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an 18 month old female presents to the speech and language clinic where you work for an assessment. she has a history of significant language delay due to a severe to profound sensorineural hearing loss that was identified after she failed newborn hearing screening, suspected to be related to CMV. Her mother reports she has Ménière's disease and believes that might actually be the reason for her daughter's hearing loss. Her father reports HL after being deployed to Afghanistan.

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