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High Risk Indicators associated with Childhood hearing loss

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High Risk factors associated with   permanent congenital, delayed-onset, or progressive hearing loss in childhood  
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1   caregiver concerns regarding hearing, speech, language or developmental delay  
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2   family history of permanent childhood hearing loss  
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3   neonatal intensive care for more than 5 days or any of the following: ECMO, assisted venitlation, exposure to ototoxic medications or loop diuretics and hyperbilirubinemia  
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4   in utero infections such as CMV, herpes, rubella, syphilis, and toxoplasmosis  
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5   craniofacial anomalies, including those that involved the pinna, ear canal, ear tags, ear pits, and temporal bone anomalies  
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6   physical findings, such as a white forelock, that are associated with a syndrome known to include a sensorineural or permanent conductive hearing loss  
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7   syndromes associated with hearing loss: e.g. neurofibromatosis, osteopetrosis, Usher syndrome; also Waardenburg, Alport, Pendred, Jervell and Lange and Nielson  
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8   neurodegenerative disorders such as Hunter syndrome, or sensory motor neuropathies, such as Friedreich ataxia and Charcot-Marie-Tooth syndrome  
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9   culture-positive postnatal infections associated with sensorineural hearing loss, including confirmed bacterial and viral meningitis  
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10   head trauma, especially basal skull/temporal bone fracture that requires hospitalization  
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11   chemotherapy  
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