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Group B3
Supervisors:
Dr. Fatma Eldosoky
Dr. Azza Taha
CC: A 55 years old patient, known case of HF and IHD, presented to ED complaining of hearing loss for 2 days.
HPI: hearing loss is bilateral, started gradually, progressive with no aggravating or relieving factors and associated with vertigo. Patient denied pain, fever, or trauma to his head or ear.
Past Hx: Patient has Hx of IHD, HF, and he was just diagnosed with malaria since he came back from Jazan 2 months ago. He was also diagnosed with testicular tumor. Patient denied any major or minor surgical procedures.
Medications: Aspirin, furosemide, quinin, cisplastin.
Allergy: NKA
Family Hx: His father was diagnosed with reversable drug induced hearing loss after the use of vancomycin and gentamycin.
Social Hx: Patient is working in his farm,
and he is a smoker for 25 years.
a drug or chemical related damage to the inner ear , resulting damage to organs responsible for hearing and balance. The damage can lead to temporary or permanent hearing loss and / or loss of balance .