You are teaching a class on diseases of the ear. What would you teach the class is the most characteristic symptom of otosclerosis?
A) The client being distressed in the mornings
B) A progressive, bilateral loss of hearing
C) A red and swollen ear drum
D) The client describing a recent upper respiratory infection
B
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A progressive, bilateral loss of hearing is the characteristic symptom of otosclerosis. Tinnitus appears as the loss of hearing progresses; it is especially noticeable at night, when surroundings are quiet, and may be quite distressing to the client. The eardrum appears pinkish-orange from structural changes in the middle ear. The client often describes a history of having had a recent upper respiratory infection in case of otitis media, not otosclerosis.
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