## audiogram_NOV2019.jpg

The image is a detailed audiogram that includes various sections related to hearing assessment. Here's a breakdown of each section:

1. **Audiogram (Frequency in Hertz vs. Hearing Level in Decibels)**:
   - This graph plots the hearing levels for different frequencies on the x-axis, ranging from 250 Hz to 8000 Hz.
   - The y-axis represents the hearing level in decibels (dB HL), with values increasing as you move upwards.
   - There are multiple lines representing data points for both ears. The lines show how sensitive each ear is at different frequencies, indicating whether there might be a hearing loss and its severity.

2. **Transducer (TDH)**:
   - This section specifies the type of transducer used in the test: TDH.
   - It also notes that the reliability of the test was "good."

3. **Ultra-High Frequency**:
   - The frequencies tested are listed as 8000 Hz, 10000 Hz, 11200 Hz, 13600 Hz, 14000 Hz, and 16400 Hz.
   - For each frequency, the ear (R for right or L for left) is indicated.

4. **EFFECTIVE MASKING**:
   - This section shows whether effective masking was used during certain parts of the test. It includes abbreviations like AC (Auricular Conduction), BC (Bone Conduction), and other notes about the type of masking used, such as "X" for no masking or "<" indicating partial masking.

5. **Speech Audiometry**:
   - This section is divided into two parts: Recorded and Mading.
   - For Recorded speech, there are values like 20 dB HL (right ear) and 15 dB HL (left ear).
   - For Mading speech, the values include "60dB" for right ear at 4K Hz and "70dB" for left ear at 3.5K Hz.
   - There are also notes about the number of words used in each test: 20 words for Recorded speech and 15 words for Mading speech.

6. **Acoustic Reflexes**:
   - This section includes a table with values such as "Probe Right" and "Probe Left," indicating measurements taken from both ears.
   - The table shows positive decay (PD) or negative decay (ND), which are indicators of the acoustic reflex response in decibels.

7. **Tympanogram**:
   - This graph plots pressure changes on the x-axis against volume changes on the y-axis, with values ranging from 0 to ±300 daPa.
   - The graph shows two tympanograms for each ear (R and L), indicating the middle ear's response to pressure changes.

Each section of this audiogram provides specific data points that are crucial for understanding a person’s hearing capabilities across different frequencies, as well as their responses to speech and reflexes.

This description was generated automatically from image files by a local LLM, and thus, may not be fully accurate. Please feel free to ask questions if you have further questions about the nature of the image or its meaning within the presentation.