Table 1 Eight Red Flag Conditions

(i) Visible congenital or traumatic deformity of the ear;

(ii) History of active drainage from the ear within the previous 90 days;

(iii) History of sudden or rapidly progressive hearing loss within the previous 90 days;

(iv) Acute or chronic dizziness;

(v) Unilateral hearing loss of sudden or recent onset within the previous 90 days;

(vi) Audiometric air-bone gap equal to or greater than 15 dB (dB) at 500 hertz (Hz), 1000 Hz, and 2000 Hz;

(vii) Visible evidence of significant cerumen accumulation or a foreign body in the ear canal;

(viii) Pain or discomfort in the ear.