July week 4: Vision/Hearing Screening
Sokol J, Hyde Martyn. Hearing screening. Ped Rev, 2002;23(5):155-162. (102.724 Kb
Tingley D. Vision Screening Esentials: Screening Today for Eye Disorders in the Pediatric Patient. Peds in Review, 2007;28:54-61.
You are doing your newborn nursery rotation and your medical student asks you how babies are screened for hearing.
- Explain the difference between the Auditory Brainstem Response and the Otoacoustic Emissions tests. What are the advantages/disadvantages of each?
- Which one does our nursery use for screening? Which is used for screening in the NICU? Which is used if initial screen fails?
- What are some reasons why a baby would have a false positive hearing screen (fail when hearing is normal)?
- As a child gets older, how often should he or she be screened?
- In preschool children, what are some risk factors for hearing impairment?
A 4 yo girl is brought in by mom for her well visit. Mom reports she has noticed her squinting when looking at the TV. She wants to have her vision tested.
- How often should children have “visual assessments” at well visits?
- At what age should visual acuity screening begin?
You are seeing an 18 month old girl who is brought in by dad. They just moved to the area and are establishing care. Dad reports she has had a “lazy eye” since birth.
- How do you evaluate for strabismus on exam?
- When does strabismus need to be corrected to prevent amblyopia?
- How is strabismus treated?