Establish broad differential diagnosesa | |
---|---|
Organic diseases | |
Non-organic diseases | Pseudohypacusis |
Functional upper airway obstruction | |
Conversion disorder | |
Adjustment disorder | |
Autism spectrum disorders | |
Patient evaluation | Thorough history and physical examination including flexible nasolaryngoscopy |
Audiometry and vestibular testing should be performed to rule out organic pathology as indicated by the presenting complaint | |
Consultation with relevant specialists including neurology and psychiatry | |
Consider neuroimaging to rule out structural pathology | |
Treatment overview | Assessment of goals with staff, patient and family |
Confirm belief in presenting symptoms | |
Avoid accusation | |
Ensure patient and family is connected with appropriate community resources including physical or psychological rehabilitation | |
Arrange follow-up visits |