Acoustic neuroma (schwannoma) Quiz: Ace Your Exams
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A 50-year-old man comes to the clinic due to difficulty hearing for the past 2 months. He describes difficulty hearing mainly on the left side, and he notes a constant “whoosh” sound in the same ear. The patient reports feeling unsteady lately but denies any dizziness or spinning sensations. Medical history is significant for hyperlipidemia and hypertension. Medications include furosemide and lovastatin. Vital signs are within normal limits. Physical examination shows that the patient does not respond when the physician whispers in the left ear. A tuning fork placed on the mastoid bone shows that air conduction is greater than bone conduction bilaterally. When the fork is placed on the top of the head, the sound localizes to the right ear. Which of the following is the most likely diagnosis?
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