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Audiogram: DEXTRA

This document is an audiogram showing the results of a hearing test. It displays hearing thresholds for each ear at different frequencies from 125Hz to 8000Hz. It also shows air conduction and bone conduction thresholds as well as masking levels when tested. The audiogram includes fields for the patient's name, age, room number, and date of examination.
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0% found this document useful (0 votes)
45 views

Audiogram: DEXTRA

This document is an audiogram showing the results of a hearing test. It displays hearing thresholds for each ear at different frequencies from 125Hz to 8000Hz. It also shows air conduction and bone conduction thresholds as well as masking levels when tested. The audiogram includes fields for the patient's name, age, room number, and date of examination.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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AUDIOGRAM

250 Hz 500 Hz 1000 Hz 2000 Hz 3000 Hz 4000 Hz 6000 Hz 8000 Hz


D 125 AC 250 500 1000 2000 3000 4000 6000 8000
BC
S AC
BC
MASKING
D AC
BC
S AC
BC

NAMA PASIEN : ________________________ DIAGNOSA :

USIA : ________________________ DEXTRA ________________________________

NO RM : ________________________ SINISTRA _______________________________


Symbol :Air Bone MASKING Air Bone
Tanggal Pemeriksaan : ____________________ D : O D : < D :
125 250 500 1000 2000 3000 4000 6000 8000D : [

S :X S :> S :□ S :]

-20 -20
-10 -10
0 0
10 10
20 20
30 30
Intensitas40(dB) 40
50 50
60 60
70 70
80 80
90 90
100 100
110 110
120 120

Frequency (Hz)

Pemeriksa

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