6
Diagnosis
Figure 1. SHL Guideline Key Action Statements
KAS1
Do Not Obtain Routine Head
CT
Out of guideline
YES
KAS2
NO
KAS3
KAS6
CHL
Patient with Sudden Hearing Loss (SHL)
SHL
Out of guideline
YES
Exclude CHL
Do Not Obtain Routine Labs
KAS5
Confirm SNHL by
Audiogram?
KAS4
Out of guideline
CHL
Assess for
Retrochoclear Pathology
with ABR or MRI
SNHL
Educate Patient
KAS7
Do Not Prescribe Antibiotics
KAS11
Assess for
Modifying Factors:
Bilateral, Recurrent,
Focal Neurological
Exam
