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Online EHDI Case 4 (Case Questions Without Answers)

Online EHDI Case 4 - A Child with Unilateral Hearing Loss

Part 1

History: Sarah Ramey is a 2.5 month old child. She was born after an uncomplicated delivery at term. She is the 4th child of a 28-year old single women. During her neonatal hospital stay, the staff neonatologist provided care. Her primary care physician was not identified on any hospital records.

After hospital discharge, Ms. Ramey took Sarah to your office because you serve as primary care for the entire family. At the 2-week visit Hepatitis B immunization was given. When Sarah was 2 months of age she came for a second well child visit, including immunizations.

Her mother calls the office very upset because she has been contacted by a representative of the State Department of Health. Sarah did not pass her newborn hearing screening in the one ear. Her mother failed to go for follow-up testing and is now worried that they want to take her baby away from her.

1. What is your impression of the child’s condition?

2. How and why would state officials become involved?

3. What would you recommend?

Click <HERE> for answers to Part 1


Part 2

Sarah is now 3.5 months. Sarah’s ABR revealed normal hearing sensitivity in the right ear but a moderate to severe hearing loss in the left ear. The audiologist suggested a hearing aid for the left ear. Sarah’s mother worries that a hearing aid will stigmatize her daughter. She also worries she cannot afford the aid and the trips for fitting.


1. What is your impression?

2. What strategies might be effective in your interactions with Ms. Ramey?

Click <HERE> for answers to Part 2

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