Solve exciting clinical cases specific to your field of interest via Docplexus’ Case Challenge. Join your fellow doctors to discuss and answer today’s challenge! Case presentation A 65-year-old man presented with hearing loss in both ears. He mentioned selective deafness to higher tones.

The problem has been persistent for the past five years and getting worse by the day. However, he did not report other symptoms related to hearing loss such as trauma, headache, nausea/vomiting, skin rashes, recent infections, dizziness, recent exposure to loud noise, tinnitus, ear pain, ear discharge, weakness, numbness, and tingling. Medical history Treated for bladder cancer three years ago with the chemotherapeutic drug cisplatin and underwent radical cystectomy Chronic shoulder pain (aspirin 500 mg for six months) Allergies Penicillin Smoking (for the past 42 years) Occupational noise exposure…