Case History: Andy, age 3, passed NBHS, but has had a history of severe allergies, eustachian tube dysfunction and otitis media. He had one set of PE tubes placed at 18 months of age. The PE tubes extruded (came out) about 4 months ago. Since a severe upper respiratory infection approximately 2 months ago, Andy's mother has noticed that he appears even more congested than usual. He is breathing almost exclusively through his mouth and snores at night. He appears to be ignoring much of the time and often says, "What?" His speech has become "slushier" or "mushier." He also seems to be reverting to "baby talk" at times. Group Member #1 - Audiological findings: Otoscopy = bulging tympanic membranes with yellow fluid visible behind the TM Tympanometry = Type B right; Type B left %3D -10 -10 LIJ 10 10 30 30 40 40 50 50 60 60 70 70 80 80 90 90 100 100 110 110 120 120 130 130 0.125 0.25 0.5 1 Frequency-kHz. Group Member #2 – Effect of the hearing loss: What challenges / difficulties is this patient experiencing with this hearing loss? How will this hearing loss affect this patient in the future if the loss remains untreated? Group Member #3 – Intervention: Is medical intervention necessary? If so, what is needed? Is technology (HA / CI) necessary? If so, what is needed? What features would be beneficial for this patient? Hearing Level-dB.

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ISBN:9781305465763
Author:ROMICH
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Case History:
Andy, age 3, passed NBHS, but has had a history of severe
allergies, eustachian tube dysfunction and otitis media. He had one
set of PE tubes placed at 18 months of age. The PE tubes extruded
(came out) about 4 months ago.
Since a severe upper respiratory infection approximately 2 months
ago, Andy's mother has noticed that he appears even more
congested than usual. He is breathing almost exclusively through
his mouth and snores at night. He appears to be ignoring much of
the time and often says, "What?" His speech has become "slushier"
or "mushier." He also seems to be reverting to "baby talk" at times.
Group Member #1 - Audiological findings:
Otoscopy = bulging tympanic membranes with yellow fluid visible
behind the TM
Tympanometry = Type B right; Type B left
%3D
-10
-10
LIJ
10
10
30
30
40
40
50
50
60
60
70
70
80
80
90
90
100
100
110
110
120
120
130
130
0.125
0.25
0.5
1
Frequency-kHz.
Group Member #2 – Effect of the hearing loss:
What challenges / difficulties is this patient experiencing with this
hearing loss? How will this hearing loss affect this patient in the
future if the loss remains untreated?
Group Member #3 – Intervention:
Is medical intervention necessary? If so, what is needed?
Is technology (HA / CI) necessary? If so, what is needed? What
features would be beneficial for this patient?
Hearing Level-dB.
Transcribed Image Text:Case History: Andy, age 3, passed NBHS, but has had a history of severe allergies, eustachian tube dysfunction and otitis media. He had one set of PE tubes placed at 18 months of age. The PE tubes extruded (came out) about 4 months ago. Since a severe upper respiratory infection approximately 2 months ago, Andy's mother has noticed that he appears even more congested than usual. He is breathing almost exclusively through his mouth and snores at night. He appears to be ignoring much of the time and often says, "What?" His speech has become "slushier" or "mushier." He also seems to be reverting to "baby talk" at times. Group Member #1 - Audiological findings: Otoscopy = bulging tympanic membranes with yellow fluid visible behind the TM Tympanometry = Type B right; Type B left %3D -10 -10 LIJ 10 10 30 30 40 40 50 50 60 60 70 70 80 80 90 90 100 100 110 110 120 120 130 130 0.125 0.25 0.5 1 Frequency-kHz. Group Member #2 – Effect of the hearing loss: What challenges / difficulties is this patient experiencing with this hearing loss? How will this hearing loss affect this patient in the future if the loss remains untreated? Group Member #3 – Intervention: Is medical intervention necessary? If so, what is needed? Is technology (HA / CI) necessary? If so, what is needed? What features would be beneficial for this patient? Hearing Level-dB.
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