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Tinnitus

Signs & Symptoms

 Worked in noisy environments
Ref: Epocrates [ https://online.epocrates.com/diseases/364/Tinnitus]
Hearing loss
Ref: Uptodate [ Etiology and diagnosis of tinnitus] Epocrates [ https://online.epocrates.com/diseases/36432/Tinnitus/Risk-Factors]
Load noise exposure
Ref: Epocrates [ https://online.epocrates.com/diseases/364/Tinnitus]
Vestibular schwannoma
Note: Cause sensorineural hearing loss
Ref: Epocrates [ https://online.epocrates.com/diseases/364/Tinnitus]

Physical Examination

 Rushing pulsation
Ref: Uptodate [ Etiology and diagnosis of tinnitus]
papilledema (negative symptom)
Ref: Epocrates [ https://online.epocrates.com/diseases/36435/Tinnitus/Differential-Diagnosis]
increased opening pressure on lumbar punctures (negative symptom)
Ref: Epocrates [ https://online.epocrates.com/diseases/36435/Tinnitus/Differential-Diagnosis]

Lab / Serology

 Hyperthyroidism
Note: cause hyperdynamic circulation, cause pulsatile tinnitus
Ref: Epocrates [ https://online.epocrates.com/diseases/36433/Tinnitus/History-Exam]
Elevated serum serotonin
Ref: Uptodate [ Etiology and diagnosis of tinnitus]
Elevated serum levels of salicylate (negative symptom)
Ref: Epocrates [ https://online.epocrates.com/diseases/36435/Tinnitus/Differential-Diagnosis]

Imagin Study

 Conductive hearing loss
Ref: Epocrates [ https://online.epocrates.com/diseases/36433/Tinnitus/History-Exam]
Sensorineural hearing loss
Ref: Uptodate [ Etiology and diagnosis of tinnitus]
Underdeveloped foramen spinosum
Ref: Epocrates [ https://online.epocrates.com/diseases/36433/Tinnitus/History-Exam]

Complication

Risk Factors

 40 < age < 70
Ref: Epocrates [ https://online.epocrates.com/diseases/36432/Tinnitus/Risk-Factors]
Male
Ref: Uptodate [ Etiology and diagnosis of tinnitus]
Smoking
Ref: Uptodate [ Etiology and diagnosis of tinnitus]

Cause

 Vestibular schwannoma
Note: Cause sensorineural hearing loss
Ref: Epocrates [ https://online.epocrates.com/diseases/364/Tinnitus]
Sensorineural hearing loss
Ref: Uptodate [ Etiology and diagnosis of tinnitus]
Hearing loss
Ref: Uptodate [ Etiology and diagnosis of tinnitus] Epocrates [ https://online.epocrates.com/diseases/36432/Tinnitus/Risk-Factors]

Other