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Tinnitus

  • Common ddx

    • noise-induced
    • presbycusis, sensorineural
    • cerumen impaction
    • TMJ
  • Serious ddx

    • ototoxicity: aminoglycosides
    • severe ear infection
    • MS
    • acoustic neuroma
    • AVM, aneurysm
  • Labs

    • audiometry
    • aminoglycoside level
    • CT if suspect acoustic neuroma
    • CT-angiography if suspect AVM, aneurysm
    • neuro consult RE MRI if suspect MS
  • Other ddx

    • meniere's disease
    • cholesteatoma
    • neurosyphilis

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