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Case Study 1 
Age: 60 
Gender: Male 
The patient reports long standing problems with his hearing, which are now worse in the 
left ear. He says he has been told in the past that he has hearing loss from noise 
exposure. He says that now he cannot use the left ear on the phone, and he is not 
understanding well in noisy environments (restaurants, shopping centers). 
The patient is a veteran, who was exposed to artillery noise. After leaving the army, he 
worked in construction. He shoots guns at a target range. Recently, he has used ear 
protection, but he reports that many years ago that was not the case. He does some 
hunting annually as well, typically without ear protection. 
He reports ringing in the ear, which he thinks is only in his left ear. He says he’s not 
bothered by it; it has come on gradually and he has gotten used to it. It is a high-pitched 
sound. He does not report any dizziness, but says he thinks he is more unsteady than 
he has been in the past. When asked directly about aural fullness (feeling of fullness in 
the ear), he does say that, yes, his left ear does feel a bit “stuffy”. 
His audiogram is shown below. 
 

 

 

• Describe  type and degree of the hearing loss, if any, in each ear. 
• Where is the site of the lesion (outer, middle, or inner ear)? 
• Do the audiometric findings seem consistent with the case history given? 
Why or why not? 
• The textbook speaks to the problems with describing hearing loss in terms 
of a percentage of loss. Why does calculating a percentage of loss give an 
inaccurate representation of this patient’s hearing loss?

 

 

 

SCIENCE
HEALTH SCIENCE
NURSING
COMP 352

 
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