II. Epidemiology: Chronic, recurrent, or single severe loud noise exposure

  1. Textile mills
  2. Firearms
  3. Rock concert
  4. Explosion

III. Signs: Audiometry

  1. Early: Pure tone (notch) loss between 3000-6000 hz
  2. Later: progresses to other frequencies

IV. Management

  1. Refer to Otolaryngology

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