4. Tes Garpu Tala & Audiometri (Dr Rosa Falerina.,Sp.tht-KL)

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    !!   "#$%&$'( )*+,*+-$.$+ '*/$.$ 01$%(2$2(3 

    !

      4*+*+2&0$+ 5*+(' 0*2&%($+!   6*.%& 0*.5$'$7$ 8$+$09$+$0 0$,$+- '&%(2:

    !   ;%$2 '*,*.

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    !!B   C*+'(2(#(2$' 2*%(+-$ ,$%$7 80D0%*$: AE %*=(< =$(0 ,$%$7 7*+*.(7$

    .$+-'$+- =&+F( 7*%$%&(

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    !

    L

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    !!   4$/$7 -$.)& 2$%$M 83.*01*+'( .*+,$< N 2(+--(:

    !AO PQ> ARS PQ> R!A PQ> !IAL PQ > AILO PQB!   T+2&0 2*' )*+,*+-$.$+ M R!A PQ> !IAL PQ ,$+

    AILO PQ 83.*01*+'( =(/$.$:

    !   U(0$

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    !Garpu Tala

    S

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    !! ;.$< -*2$.$+ 0*,&$ 0$0( -$.)& 2$%$ '*$.$< ,*+-$+

    0*,&$ 0$0( -$.)& 2$%$! V*2$.0$+ 0*,&$ 0$0( -$.)& 2$%$ ,*+-$+ 5$.( 2*%&+5&0

    ,$+ (=& 5$.(

    ! ;2$& 0*2&00$+ 0* %&2&2 $2$& =*+,$ 0*.$' F$+-

    ,(%$)('( =$+2$%$+ %&+$0 $-$. #(=.$'( 2(,$0 =*.%*=(

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    !

    O

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    !!   6*+2(+- M 0$/$7$2$> -(1$+- ,(%*)$'

    !

      P$+2$.$+ &,$.$ 8;G: M $.$< 0*,&$ 0$0( -$.)& 2$%$'*5$5$. ,*+-$+ $.$< %($+- 2*%(+-$

    !   P$+2$.$+ 2&%$+- 8HG: M )$,$ ).D'*'&'7$'2D(,>

    2(,$0 =D%*< 7*+F(+--&+-,$&+ 2*%(+-$

    Posisi atau letak GT

    X

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    !

    !I

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    !!B   K*' =$2$' $2$' N =$2$' =$1$<

    AB   K*' Y(++*JB   K*' Z*=*.

    LB   K*' C/

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    !!   K&5&$+ M

    4*+*+2&0$+ 3.*01*+'( -$.)& 2$%$ F$+- ,$)$2,(,*+-$. )*+,*.(2$ 7*%*1$2(

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    !"C*7&$ -$.)& 2$%$ 8 7&%$( 3.*0 .*+,$< '$7)$(

    2(+--( $2$& '*=$%(0+F$: ,(=&+F(0$+ '$2& )*.'$2&>

    ,(,*+-$.0$+ ,&%& D%*< )*7*.(0'$ '$7)$( =&+F(

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    !!   4*+,*+-$. -$.)& 2$%$ )$,$ '*7&$ 3.*01*+'(

    #\D.7$%

    !   H$2$' =$1$< +$(0 83.*0 .*+,$< 2(,$0 ,*+-$.:# K&%( 0D+,&0'(

    !   H$2$' $2$' 2&.&+ 83.*0 2(+--( 2(,$0 ,*+-$.:

    # K&%( '*+'D.(+*&.$% 8C\P]:

    ^*'$%$

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    !

    !R

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    !!   K&5&$+ M

    7*7=$+,(+-0$+

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    !!B   V*2$.0$+ VK R!A PQ> )$+/$+-0$+ 2$+-0$(+F$ 2*-$0 %&.&' )$,$

    )%$+&7 7$'2D(, )E 8)D'2*.(D. 4;": '$7)$( )E 2(,$0 7*+,*+-$.>

    0*7&,($+ /*)$2 )(+,$ )$+/$+-0$+ )$,$ )%$+&7 7$'2D(,> 0*7&,($+'*-*.$ ,()(+,$< ,( ,*)$+ 4;"> ,(2$+F$ 7$+$ F$+- %*=(< 0*.$'B

    =(%$ %*=(< 0*.$' ,( ,*)$+ ,('*=&2 !"##$ %&'"(") B

    =(%$ %*=(< 0*.$' ,(=*%$0$+- ,('*=&2 !"##$ #$*+(") B

    Cara

    !W

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    !"Y(++* )D'(2(3 M \D.7$% $2$& C\P]

    "Y(++* +*-$2(3 M 2&%( 0D+,&0'("K&%( /$7)&.$+ M '&%(2

    "^$,$+-90$,$+- 2*.5$,( 3$%'* Y(++* 8)'*&,D )D'(2(3

    $2$& )'*&,D +*-$2(3: 2*.5$,( =(%$ =&+F( VK

    ,(2$+-0$) D%*< 2*%(+-$ 0D+2.$%$2*.$% F$+-)*+,*+-$.$++F$ 5$&< %*=(< =$(0B

    Interpretasi

    !O

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    !"VK 2(,$0 2*.)$+/$+- ,*+-$+ =$(0 )$,$ 7$'2D(,

    $2$& 7(.(+-> 0*+$ .$7=&2> 5$. %*7$0 2*=$%

    '*

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    !

    V$7=$. K*' Y(++*

    AI

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    !!   K&5&$+ M

    7*7=$+,(+-0$+ ,$F$ 2$+-0$) 0*,&$ 2*%(+-$ )*+,*.(2$

    2*.

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    !!   VK R!A PQ ,(-*2$.0$+ 0*7&,($+ 2$+-0$(+F$

    ,()$+/$+-0$+ 2*-$0 %&.&' ,( -$.(' 7*,($+ ,*+-$+

    0*,&$ 0$0( )$,$ -$.(' )*+*7)$2$+

    ,$)$2 )$,$#*.2*E> ,$ ,$-& $2$& )$,$ -(-(

    (+'('(#&' $2$' 8

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    !$ K(,$0 $,$ %$2*.$%('$'(> '&$.$ ,(2*+-$

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    !

    -$7=$.

    AL

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    !!   K*.,$)$2 =*=*.$)$ 0*7&+-0(+$+=(%$ $,$

    %$2*.$%('$'(> 7('$% %$2*.$%('$'( 0* 0$+$+

    !B   K&%( 0D+,&0'( 0$+$+> 0(.( +D.7$%

    AB   K&%( 0D+,&0'( 0$+$+ 0(.(> 0$+$+ %*=(< =*.$2

    JB   K&%( '*+'D.(+*&.$% 0$+$+ 0(.(> 0(.( %*=(< =*.$2

    LB   K&%( '*+'D.(+*&.$% 0(.(> 0$+$+ +D.7$%

    RB   K&%( 0D+,&0'( 0$+$+> 2&%( '*+'D.(+*&.$% 0(.(

    Interpretasi

    AR

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    !

    Gambar Tes Weber

    AS

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    !"H(%$ VK ,(-*2$.0$+ 2*.%$%& 0*.$' 8D#*.2D+*':>

    7&+-0(+ ,(,*+-$. 7*%$%&(

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    !!   K&5&$+ M

    7*7=$+,(+-0$+

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    !!B   6*+,*.(2$ 7$'(< 7*+,*+-$.# C/F$(2& C/ =(%$

    )*7*.(0'$ 7$'(< 7*+,*+-$. =*.$.2( C/

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    !C/

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    !! VK 2(,$0 2*.)$+/$+- ,*+-$+ =$(0> 0$0(+F$

    2*.'*+2&<

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    !

    Gambar Tes Schwabach

    JJ

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    !G$.$ M

    !   VK ,(-*2$.0$+ ,( ).D'*'&'7$'2D(,

    !   K.$-&' ,(2*0$+ 7*+&2&)( 4;" '*

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    !"H(+- )D'(2(3 M =&+F( 2*.,*+-$. %*=(< 0*.$' '*2*%$<

    4;" ,(2&2&)

    "H(+- +*-$2(3 M 2(,$0 $,$ )*.=*,$$+ 0*0*.$'$+

    '*2*%$< 4;" ,(2&2&)

    Interpreasi

    JR

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    !

    Gambar Tes Bing

    JS

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    !!   ;&,(D7*2.( M

    6*7*.(0'$$+ &+2&0 7*+*+2&0$+5*+(' ,$+ ,*.$5$2

    0*2&%($+! ;&,(D7*2*. M

    ;%$2 F$+- ,(-&+$0$+&+2&0 7*%$0&0$+2*'

    $&,(D7*2.(

    ! ;&,(D7*2.(' M

    a.$+- F$+- 7*%$0&0$+ 2*' $&,(D7*2.(

    ! ;&,(D-.$7 M

    P$'(% 2*' $&,(D7*2.( ,$%$7 =*+2&0-.$3(0

    Audiometri

    JW

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    !! 6&.* KD+* ;&,(D7*2.F ̀ 6K; ̀ ;&,(D7*2.( \$,$

    4&.+(

    ! \$,$ 7&.+( M

    C&$.$ F$+-

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    !

    Audiometri Nada Murni

    JX

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    !"[+'*.2)

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    !"K*'

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    !! a.$+- F$+- ,()*.(0'$M

    0DD)*.$2(3> 2(,$0 '$0(2> 7*+-*.2( (+'2.&0'(>=&+F( ,( 2*%(+-$> =*=$' =('(+- 7(+B !L 5$7

    ! ;%$2 $&,(D7*2*. 2*.0$%(=.$'(

    ! 6*7*.(0'$M

    7*+-*.2( /$.$ )*+--&+$$+> '$=$. ,$+ 2*%$2*+

    ! Y&$+-$+ )*7*.(0'$$+M

    0*,$) '&$.$ 7$0'(7$% LI ,H; C6]

    Syarat Pemeriksaan Audiometri

    LJ

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    !

    LL

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    !"V$7=$.$+ $&,(D-.$7 ,$+ '(7=D% N '(7=D%

    "[+3D.7$'( ,$%$7 $&,(D-.$7

    "U*+(' ,$+ ,*.$5$2 -$+--&$+ )*+,*+-$.$+

    "4*2D,$ 7$'0(+-

    "4*+-*.2( ).D'*,&. .&5&0$+

    Penilaian Audiogram

    LR

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    !

    Audiogram

    LS

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    !" K(+2$ 7*.$

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    !"P$+2$.$+ &,$.$ 8;G: ,(

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    !

    Simbol Pada Audiogram

    LX

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    !!B   \D.7$%

    AB   K&%( ̂ D+,&0'(

    JB   K&%( C*+'D.(+*&.$%

    LB   K&%( G$7)&.$+

    Bacaan Audiogram

    RI

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    !1. Normal BC < 25 dB

    AC < 25 dB

    2. Tuli KonduksiBC < 25 dB

    AC > 25 dB, ada air bone gap

    3. Tuli Sensorineural

    BC > 25 dBAC > 25 dB, tidak ada air bone gap (berhimpit)

    4. Tuli Campuran

    BC > 25 dB

    AC > 25 dB, ada air bone gap

    H$/$$+ ;&,(D-.$7

    R!

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    !

    Simbol Audiogram

    RJ

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    !

    Normal

    BC < 25 dB

    AC < 25 dB

    RL

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    !

    Normal

    RR

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    !

    Tuli Konduksi

    BC < 25 dB

    AC > 25 dB

    ada air bonegap

    RS

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    !

    Tuli Konduksi

    RW

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    !

    Tuli Sensorineural

    BC > 25 dB

    AC > 25 dB

    tidak ada airbone gap (berhimpit)

    RO

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    !

    Tuli Sensorineural

    RX

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    !

    Tuli campuran

    BC > 25 dB

    AC > 25 dB

    ada air bonegap

    SI

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    !

    Tuli Campuran

    S!

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    !! @*.$5$2 -$+--&$+ )*+,*+-$.$+

    T+2&0 7*+*+2&0$+ ,*.$5$2 -$+--&$+

    )*+,*+-$.$+ ,(-&+$0$+ (+,*0'g%*2/

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    !Kritera Nilai ambang dengar

    Normal 0 – 25 dB

    Tuli Ringan 26 – 40 dB

    Tuli Sedang 41 -55 dB

    Tuli Sedang - Berat 56 – 70 dB

    Tuli Berat 71 – 90 dB

    Tuli Sangat Berat > 90 dB

    Derajat Ketulian

    SJ

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    !"Pada diagnosis dapat ditulis hasil

    pemeriksaan

    1. Normal

    2. Tuli Konduksi

    3. Tuli Sensorineural

    4. Tuli Campuran

    Sertakan nilai derajat ambang dengarnya.SL

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    !"K*' -$.)& 2$%$ ,(-&+$0$+ &+2&0 *#$%&$'( )*+,*+-$.$+ 8

    '*,*. 7&,$ 7&.$< ,$+ /*)$2:

    "K*' -$.)& 2$%$ 2*.,(.( ,$.(M!B   K*' =$2$' $2$' ,$+ =$2$' =$1$<

    AB  K*' Y(++*

    JB  K*' Z*=*.

    LB  K*' C/

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    !";&,(D7*2.( $,$%$< )*7*.(0'$$+ &+2&0 7*+*+2&0$+ 5*+('

    ,$+ ,*.$5$2 -$+--&$+ )*+,*+-$.+

    "6&.* KD+* ;&,(D7*2.F

    "K*'

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    !

    ,-!./0 203.4

    3-/560 7-!/08900,

    SW