Peds Eval

The Pediatric Audiologic Evaluation should include the following:

Case History

 * Perinatal History/Risk Factors
 * Family History
 * Speech and Language Development
 * Gross Motor Development
 * Newborn Hearing Screening
 * Medical History/Diagnoses
 * Otologic History
 * Ear infections
 * PE Tubes
 * Ear surgery
 * School Performance
 * Services Received
 * IEP/504 or Accomodations
 * IFSP
 * Additional Therapies or Services
 * How often?
 * Where?
 * Do you have any concerns about their hearing?

Tympanometry
For children under 6 months, conduct high frequency tympanometry at 1000 Hz.

Otoacoustic Emissions
Otoacoustic emission testing may be performed before otoscopy and tympanometry in cases of children who are difficult to test and may not allow for their ears to be touched. Otoacoustic emissions are ear specific and provide more information than otoscopy or tympanometry.

Visual Reinforcement Audiometry (VRA)
Appropriate for children approximately 6 months to 3 years, depending on developmental status.

Conditioned Play Audiometry (CPA)
Appropriate for children approximately 3 years to 5 years, depending on developmental status.

Pure tone audiometry and bone conduction audiometry
Appropriate for children over 5 years, depending on developmental status.

Speech Reception Threshold (SRT) and Word Recognition Score (WRS)
SRT can be performed through pointing to pictured spondees or repeating words back

WRS can be performed through the WIPI picture pointing task or repeating words back

Other Procedures
In some cases an Automated Auditory Brainstem Response (AABR) may be performed. An AABR is typically performed on infants who have risk factors for hearing loss.

Otoacoustic emission testing may be performed before otoscopy and tympanometry in cases of children who are difficult to test and may not allow for their ears to be touched. Otoacoustic emissions are ear specific and provide more information than otoscopy or tympanometry.,