A forty-five year old female presents to your clinic complaining of difficulty h

Question

A forty-five year old female presents to your clinic complaining of difficulty hearing. During the visit, you have to speak loud recent or past trauma. Otologic exam is significant for an abundance of cerumen. The tympanic membrane is not visible-AU. Weber test shows no lateralization and the Rinne test is positive. Nystagmus is not noted and a focal neurological exam is unremarkable. What is the most likely diagnosis? . What is the treatment of choice? What is cerumen and what is the importance of this product?

Explanation / Answer

This is a type of conductive hearing loss which is caused by an obstruction in the ear canal such as ear wax which blocks the sound from getting into the eardrum. It is temporary and can be treated by removing the ear wax. The condition can be treated by visiting a doctor. The doctor may remove ear wax with a plastic spoon or with other ear drops. It is an ear wax which is made by the body in the outer ear canal which serves as a way to protect and clean the ear. It protects ear from bacteria, fungus, insects and water. It stops bacteria and insects from entering into the ear and these get stuck in the sticky wax.

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