old patient presents with sudden onset hearing loss in the right ear, noticed 54 hours ago. Hearing in that ear was unchanged before this onset. The patient reports a history of seasonal allergies.
Otoscopic examination shows unobstructed external auditory canals and intact, normal-appearing tympanic membranes bilaterally.
Tuning fork testing demonstrates:
- Weber test lateralizes to the left ear
- Rinne test is positive on the right ear
The patient denies otalgia, focal neurologic symptoms, tinnitus, dizziness, or vertigo. The patient reports mild nasal congestion. Vital signs are within normal limits.
What is the best management at this time? | - steroid |
20c0f895 | c9655dcd543f | orl-ssnhl-acute | 5,240 | A 70-year-old patient presents with sudden onset hearing loss in the right ear, noticed 68 hours ago. Hearing in that ear was at baseline before this onset.
Otoscopic examination shows clear external auditory canals and intact, normal-appearing tympanic membranes on both sides.
Tuning fork testing demonstrates:
- Weber test lateralizes to the left ear
- Rinne test is positive on the right ear
The patient denies vertigo, focal neurologic symptoms, tinnitus, otalgia, or dizziness. Vital signs are normal. The patient appears calm during the examination.
What is the most appropriate management at this time? | - steroid |
20e2f728 | c9655dcd543f | orl-conductive-acute | 4,379 | A 41-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 48 hours ago. Hearing in that ear was unchanged before this onset.
Otoscopic examination shows unobstructed external auditory canals and the left tympanic membrane appears slightly retracted but intact.
Tuning fork testing demonstrates:
- Weber test lateralizes to the left ear
- Rinne test is negative on the left ear
The patient denies focal neurologic symptoms, dizziness, vertigo, otalgia, or tinnitus. Vital signs are within normal limits. The patient appears calm during the examination.
What is the best management at this time? | - conductive and not senso and not SNHL |
20e9c30f | c9655dcd543f | orl-ssnhl-acute | 5,570 | A 21-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 71 hours ago. Hearing in that ear was normal before this change.
Otoscopic examination shows unobstructed external auditory canals and intact, normal-appearing tympanic membranes bilaterally.
Tuning fork testing shows:
- Weber test lateralizes to the right ear
- Rinne test is positive on the left ear
The patient denies tinnitus, dizziness, focal neurologic symptoms, vertigo, or otalgia. Vital signs are within normal limits.
What is the best management at this time? | - steroid |
20ecdfd7 | c9655dcd543f | orl-ssnhl-acute | 8,290 | A 74-year-old patient presents with sudden onset hearing loss in the right ear, noticed 31 hours ago. Hearing in that ear was normal before this episode.
Otoscopic examination shows unobstructed external auditory canals and intact, normal-appearing tympanic membranes on both sides.
Tuning fork testing shows that sound is heard louder in the left ear when the fork is placed on the forehead, and air conduction is better than bone conduction in the right ear.
The patient denies otalgia, vertigo, tinnitus, dizziness, or focal neurologic symptoms. Vital signs are normal.
What is the best management at this time? | - steroid |
20f1723c | c9655dcd543f | orl-conductive-acute | 7,409 | A 33-year-old patient presents with sudden onset hearing loss in the right ear, noticed 48 hours ago. Hearing in that ear was normal before this onset.
Otoscopic examination shows unobstructed external auditory canals and the right tympanic membrane appears slightly retracted but intact.
Tuning fork testing demonstrates that sound is heard louder in the right ear when the fork is placed on the forehead, and air conduction is worse than bone conduction in the right ear.
The patient denies otalgia, focal neurologic symptoms, dizziness, vertigo, or tinnitus. Vital signs are within normal limits. The patient appears calm during the examination.
What is the most appropriate management at this time? | - conductive and not senso and not SNHL |
20f554f9 | c9655dcd543f | orl-conductive-acute | 10,753 | A 59-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 62 hours ago. Hearing in that ear was at baseline before this change.
Otoscopic examination shows clear external auditory canals and the left tympanic membrane appears slightly retracted but intact.
Tuning fork testing demonstrates:
- Weber test lateralizes to the left ear
- Rinne test is negative on the left ear
The patient denies otalgia, vertigo, tinnitus, focal neurologic symptoms, or dizziness. Vital signs are normal. The patient appears calm during the examination.
What is the best management at this time? | - conductive and not senso and not SNHL |
20f72062 | c9655dcd543f | orl-ssnhl-acute | 9,938 | A 69-year-old patient presents with sudden onset hearing loss in the right ear, noticed 42 hours ago. Hearing in that ear was unchanged before this onset.
Otoscopic examination shows unobstructed external auditory canals and normal and intact tympanic membranes on both sides.
Tuning fork testing shows that sound is heard louder in the left ear when the fork is placed on the forehead, and air conduction is better than bone conduction in the right ear.
The patient denies tinnitus, focal neurologic symptoms, vertigo, dizziness, or otalgia. The patient reports mild nasal congestion. Vital signs are normal.
What is the most appropriate management at this time? | - steroid |
20ff36bd | c9655dcd543f | orl-ssnhl-acute | 5,142 | A 78-year-old patient presents with sudden onset hearing loss in the right ear, noticed 29 hours ago. Hearing in that ear was normal before this onset. The patient reports a history of seasonal allergies.
Otoscopic examination shows unobstructed external auditory canals and normal and intact tympanic membranes bilaterally.
Tuning fork testing demonstrates that sound is heard louder in the left ear when the fork is placed on the forehead, and air conduction is greater than bone conduction in the right ear.
The patient denies focal neurologic symptoms, dizziness, otalgia, vertigo, or tinnitus. The patient reports mild nasal congestion. Vital signs are within normal limits. The patient appears calm during the examination.
What is the most appropriate management at this time? | - steroid |
21184914 | c9655dcd543f | orl-conductive-acute | 8,725 | A 22-year-old patient presents with sudden onset hearing loss in the right ear, noticed 70 hours ago. Hearing in that ear was normal before this change. The patient reports a history of seasonal allergies.
Otoscopic examination shows clear external auditory canals and the right tympanic membrane appears subtly retracted but intact.
Tuning fork testing demonstrates:
- Weber test lateralizes to the right ear
- Rinne test is negative on the right ear
The patient denies focal neurologic symptoms, dizziness, tinnitus, vertigo, or otalgia. Vital signs are within normal limits.
What is the best management at this time? | - conductive and not senso and not SNHL |
2127371b | c9655dcd543f | orl-conductive-acute | 7,229 | A 49-year-old patient presents with sudden onset hearing loss in the right ear, noticed 72 hours ago. Hearing in that ear was unchanged before this episode.
Otoscopic examination shows unobstructed external auditory canals and the right tympanic membrane appears mildly retracted but intact.
Tuning fork testing shows:
- Weber test lateralizes to the right ear
- Rinne test is negative on the right ear
The patient denies focal neurologic symptoms, otalgia, tinnitus, dizziness, or vertigo. The patient reports mild nasal congestion. Vital signs are within normal limits.
What is the best management at this time? | - conductive and not senso and not SNHL |
21431a53 | c9655dcd543f | orl-conductive-acute | 4,491 | A 33-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 61 hours ago. Hearing in that ear was normal before this change.
Otoscopic examination shows unobstructed external auditory canals and the left tympanic membrane appears mildly retracted but intact.
Tuning fork testing shows that sound is heard more prominently in the left ear when the fork is placed on the forehead, and air conduction is worse than bone conduction in the left ear.
The patient denies dizziness, otalgia, vertigo, tinnitus, or focal neurologic symptoms. Vital signs are normal. The patient appears calm during the examination.
What is the most appropriate management at this time? | - conductive and not senso and not SNHL |
2147c904 | c9655dcd543f | orl-ssnhl-acute | 10,802 | A 35-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 34 hours ago. Hearing in that ear was unchanged before this episode.
Otoscopic examination shows clear external auditory canals and intact, normal-appearing tympanic membranes on both sides.
Tuning fork testing demonstrates that sound is heard more prominently in the right ear when the fork is placed on the forehead, and air conduction is greater than bone conduction in the left ear.
The patient denies vertigo, dizziness, tinnitus, focal neurologic symptoms, or otalgia. Vital signs are within normal limits. The patient appears calm during the examination.
What is the best management at this time? | - steroid |
2151df16 | c9655dcd543f | orl-conductive-acute | 9,063 | A 19-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 28 hours ago. Hearing in that ear was normal before this episode.
Otoscopic examination shows unobstructed external auditory canals and the left tympanic membrane appears subtly retracted but intact.
Tuning fork testing shows:
- Weber test lateralizes to the left ear
- Rinne test is negative on the left ear
The patient denies dizziness, tinnitus, vertigo, focal neurologic symptoms, or otalgia. The patient reports mild nasal congestion. Vital signs are normal.
What is the best management at this time? | - conductive and not senso and not SNHL |
21547bf7 | c9655dcd543f | orl-conductive-acute | 7,037 | A 52-year-old patient presents with sudden onset hearing loss in the right ear, noticed 66 hours ago. Hearing in that ear was at baseline before this change.
Otoscopic examination shows unobstructed external auditory canals and the right tympanic membrane appears mildly retracted but intact.
Tuning fork testing shows that sound is heard more prominently in the right ear when the fork is placed on the forehead, and air conduction is worse than bone conduction in the right ear.
The patient denies focal neurologic symptoms, otalgia, tinnitus, dizziness, or vertigo. The patient reports mild nasal congestion. Vital signs are normal. The patient appears calm during the examination.
What is the most appropriate management at this time? | - conductive and not senso and not SNHL |
21563351 | c9655dcd543f | orl-ssnhl-acute | 6,730 | A 41-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 67 hours ago. Hearing in that ear was unchanged before this change.
Otoscopic examination shows unobstructed external auditory canals and intact, normal-appearing tympanic membranes bilaterally.
Tuning fork testing demonstrates:
- Weber test lateralizes to the right ear
- Rinne test is positive on the left ear
The patient denies vertigo, dizziness, otalgia, tinnitus, or focal neurologic symptoms. The patient reports mild nasal congestion. Vital signs are within normal limits. The patient appears calm during the examination.
What is the best management at this time? | - steroid |
215768db | c9655dcd543f | orl-ssnhl-acute | 7,728 | A 71-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 60 hours ago. Hearing in that ear was at baseline before this change.
Otoscopic examination shows unobstructed external auditory canals and intact, normal-appearing tympanic membranes bilaterally.
Tuning fork testing shows:
- Weber test lateralizes to the right ear
- Rinne test is positive on the left ear
The patient denies vertigo, otalgia, focal neurologic symptoms, tinnitus, or dizziness. Vital signs are within normal limits.
What is the most appropriate management at this time? | - steroid |
215b40e4 | c9655dcd543f | orl-ssnhl-acute | 8,804 | A 28-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 62 hours ago. Hearing in that ear was normal before this change. The patient reports a history of seasonal allergies.
Otoscopic examination shows unobstructed external auditory canals and intact, normal-appearing tympanic membranes bilaterally.
Tuning fork testing demonstrates:
- Weber test lateralizes to the right ear
- Rinne test is positive on the left ear
The patient denies tinnitus, vertigo, dizziness, otalgia, or focal neurologic symptoms. The patient reports mild nasal congestion. Vital signs are within normal limits. The patient appears calm during the examination.
What is the best management at this time? | - steroid |
2163b8ed | c9655dcd543f | orl-conductive-acute | 2,583 | A 46-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 47 hours ago. Hearing in that ear was unchanged before this onset.
Otoscopic examination shows unobstructed external auditory canals and the left tympanic membrane appears subtly retracted but intact.
Tuning fork testing shows:
- Weber test lateralizes to the left ear
- Rinne test is negative on the left ear
The patient denies otalgia, focal neurologic symptoms, vertigo, tinnitus, or dizziness. The patient reports mild nasal congestion. Vital signs are within normal limits.
What is the best management at this time? | - conductive and not senso and not SNHL |
2167314a | c9655dcd543f | orl-ssnhl-acute | 5,996 | A 30-year-old patient presents with sudden onset hearing loss in the right ear, noticed 26 hours ago. Hearing in that ear was normal before this episode. The patient reports a history of seasonal allergies.
Otoscopic examination shows unobstructed external auditory canals and intact, normal-appearing tympanic membranes bilaterally.
Tuning fork testing demonstrates that sound is heard more prominently in the left ear when the fork is placed on the forehead, and air conduction is greater than bone conduction in the right ear.
The patient denies focal neurologic symptoms, tinnitus, dizziness, vertigo, or otalgia. Vital signs are within normal limits.
What is the most appropriate management at this time? | - steroid |
216b7dd5 | c9655dcd543f | orl-ssnhl-acute | 1,444 | A 75-year-old patient presents with sudden onset hearing loss in the right ear, noticed 49 hours ago. Hearing in that ear was unchanged before this change.
Otoscopic examination shows unobstructed external auditory canals and intact, normal-appearing tympanic membranes on both sides.
Tuning fork testing shows that sound is heard more prominently in the left ear when the fork is placed on the forehead, and air conduction is better than bone conduction in the right ear.
The patient denies tinnitus, otalgia, dizziness, vertigo, or focal neurologic symptoms. Vital signs are within normal limits. The patient appears calm during the examination.
What is the best management at this time? | - steroid |
21858ba5 | c9655dcd543f | orl-conductive-acute | 8,333 | A 31-year-old patient presents with sudden onset hearing loss in the right ear, noticed 60 hours ago. Hearing in that ear was normal before this change.
Otoscopic examination shows clear external auditory canals and the right tympanic membrane appears slightly retracted but intact.
Tuning fork testing shows:
- Weber test lateralizes to the right ear
- Rinne test is negative on the right ear
The patient denies focal neurologic symptoms, dizziness, vertigo, otalgia, or tinnitus. Vital signs are within normal limits. The patient appears calm during the examination.
What is the most appropriate management at this time? | - conductive and not senso and not SNHL |
2187d074 | c9655dcd543f | orl-ssnhl-acute | 9,256 | A 78-year-old patient presents with sudden onset hearing loss in the right ear, noticed 60 hours ago. Hearing in that ear was at baseline before this episode. The patient reports a history of seasonal allergies.
Otoscopic examination shows unobstructed external auditory canals and intact, normal-appearing tympanic membranes bilaterally.
Tuning fork testing demonstrates:
- Weber test lateralizes to the left ear
- Rinne test is positive on the right ear
The patient denies tinnitus, focal neurologic symptoms, vertigo, otalgia, or dizziness. Vital signs are within normal limits.
What is the best management at this time? | - steroid |
218cd063 | c9655dcd543f | orl-conductive-acute | 8,801 | A 79-year-old patient presents with sudden onset hearing loss in the right ear, noticed 38 hours ago. Hearing in that ear was normal before this onset.
Otoscopic examination shows clear external auditory canals and the right tympanic membrane appears subtly retracted but intact.
Tuning fork testing demonstrates:
- Weber test lateralizes to the right ear
- Rinne test is negative on the right ear
The patient denies tinnitus, dizziness, focal neurologic symptoms, vertigo, or otalgia. Vital signs are within normal limits.
What is the best management at this time? | - conductive and not senso and not SNHL |
219319b6 | c9655dcd543f | orl-ssnhl-acute | 3,556 | A 59-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 59 hours ago. Hearing in that ear was at baseline before this change.
Otoscopic examination shows unobstructed external auditory canals and intact, normal-appearing tympanic membranes bilaterally.
Tuning fork testing demonstrates that sound is heard louder in the right ear when the fork is placed on the forehead, and air conduction is greater than bone conduction in the left ear.
The patient denies otalgia, dizziness, tinnitus, focal neurologic symptoms, or vertigo. Vital signs are within normal limits.
What is the most appropriate management at this time? | - steroid |
21943887 | c9655dcd543f | orl-ssnhl-acute | 8,362 | A 62-year-old patient presents with sudden onset hearing loss in the right ear, noticed 42 hours ago. Hearing in that ear was at baseline before this onset.
Otoscopic examination shows unobstructed external auditory canals and intact, normal-appearing tympanic membranes bilaterally.
Tuning fork testing demonstrates that sound is heard more prominently in the left ear when the fork is placed on the forehead, and air conduction is better than bone conduction in the right ear.
The patient denies dizziness, focal neurologic symptoms, tinnitus, vertigo, or otalgia. Vital signs are normal.
What is the best management at this time? | - steroid |
219645cb | c9655dcd543f | orl-conductive-acute | 10,255 | A 79-year-old patient presents with sudden onset hearing loss in the right ear, noticed 54 hours ago. Hearing in that ear was unchanged before this episode.
Otoscopic examination shows clear external auditory canals and the right tympanic membrane appears mildly inwardly displaced but intact.
Tuning fork testing shows:
- Weber test lateralizes to the right ear
- Rinne test is negative on the right ear
The patient denies focal neurologic symptoms, dizziness, tinnitus, vertigo, or otalgia. Vital signs are within normal limits. The patient appears calm during the examination.
What is the most appropriate management at this time? | - conductive and not senso and not SNHL |
21aa86b7 | c9655dcd543f | orl-conductive-acute | 1,343 | A 40-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 37 hours ago. Hearing in that ear was unchanged before this episode.
Otoscopic examination shows clear external auditory canals and the left tympanic membrane appears slightly retracted but intact.
Tuning fork testing shows that sound is heard more prominently in the left ear when the fork is placed on the forehead, and air conduction is worse than bone conduction in the left ear.
The patient denies tinnitus, focal neurologic symptoms, vertigo, otalgia, or dizziness. The patient reports mild nasal congestion. Vital signs are normal.
What is the best management at this time? | - conductive and not senso and not SNHL |
21b478f8 | c9655dcd543f | orl-conductive-acute | 5,959 | A 65-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 41 hours ago. Hearing in that ear was at baseline before this onset. The patient reports a history of seasonal allergies.
Otoscopic examination shows clear external auditory canals and the left tympanic membrane appears subtly retracted but intact.
Tuning fork testing shows:
- Weber test lateralizes to the left ear
- Rinne test is negative on the left ear
The patient denies dizziness, vertigo, tinnitus, focal neurologic symptoms, or otalgia. The patient reports mild nasal congestion. Vital signs are normal. The patient appears calm during the examination.
What is the best management at this time? | - conductive and not senso and not SNHL |
21b78665 | c9655dcd543f | orl-ssnhl-acute | 7,790 | A 79-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 39 hours ago. Hearing in that ear was normal before this episode.
Otoscopic examination shows unobstructed external auditory canals and intact, normal-appearing tympanic membranes bilaterally.
Tuning fork testing shows:
- Weber test lateralizes to the right ear
- Rinne test is positive on the left ear
The patient denies dizziness, vertigo, otalgia, tinnitus, or focal neurologic symptoms. Vital signs are within normal limits. The patient appears calm during the examination.
What is the best management at this time? | - steroid |
21b96f49 | c9655dcd543f | orl-conductive-acute | 3,763 | A 25-year-old patient presents with sudden onset hearing loss in the right ear, noticed 59 hours ago. Hearing in that ear was normal before this change.
Otoscopic examination shows clear external auditory canals and the right tympanic membrane appears subtly retracted but intact.
Tuning fork testing shows that sound is heard more prominently in the right ear when the fork is placed on the forehead, and air conduction is worse than bone conduction in the right ear.
The patient denies otalgia, tinnitus, vertigo, focal neurologic symptoms, or dizziness. The patient reports mild nasal congestion. Vital signs are normal.
What is the most appropriate management at this time? | - conductive and not senso and not SNHL |
21ba2966 | c9655dcd543f | orl-conductive-acute | 10,513 | A 80-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 37 hours ago. Hearing in that ear was normal before this episode.
Otoscopic examination shows clear external auditory canals and the left tympanic membrane appears subtly retracted but intact.
Tuning fork testing shows that sound is heard louder in the left ear when the fork is placed on the forehead, and air conduction is worse than bone conduction in the left ear.
The patient denies focal neurologic symptoms, tinnitus, otalgia, dizziness, or vertigo. The patient reports mild nasal congestion. Vital signs are within normal limits. The patient appears calm during the examination.
What is the best management at this time? | - conductive and not senso and not SNHL |
21c0233c | c9655dcd543f | orl-conductive-acute | 7,825 | A 32-year-old patient presents with sudden onset hearing loss in the right ear, noticed 72 hours ago. Hearing in that ear was normal before this onset. The patient reports a history of seasonal allergies.
Otoscopic examination shows unobstructed external auditory canals and the right tympanic membrane appears subtly retracted but intact.
Tuning fork testing demonstrates:
- Weber test lateralizes to the right ear
- Rinne test is negative on the right ear
The patient denies otalgia, tinnitus, vertigo, focal neurologic symptoms, or dizziness. The patient reports mild nasal congestion. Vital signs are normal.
What is the best management at this time? | - conductive and not senso and not SNHL |
21c1d2f4 | c9655dcd543f | orl-ssnhl-acute | 5,700 | A 33-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 45 hours ago. Hearing in that ear was normal before this onset. The patient reports a history of seasonal allergies.
Otoscopic examination shows clear external auditory canals and normal and intact tympanic membranes bilaterally.
Tuning fork testing demonstrates that sound is heard louder in the right ear when the fork is placed on the forehead, and air conduction is better than bone conduction in the left ear.
The patient denies tinnitus, vertigo, dizziness, focal neurologic symptoms, or otalgia. Vital signs are within normal limits.
What is the best management at this time? | - steroid |
21c22078 | c9655dcd543f | orl-ssnhl-acute | 11,246 | A 51-year-old patient presents with sudden onset hearing loss in the right ear, noticed 67 hours ago. Hearing in that ear was at baseline before this change.
Otoscopic examination shows unobstructed external auditory canals and normal and intact tympanic membranes bilaterally.
Tuning fork testing shows:
- Weber test lateralizes to the left ear
- Rinne test is positive on the right ear
The patient denies vertigo, tinnitus, dizziness, otalgia, or focal neurologic symptoms. Vital signs are within normal limits.
What is the best management at this time? | - steroid |
21c87150 | c9655dcd543f | orl-conductive-acute | 7,089 | A 74-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 62 hours ago. Hearing in that ear was at baseline before this change.
Otoscopic examination shows unobstructed external auditory canals and the left tympanic membrane appears subtly retracted but intact.
Tuning fork testing shows that sound is heard louder in the left ear when the fork is placed on the forehead, and air conduction is worse than bone conduction in the left ear.
The patient denies dizziness, vertigo, focal neurologic symptoms, otalgia, or tinnitus. Vital signs are within normal limits.
What is the most appropriate management at this time? | - conductive and not senso and not SNHL |
21d1fa1a | c9655dcd543f | orl-conductive-acute | 5,557 | A 23-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 47 hours ago. Hearing in that ear was normal before this onset. The patient reports a history of seasonal allergies.
Otoscopic examination shows clear external auditory canals and the left tympanic membrane appears subtly retracted but intact.
Tuning fork testing demonstrates that sound is heard louder in the left ear when the fork is placed on the forehead, and air conduction is worse than bone conduction in the left ear.
The patient denies otalgia, tinnitus, focal neurologic symptoms, vertigo, or dizziness. The patient reports mild nasal congestion. Vital signs are normal.
What is the best management at this time? | - conductive and not senso and not SNHL |
21dd3140 | c9655dcd543f | orl-conductive-acute | 1,873 | A 58-year-old patient presents with sudden onset hearing loss in the right ear, noticed 27 hours ago. Hearing in that ear was at baseline before this episode.
Otoscopic examination shows clear external auditory canals and the right tympanic membrane appears subtly retracted but intact.
Tuning fork testing shows that sound is heard louder in the right ear when the fork is placed on the forehead, and air conduction is worse than bone conduction in the right ear.
The patient denies otalgia, dizziness, vertigo, focal neurologic symptoms, or tinnitus. Vital signs are within normal limits. The patient appears calm during the examination.
What is the best management at this time? | - conductive and not senso and not SNHL |
21df9fa3 | c9655dcd543f | orl-conductive-acute | 4,109 | A 77-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 34 hours ago. Hearing in that ear was normal before this onset.
Otoscopic examination shows clear external auditory canals and the left tympanic membrane appears mildly inwardly displaced but intact.
Tuning fork testing shows that sound is heard louder in the left ear when the fork is placed on the forehead, and air conduction is worse than bone conduction in the left ear.
The patient denies tinnitus, otalgia, dizziness, focal neurologic symptoms, or vertigo. Vital signs are normal. The patient appears calm during the examination.
What is the best management at this time? | - conductive and not senso and not SNHL |
21e15138 | c9655dcd543f | orl-conductive-acute | 5,521 | A 56-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 24 hours ago. Hearing in that ear was at baseline before this episode.
Otoscopic examination shows unobstructed external auditory canals and the left tympanic membrane appears slightly retracted but intact.
Tuning fork testing shows:
- Weber test lateralizes to the left ear
- Rinne test is negative on the left ear
The patient denies tinnitus, dizziness, vertigo, focal neurologic symptoms, or otalgia. The patient reports mild nasal congestion. Vital signs are within normal limits.
What is the most appropriate management at this time? | - conductive and not senso and not SNHL |
21ef4af1 | c9655dcd543f | orl-ssnhl-acute | 5,338 | A 62-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 35 hours ago. Hearing in that ear was at baseline before this episode. The patient reports a history of seasonal allergies.
Otoscopic examination shows unobstructed external auditory canals and normal and intact tympanic membranes on both sides.
Tuning fork testing demonstrates:
- Weber test lateralizes to the right ear
- Rinne test is positive on the left ear
The patient denies dizziness, tinnitus, focal neurologic symptoms, vertigo, or otalgia. Vital signs are normal.
What is the most appropriate management at this time? | - steroid |
21efbf58 | c9655dcd543f | orl-ssnhl-acute | 7,154 | A 33-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 55 hours ago. Hearing in that ear was normal before this onset. The patient reports a history of seasonal allergies.
Otoscopic examination shows unobstructed external auditory canals and normal and intact tympanic membranes bilaterally.
Tuning fork testing shows that sound is heard louder in the right ear when the fork is placed on the forehead, and air conduction is better than bone conduction in the left ear.
The patient denies otalgia, dizziness, focal neurologic symptoms, vertigo, or tinnitus. Vital signs are within normal limits. The patient appears calm during the examination.
What is the best management at this time? | - steroid |
21f09942 | c9655dcd543f | orl-ssnhl-acute | 8,958 | A 34-year-old patient presents with sudden onset hearing loss in the right ear, noticed 63 hours ago. Hearing in that ear was unchanged before this change. The patient reports a history of seasonal allergies.
Otoscopic examination shows clear external auditory canals and normal and intact tympanic membranes bilaterally.
Tuning fork testing demonstrates that sound is heard more prominently in the left ear when the fork is placed on the forehead, and air conduction is greater than bone conduction in the right ear.
The patient denies dizziness, focal neurologic symptoms, vertigo, otalgia, or tinnitus. The patient reports mild nasal congestion. Vital signs are normal.
What is the best management at this time? | - steroid |
21f4e911 | c9655dcd543f | orl-ssnhl-acute | 5,656 | A 41-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 29 hours ago. Hearing in that ear was unchanged before this episode.
Otoscopic examination shows unobstructed external auditory canals and normal and intact tympanic membranes bilaterally.
Tuning fork testing demonstrates that sound is heard more prominently in the right ear when the fork is placed on the forehead, and air conduction is better than bone conduction in the left ear.
The patient denies focal neurologic symptoms, vertigo, otalgia, tinnitus, or dizziness. Vital signs are normal. The patient appears calm during the examination.
What is the most appropriate management at this time? | - steroid |
21fe9fa9 | c9655dcd543f | orl-conductive-acute | 11,083 | A 32-year-old patient presents with sudden onset hearing loss in the right ear, noticed 68 hours ago. Hearing in that ear was normal before this change.
Otoscopic examination shows unobstructed external auditory canals and the right tympanic membrane appears mildly inwardly displaced but intact.
Tuning fork testing shows that sound is heard louder in the right ear when the fork is placed on the forehead, and air conduction is worse than bone conduction in the right ear.
The patient denies tinnitus, otalgia, dizziness, vertigo, or focal neurologic symptoms. Vital signs are within normal limits.
What is the best management at this time? | - conductive and not senso and not SNHL |
22063f20 | c9655dcd543f | orl-ssnhl-acute | 1,792 | A 43-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 47 hours ago. Hearing in that ear was unchanged before this onset. The patient reports a history of seasonal allergies.
Otoscopic examination shows unobstructed external auditory canals and normal and intact tympanic membranes bilaterally.
Tuning fork testing shows that sound is heard more prominently in the right ear when the fork is placed on the forehead, and air conduction is better than bone conduction in the left ear.
The patient denies otalgia, dizziness, focal neurologic symptoms, tinnitus, or vertigo. Vital signs are normal.
What is the most appropriate management at this time? | - steroid |
22069a3c | c9655dcd543f | orl-ssnhl-acute | 10,074 | A 25-year-old patient presents with sudden onset hearing loss in the right ear, noticed 37 hours ago. Hearing in that ear was normal before this episode. The patient reports a history of seasonal allergies.
Otoscopic examination shows clear external auditory canals and intact, normal-appearing tympanic membranes bilaterally.
Tuning fork testing demonstrates that sound is heard louder in the left ear when the fork is placed on the forehead, and air conduction is better than bone conduction in the right ear.
The patient denies dizziness, vertigo, focal neurologic symptoms, otalgia, or tinnitus. Vital signs are within normal limits.
What is the best management at this time? | - steroid |
2209c8c1 | c9655dcd543f | orl-conductive-acute | 7,059 | A 56-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 43 hours ago. Hearing in that ear was at baseline before this onset.
Otoscopic examination shows unobstructed external auditory canals and the left tympanic membrane appears mildly retracted but intact.
Tuning fork testing demonstrates that sound is heard louder in the left ear when the fork is placed on the forehead, and air conduction is worse than bone conduction in the left ear.
The patient denies focal neurologic symptoms, otalgia, vertigo, dizziness, or tinnitus. The patient reports mild nasal congestion. Vital signs are normal.
What is the most appropriate management at this time? | - conductive and not senso and not SNHL |
2211e2a6 | c9655dcd543f | orl-ssnhl-acute | 10,566 | A 74-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 46 hours ago. Hearing in that ear was unchanged before this change.
Otoscopic examination shows unobstructed external auditory canals and normal and intact tympanic membranes on both sides.
Tuning fork testing demonstrates that sound is heard more prominently in the right ear when the fork is placed on the forehead, and air conduction is greater than bone conduction in the left ear.
The patient denies dizziness, focal neurologic symptoms, vertigo, otalgia, or tinnitus. Vital signs are within normal limits.
What is the most appropriate management at this time? | - steroid |
222182e9 | c9655dcd543f | orl-conductive-acute | 4,161 | A 75-year-old patient presents with sudden onset hearing loss in the right ear, noticed 48 hours ago. Hearing in that ear was unchanged before this onset.
Otoscopic examination shows unobstructed external auditory canals and the right tympanic membrane appears mildly retracted but intact.
Tuning fork testing demonstrates that sound is heard louder in the right ear when the fork is placed on the forehead, and air conduction is worse than bone conduction in the right ear.
The patient denies otalgia, tinnitus, dizziness, focal neurologic symptoms, or vertigo. Vital signs are normal.
What is the most appropriate management at this time? | - conductive and not senso and not SNHL |
2221eeff | c9655dcd543f | orl-conductive-acute | 7,663 | A 47-year-old patient presents with sudden onset hearing loss in the right ear, noticed 42 hours ago. Hearing in that ear was unchanged before this onset.
Otoscopic examination shows unobstructed external auditory canals and the right tympanic membrane appears mildly retracted but intact.
Tuning fork testing demonstrates that sound is heard more prominently in the right ear when the fork is placed on the forehead, and air conduction is worse than bone conduction in the right ear.
The patient denies vertigo, otalgia, dizziness, tinnitus, or focal neurologic symptoms. The patient reports mild nasal congestion. Vital signs are normal. The patient appears calm during the examination.
What is the most appropriate management at this time? | - conductive and not senso and not SNHL |
222f5bbf | c9655dcd543f | orl-ssnhl-acute | 5,476 | A 61-year-old patient presents with sudden onset hearing loss in the right ear, noticed 24 hours ago. Hearing in that ear was at baseline before this episode.
Otoscopic examination shows unobstructed external auditory canals and normal and intact tympanic membranes bilaterally.
Tuning fork testing shows:
- Weber test lateralizes to the left ear
- Rinne test is positive on the right ear
The patient denies focal neurologic symptoms, tinnitus, vertigo, otalgia, or dizziness. Vital signs are within normal limits.
What is the most appropriate management at this time? | - steroid |
2234ed5f | c9655dcd543f | orl-conductive-acute | 6,957 | A 38-year-old patient presents with sudden onset hearing loss in the right ear, noticed 46 hours ago. Hearing in that ear was unchanged before this onset.
Otoscopic examination shows clear external auditory canals and the right tympanic membrane appears mildly inwardly displaced but intact.
Tuning fork testing demonstrates that sound is heard louder in the right ear when the fork is placed on the forehead, and air conduction is worse than bone conduction in the right ear.
The patient denies vertigo, dizziness, tinnitus, otalgia, or focal neurologic symptoms. Vital signs are normal.
What is the most appropriate management at this time? | - conductive and not senso and not SNHL |
2236a69d | c9655dcd543f | orl-conductive-acute | 7,631 | A 20-year-old patient presents with sudden onset hearing loss in the right ear, noticed 51 hours ago. Hearing in that ear was normal before this onset. The patient reports a history of seasonal allergies.
Otoscopic examination shows unobstructed external auditory canals and the right tympanic membrane appears slightly retracted but intact.
Tuning fork testing shows that sound is heard more prominently in the right ear when the fork is placed on the forehead, and air conduction is worse than bone conduction in the right ear.
The patient denies tinnitus, dizziness, focal neurologic symptoms, otalgia, or vertigo. Vital signs are normal.
What is the most appropriate management at this time? | - conductive and not senso and not SNHL |
223a1749 | c9655dcd543f | orl-ssnhl-acute | 10,022 | A 65-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 44 hours ago. Hearing in that ear was at baseline before this onset.
Otoscopic examination shows unobstructed external auditory canals and normal and intact tympanic membranes bilaterally.
Tuning fork testing shows that sound is heard louder in the right ear when the fork is placed on the forehead, and air conduction is better than bone conduction in the left ear.
The patient denies vertigo, dizziness, otalgia, tinnitus, or focal neurologic symptoms. Vital signs are within normal limits. The patient appears calm during the examination.
What is the most appropriate management at this time? | - steroid |
22446663 | c9655dcd543f | orl-ssnhl-acute | 7,814 | A 34-year-old patient presents with sudden onset hearing loss in the right ear, noticed 59 hours ago. Hearing in that ear was unchanged before this change.
Otoscopic examination shows clear external auditory canals and normal and intact tympanic membranes on both sides.
Tuning fork testing demonstrates:
- Weber test lateralizes to the left ear
- Rinne test is positive on the right ear
The patient denies focal neurologic symptoms, vertigo, tinnitus, dizziness, or otalgia. The patient reports mild nasal congestion. Vital signs are normal.
What is the best management at this time? | - steroid |
224497c1 | c9655dcd543f | orl-conductive-acute | 3,669 | A 56-year-old patient presents with sudden onset hearing loss in the right ear, noticed 50 hours ago. Hearing in that ear was at baseline before this onset.
Otoscopic examination shows clear external auditory canals and the right tympanic membrane appears subtly retracted but intact.
Tuning fork testing shows:
- Weber test lateralizes to the right ear
- Rinne test is negative on the right ear
The patient denies focal neurologic symptoms, otalgia, tinnitus, dizziness, or vertigo. The patient reports mild nasal congestion. Vital signs are within normal limits. The patient appears calm during the examination.
What is the best management at this time? | - conductive and not senso and not SNHL |
2245d96c | c9655dcd543f | orl-ssnhl-acute | 6,006 | A 18-year-old patient presents with sudden onset hearing loss in the right ear, noticed 48 hours ago. Hearing in that ear was normal before this onset.
Otoscopic examination shows clear external auditory canals and intact, normal-appearing tympanic membranes bilaterally.
Tuning fork testing shows:
- Weber test lateralizes to the left ear
- Rinne test is positive on the right ear
The patient denies vertigo, focal neurologic symptoms, otalgia, dizziness, or tinnitus. The patient reports mild nasal congestion. Vital signs are within normal limits.
What is the best management at this time? | - steroid |
224e3443 | c9655dcd543f | orl-ssnhl-acute | 4,132 | A 51-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 37 hours ago. Hearing in that ear was at baseline before this episode.
Otoscopic examination shows clear external auditory canals and intact, normal-appearing tympanic membranes bilaterally.
Tuning fork testing shows:
- Weber test lateralizes to the right ear
- Rinne test is positive on the left ear
The patient denies focal neurologic symptoms, dizziness, tinnitus, vertigo, or otalgia. Vital signs are within normal limits. The patient appears calm during the examination.
What is the most appropriate management at this time? | - steroid |
2261aa58 | c9655dcd543f | orl-conductive-acute | 9,129 | A 31-year-old patient presents with sudden onset hearing loss in the right ear, noticed 45 hours ago. Hearing in that ear was normal before this onset.
Otoscopic examination shows unobstructed external auditory canals and the right tympanic membrane appears mildly retracted but intact.
Tuning fork testing shows that sound is heard more prominently in the right ear when the fork is placed on the forehead, and air conduction is worse than bone conduction in the right ear.
The patient denies otalgia, vertigo, focal neurologic symptoms, dizziness, or tinnitus. Vital signs are within normal limits.
What is the most appropriate management at this time? | - conductive and not senso and not SNHL |
22649835 | c9655dcd543f | orl-ssnhl-acute | 1,640 | A 50-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 57 hours ago. Hearing in that ear was at baseline before this change.
Otoscopic examination shows unobstructed external auditory canals and intact, normal-appearing tympanic membranes on both sides.
Tuning fork testing demonstrates that sound is heard more prominently in the right ear when the fork is placed on the forehead, and air conduction is better than bone conduction in the left ear.
The patient denies dizziness, tinnitus, focal neurologic symptoms, otalgia, or vertigo. Vital signs are within normal limits.
What is the most appropriate management at this time? | - steroid |
22688170 | c9655dcd543f | orl-conductive-acute | 10,413 | A 53-year-old patient presents with abrupt onset hearing loss in the left ear, noticed 60 hours ago. Hearing in that ear was at baseline before this change.
Otoscopic examination shows unobstructed external auditory canals and the left tympanic membrane appears subtly retracted but intact.
Tuning fork testing shows that sound is heard louder in the left ear when the fork is placed on the forehead, and air conduction is worse than bone conduction in the left ear.
The patient denies focal neurologic symptoms, otalgia, vertigo, tinnitus, or dizziness. Vital signs are normal.
What is the most appropriate management at this time? | - conductive and not senso and not SNHL |
226bb7ac | c9655dcd543f | orl-ssnhl-acute | 2,646 | A 51-year-old patient presents with sudden onset hearing loss in the right ear, noticed 31 hours ago. Hearing in that ear was at baseline before this episode.
Otoscopic examination shows unobstructed external auditory canals and intact, normal-appearing tympanic membranes bilaterally.
Tuning fork testing shows that sound is heard louder in the left ear when the fork is placed on the forehead, and air conduction is greater than bone conduction in the right ear.
The patient denies focal neurologic symptoms, tinnitus, dizziness, vertigo, or otalgia. The patient reports mild nasal congestion. Vital signs are within normal limits.
What is the most appropriate management at this time? | - steroid |
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