- Hx recurrent exposure loud sounds thru work/habits/hobbies
- Lack of use ear protection
- Chronic/progressive
- Sometimes tinnitus
- Decreased ability to hear whispered words, rubbed fingers thru affected ear(s)
- External canal and TM should be normal (assuming no co-existing conductive loss)
- Weber w/512hz tuning fork lateralizes to normal ear; Rinne indicates air conduction better than bone
- Audiogram to define and quantify loss