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April 12, 2024

A 76-year-old woman with a history of a left-sided perforated tympanic membrane presents to the nurse practitioner

A 76-year-old woman with a history of a left-sided perforated tympanic membrane presents to the nurse practitioner with a gradual onset of right-sided diminished hearing, dizziness, tinnitus, and frequently losing her balance. She reports no fevers, upper respiratory symptoms, or otalgia. Physical exam reveals sensorineural hearing loss with a normal and intact tympanic membrane. Which of the following is the most appropriate next step in management? Prescribe antibiotic drops Prescribe corticosteroid drops Refer to otolaryngologist Remove cerumen

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