AKT-1663

AKT-1663

A 56-year-old man presents with a sudden onset of hearing loss in his right ear for the past 2 days. He denies any history of trauma and reports feeling generally well. He also reports experiencing tinnitus and vertigo in his affected ear.

During the examination, the patient has a moderate amount of earwax in both ears. There is no tenderness in his pinna, tragal or mastoid areas. The tympanic membrane appears normal in the small amount that is visible. The patient has evident hearing loss in his right ear.

When performing Weber’s test, the patient localizes the sound to his left side. Rinne’s test is positive bilaterally, with air conduction being better than bone.

What is the most appropriate next step in management?