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Patient reports experiencing ringing or buzzing in the right ear along with a perceived decrease in hearing ability not yet confirmed by objective testing.
Used when a patient self-reports experiencing tinnitus and hearing loss in their right ear, requiring further investigation to confirm and quantify the hearing loss.
"Review of Systems: Endorses tinnitus and subjective hearing loss in right ear. Denies vertigo."
This phrase is typically documented in the Review of Systems section during patient intake. It should be followed up with objective audiometric testing and further investigation into the underlying causes.
Common questions about using medical phrases in clinical documentation