II. Indication: Hearing Loss Screening

III. Exam

  1. See Audiogram
  2. See Hearing Handicap Inventory for the Elderly
  3. Speech Recognition
    1. See Hearing Impairment Severity Scale
    2. Speech Reception Threshold (SRT)
      1. Decibel level at which 50% of words understood
    3. Speech Recognition Score (SRS)
      1. Percentage words understood at 40 db over SRT
  4. Whispered Voice Testing
    1. Typically limited to DOT Physical
    2. Patient occludes opposite ear
    3. Examiner whispers questions or commands
    4. Patient answers or follows commands
    5. Avoid testing with finger snapping or ticking watch
      1. Not accurate for Hearing Testing

IV. Evaluation

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