Presbycusis Age related hearing loss

• Facts:
  Sensorineural hearing loss that occurs with aging
  
  First noticed in the sixth decade of life, and characteristically begins with symmetrical, high frequency hearing impairment
• History / PE:
  Difficulty hearing in crowded or noisy environments
• Differential Diagnosis:
  Otosclerosis (bone overgrowth of the stapes)
• Risk Factors:
  Exposure to loud noises
  Medications
  Genetics
  History of infections