Hearing Test (Rinne and Weber Examinations) - ENT

you should put on mastoid area first until sound is no longer heard before repositioning it to just over external acoustic meatus

Thank you!

https://awesomethingstohealpuout.blogspot.com/p/embracing-healthy-hearing.html

Ty Emma Watson

What is seen in the Weber test of a subject suffering from neural hearing loss in the right ear

only?

1) will hear the sound better in the right ear

2) will hear the sound in the center of the head

3) will hear the sound weaker in the right ear

4) will hear the sound better when we attach the speaker to the mastoid

Since R comes before We Do Rinne before Weber. Bone conduction > Air conduction, why? When sound passes through ear canal through Malleus Incus and Stapes it gets amplified therefore Bone conduction > Air Conduction. First we do Rinne Test if there is a problem in that ear we know that there is a problem but to ascertain if it is Conductive or Sensoneural we do Weber - if Sound is heard more in the ear which is normal it is Sensoneural problem this makes sense but in conductive hearing loss the sound is heard more in damaged ear this is quite counterintuitive - this happens because in damaged ear there is less noise coming from outside through ear canal and also there is less of sound waves leaving through ear canal as the ear canal is damaged - the reasoning is good but it can be confusing so the mnemonic used here is Sensoneural makes sense.

I have a pitch on my right ear and saw a NP who took this long metal fork looking tool but didnt explain anything, just placed it in my head and then my ear areas, then she asked where I had heard the loudest, I couldnt hear and feel anything first few tries. She ended the visit with a referral to the audiologist and that was that. I still don't know what to make of my tinnitus.

This video is incomplete, but I didn't expect anything better from a UK video. The NHS offers the worst medical care in Europe.
The tuning fork shouldn't be placed just on the vertex, but also on the forehead, the nose bridge, the chin and even on the teeth.
Good luck, students !

not any bony ared but mastoid

Alla meri beti Ka test theak ay Ameen 🤲🏻

Thanks

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Short n informative

Ent x-rays for 4th year osce https://youtu.be/l82ed9nOA-E

if this aint hermoine...

I put the tuning fork up to my rectum, I couldn't hear shit. 🤔

useless

If anyone is reading this, the Rinne test hasn't been shown properly. It's better to test the bone first and then the ear

everything taught wrong

I thought it was impossible to hear better through air conduction (the outside of the ear) than bone conduction but this guy says he hears better through his ear. What gives?

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Why do I feel like everything she did was wrong 😩😩😩

For the Rinne test, are you supposed to hear it louder in Position A or Position B? (if you don't have any audition problem)

I have positive bilateral rinne test but have a laterilized toward sick ear.
I have my ear problem since birth. I am 26 now. I have about 10 episodes of ear pain followed by ear drainge till now. A doctor told me that i have perforated ear drum and cholesteatoma. But, my ct scan report says no i have mestioditus. I consulted other ent specialist and he said i see no cholesteatoma. Tommorow he will examine me under microspe for a possible cholesteatoma. I hope i don't have this thing.... Lets see

Thanks

I used to do weber first, then Rinne .
It’s waaaaay easier to differentiate btw CHL and SNHL.
Do weber , normally its equal at both sides, if patient hears better in one side ( lateralization) then do Rinne test for that ear .
If +ve > SNHL in contralateral ear
If -ve > CHL in ipsilateral ear

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United States Step 2 CS people, conduction is tested on the mastoid process first. Once the vibration has stopped, place the fork close to the ear and ask if they can hear the sound... Do this on the opposite ear.. Then test conduction through the top of the head (Webber's) and ask if they hear it equally on both sides or if one side is louder than the other one...

Amazing

You put oxford onto anything and views go up LOL

To differentiate between Conductive and Sensorineural hearing loss we do Rinne and Weber test.

With Rinne test we find out which ear is diseased. In Rinne test if ear conduction is less than bony conduction in an ear then that ear is diseased. Now with Rinne we have found out which ear is diseased. The issue could be Conductive or Sensorineural.

Then we do Weber to find out if the patient has Conductive or Sensorineural hearing loss. I will tell you the reason why we observe what we observe, I found it to be fairly useful, the reason was given on wikipedia and wikipedia states that the reason may be partially true But I found it to be very useful. Okay let us find out if the patient is suffering from Sensorineural or Conductive hearing loss, keep in mind that we have already found out which ear is diseased.

Do Weber

If you hear less in the ear which is diseased - Sensorineural problem - Fairly easy and intuitive.

But if you hear more in the ear which is diseased - Conductive. Okay why?

Because In Weber test sound will travel bony conduction and you will have less noise here PLUS the sound vibrations will not be able to escape if the person is having conductive hearing loss so the patient will hear louder.

Although its fine to put the fork anywhere on top temporal but its advisable to put it on mastoid.

Poor explanation

Nice one

This is not how Rinne is taught in med schools or how it is formally done. Also the specificity of the test is probably shit assuming any residual conductive hearing is still present. However I would say the sensitivity is much better than a proper Rinne test and for that reason I might even start using it.

Just before using this hearing loss solution “fetching kamkam site” (Google it), I can hardly hear over the ringing. Now, there`s less ringing and I can hear much better. After two weeks, my hearing has started to show more improvements.

very nice

You don't need to tap the tuning fork on you leg - just use the patience head, that's what it's there for.

bit confusing here

I thought my ears turned off at 0.59 s

Why tone is heard louder in the poorer ear in case of conductive loss during weber test?

tuning fork must be hit on a firm, unyielding surface. the lady hits the fork over her palm, which is not a favourable surface.
And there are two ways of doing a Rinne's test.

Thankyou for sharing not only for training purposes but also for patient purposes now I know a little bit more of what to expect later.

"Activate the tuning fork by flicking it between your fingers or by tapping it on the knee." Proceeds by hitting it on the palm of her hand.

I had this done last week and it's made me worry iv got an appropriate at the doctors my results where to he sides I hired the sound faitly nothing from the boan aria and when put in the middle nothing in my right ear what does this mean?

i had this test done today and when they put it just above my RIGHT ear on my skull i could only hear it in my LEFT ear. what does this mean?

got it :)

Aren't you supposed to place the tuning fork on the mastoid first, then when they stop hearing the sound place it in front of the ear?
normal = AC>BC?