CASE HISTORY
What red flags are you seeing?
Does the type/degree/configuration of hearing loss make sense given the patient’s concerns?

AUDIOMETRY
Calculate the pure-tone average for both ears.
Do the speech reception thresholds corroborate pure-tone averages?
Categorize the word recognition score for each ear.
Describe the type, degree, and configuration of the hearing loss.
How would you explain these results to a patient?

IMMITANCE
Interpret the tympanometry results.
What would the Jerger classification be?
Interpret the acoustic reflex thresholds, if provided.
How would you explain these results to a patient?

OTOACOUSTIC EMISSIONS
Are the OAEs present, absent, or inconclusive?
For which frequencies are OAEs uninterpretable due to noise?
Do the OAEs make sense given audiometric results and case history?

SUMMARY
Are there any discrepancies within this report?
What is your final diagnosis?
What are your recommendations for this patient moving forward?
Are any referrals needed?