<X> hearing loss and/or tinnitus (audiologist, performing current exam)
1. Objective findings:
1. Puretone thresholds in decibels (air conduction):
RIGHT EAR LEFT EAR
500 10 5
1000 10 5
2000 10 10
3000 15 20
4000 20 25
6000 20 15
8000 10 15
Average 14 15
c. Validity of puretone test results
<X> Test results are valid for rating purposes.
2. Diagnosis
Right Ear
<X> Normal Hearing
Left Ear
<X> Normal Hearing
3. Evidence Review
<X> No records were reviewed
6. Remarks, if any
Claims folder not available for review at the time of evaluation. Hearing is within normal limits for both ears. Veteran reported dates of active duty from 1989 to 1997. He reported military noise exposure to artillery and equipment. No occupational or recreational noise exposure was reported.
SECTION 2 TINNITUS
1. Medical History
Does the Veteran report recurrent tinnitus? YES
Date and cicumstances of onset of tinnitus: Veteran reports tinnitus in the right ear only "for as long as I can remember, from Desert Storm."
2. Evidence Review:
<X> No records were reviewed
3. Etiology of tinnitus
<X> Cannot provide a medical opinion regarding the etiology of the Veteran's tinnitus without resorting to speculation.
Reason: Claims folder was not available for review, however hearing thresholds are within normal limits for both ears which would indicate tinnitus is not caused by military acoustic trauma.
5. Remarks, if any:
Veteran reported he had several ear invections while in the military when he was younger and is unsure if tinnitus is because of that. Veteran also reported he has had traumatic brain injury.
08/27/212 ADDENDUM
Claims folder has been received by Audiology clinic and reviewed.
Veteran currently has hearing within normal limits for both ears. Audiograms found in service medical records from enlistment in 1988 and others from 1994 and 1996 show hearing within normal limits for both ears with no standard threshold shift.
Veteran reports history of several ear infections while in the military when he was younger. Reports of otitis media and otitis externa were found in service medical records. Veteran reported during the audiological evaluation that he was unsure if tinnitus was due to that. Veteran also has history of traumatic brain injury.
An opinion is requested regarding tinnitus according to the 2507. After review of service medical records, personal interview and audiometric testing, it is the opiniion of this examiner that veteran's tinnitus is less likely as not a result of noise exposure during military service as veteran has hearing within normal limits now and during service. No complaints of tinnitus were found in service medical records. opinions regarding other possible causes for tinnitus, including history of: Otitis media, otitis externa, and traumatic brain injury, should be deferred to the appropriate medical specialty.
Question
mekon1971
NO C-FILE
<X> hearing loss and/or tinnitus (audiologist, performing current exam)
1. Objective findings:
1. Puretone thresholds in decibels (air conduction):
RIGHT EAR LEFT EAR
500 10 5
1000 10 5
2000 10 10
3000 15 20
4000 20 25
6000 20 15
8000 10 15
Average 14 15
c. Validity of puretone test results
<X> Test results are valid for rating purposes.
2. Diagnosis
Right Ear
<X> Normal Hearing
Left Ear
<X> Normal Hearing
3. Evidence Review
<X> No records were reviewed
6. Remarks, if any
Claims folder not available for review at the time of evaluation. Hearing is within normal limits for both ears. Veteran reported dates of active duty from 1989 to 1997. He reported military noise exposure to artillery and equipment. No occupational or recreational noise exposure was reported.
SECTION 2 TINNITUS
1. Medical History
Does the Veteran report recurrent tinnitus? YES
Date and cicumstances of onset of tinnitus: Veteran reports tinnitus in the right ear only "for as long as I can remember, from Desert Storm."
2. Evidence Review:
<X> No records were reviewed
3. Etiology of tinnitus
<X> Cannot provide a medical opinion regarding the etiology of the Veteran's tinnitus without resorting to speculation.
Reason: Claims folder was not available for review, however hearing thresholds are within normal limits for both ears which would indicate tinnitus is not caused by military acoustic trauma.
5. Remarks, if any:
Veteran reported he had several ear invections while in the military when he was younger and is unsure if tinnitus is because of that. Veteran also reported he has had traumatic brain injury.
08/27/212 ADDENDUM
Claims folder has been received by Audiology clinic and reviewed.
Veteran currently has hearing within normal limits for both ears. Audiograms found in service medical records from enlistment in 1988 and others from 1994 and 1996 show hearing within normal limits for both ears with no standard threshold shift.
Veteran reports history of several ear infections while in the military when he was younger. Reports of otitis media and otitis externa were found in service medical records. Veteran reported during the audiological evaluation that he was unsure if tinnitus was due to that. Veteran also has history of traumatic brain injury.
An opinion is requested regarding tinnitus according to the 2507. After review of service medical records, personal interview and audiometric testing, it is the opiniion of this examiner that veteran's tinnitus is less likely as not a result of noise exposure during military service as veteran has hearing within normal limits now and during service. No complaints of tinnitus were found in service medical records. opinions regarding other possible causes for tinnitus, including history of: Otitis media, otitis externa, and traumatic brain injury, should be deferred to the appropriate medical specialty.
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