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Audiology Clinical Diary Documentation - 1st Sem BASLP

The document outlines a template for Pure Tone Audiometry, including sections for demographic details, presenting complaints, case history, otoscopic examination, tuning fork tests, provisional diagnosis, and recommendations. It also mentions the use of immittance audiometry and neonatal hearing screening. Clinician and supervisor details are included for signature verification.

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ishwaryabalaji27
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72 views9 pages

Audiology Clinical Diary Documentation - 1st Sem BASLP

The document outlines a template for Pure Tone Audiometry, including sections for demographic details, presenting complaints, case history, otoscopic examination, tuning fork tests, provisional diagnosis, and recommendations. It also mentions the use of immittance audiometry and neonatal hearing screening. Clinician and supervisor details are included for signature verification.

Uploaded by

ishwaryabalaji27
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Pure Tone Audiometry

Demographic details
Patient Name
Age/ Gender
Hosp No
Date

Presenting complaint

Case history information

Otoscopic examination

Right ear

Left ear:

Tuning Fork Test

Right Ear Left ear


Rinne

Weber

Audiometer used
Provisional Diagnosis

Recommendation

Clinician Name Supervisor Name and signature


Immittance audiometry
Neonatal Hearing Screening
KCDU screening

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