Hearing Loss practice

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Eyes, Ears, Nose and Throatcommon

A 46-year-old man notices sudden hearing loss in his left ear on waking 48 hours ago. He has no pain, discharge or recent upper respiratory infection, and otoscopy is normal bilaterally. Audiometry confirms a unilateral 45-dB sensorineural loss with normal bone conduction in the other ear. What is the most appropriate management?