Current
symptoms
Describe any recent changes in
your hearing
Sudden decrease in ability to hear in
one ear may be associated with otitis
media
Are all sounds affected with
change or just some sounds?
Presbycusis often begins with a loss of
the ability to hear high frequency
sound
 
Do you have any ear
drainage? Describe the
amount and Order?
Otorrhea usually indicates infection
,purulent bloody drainage suggests an
infection of the external ear
 
Do you have any ear pain Otalgia can occur with ear infection
,sinus infection or teeth and gums
problems
 
Do you experiencing any
ringing or crackling in your
ears
Tinnitus may be associated with
excessive ear wax build up, high blood
pressure
 
Do you ever feel dizzy or
unbalanced
Vertigo (true spinning motion) may be
associated with an inner ear problem
 
Past
History
Have you ever had problems A
history of repeated infections
with your ears as infectious or
trauma
A history of repeated infections can
affect the tympanic membrane and
hearing

 

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