Rinnes and Webers test
Вставка
- Опубліковано 21 сер 2024
- A demonstration of how to perform a crude hearing test aswell as Rinnes and Webers hearing tests using a tuning fork. These tests can help detect conductive or sensorineural deafness.
Correction to original video: In Webers test if the sound is heard louder in the good ear it would indicate sensorineural hearing loss.
At the end of the video is states: "In an abnormal Weber's test the sound appears louder in the deaf ear. This is usually sensorineural deafness"
I believe this is incorrect, hearing it louder in the deaf ear would indicate conductive hearing loss. If is is louder in the good ear it would indicate sensorineural hearing loss.
At the End I think the same, it's a conductive hearing loss. On my semiology book ( if there's conductive hearing loss the sound has to appear louder in the deaf ear.)
yes, the occlusion effect in the poorer ear
Fuck off dude ....u r confusing otherss
you are right
You are correct
I appreciate the video, but my understanding is that if the sound is perceived as louder in the deaf ear during the Weber Test, it indicates a conductive hearing loss rather than a sensorineural one
Yes that right
Corrext
Yes
I was searching comment for this.
Correct
That old man was not interested haha
He is my dad! And yes... he wasn't :D haha
Thank you for this! I appreciate how clear, short and concise and HELPFUL it was!
Pleasure. Thanks for watching
It was good,
In rinne test you needed to ask the patient when he stops hearing through mastoid bone then you could continue to the external auditory canal. Otherwise it was good thanks for uploading
Thanks for the feedback
Apologies Johnathan - thank you for pointing this out. We will clear this up in a video which will be published later in the year
+All Access Medicine In the Weber Test Sound is louder in the ear with conductive deafness.
And louder in the normal ear if the ear has sensorineural deafness.
Weber Test: Test in which the stem of a vibrating tuning fork is placed on the midline of the head to ascertain in which ear the soundis heard by bone conduction. The sound will be perceived in the affected ear when a unilateral conductive hearing lossis present or in the unaffected ear when there is a unilateral sensorineural hearing loss. The result of this test iscombined with the result of the Rinne test to interpretation of the type of hearing loss.
Farlex Partner Medical Dictionary © Farlex 2012
At the end it's a conductive hearing loss. On my semiology book ( if there's conductive hearing loss the sound has to appear louder in the deaf ear.)
+José Alejandro Quintana Thank you Jose for the useful correction. Very kind.
Tunning fork should be kept parallel in from of external auditory meatus
Many apologies for this error. I made this video many years ago and I apologise for the two errors that were made. Thank you for correcting me.
At the end of this video, It's a CONDUCTIVE DEAFNESS, & if the sound is quieter than the normal ear so it will be a sensorineural deafness.
Thx for this tutorial btw, it was very helpful 👍🏻
Thank you for watching
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.
Thanks for commenting and sorry for my (very!) delayed reply.
helpfull comment ever
thank you very much
Thanks to both of you.
Oposit kr dia ap ne ...Jennet Weber book ,page 347 saying tht ,perform Rinne test to differentiate between sensoryneural and conductive hearing lose
Short and sweet.
I don't know why, but the explanations in my textbook always make it sound confusing.
Thank you!
Tomorrow is my OSPE . Thank u sir for this wonderful demonstration
I hope you did well
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
*Tunning fork tests -*
Test | Normal | SN deafness | Cond deafness
________________________________________________________________________________________
Weber Not lateralised Lat to better ear Lat to worst ear
________________________________________________________________________________________
Rinne +ve(AC>BC) +ve(AC>BC) -ve (BC>AC)
sev SN deafness-
Rinne - false -ve
_______________________________________________________________________________________
ABC same as examiners shortened as compared same as examiners
to examiners
________________________________________________________________________________________
Schwabach " " Lengthened as
compared to examiners
________________________________________________________________________________________
Bing Louder(when occluded) Louder(when occluded) Noeffect (Bing -ve)
________________________________________________________________________________________
Stapes fixation-
Gelles inc in intensity after Inc in intensity after Doesn't alter
inc pressure inc pressure
Better than this video, thx
Thanks for this comment - really helpful
Best explanation in shortest possible time,,
Pleasure. Apologies for the one incorrect bit at the end of the video. Please note this.
In a sensorineural hearing loss, sound would lateralize to the unaffected ear during the weber test. Please correct me if I'm wrong.
If sound lateralizes to the right ear, it either means that there is sensorineural loss in the left ear or conduction loss in the right ear. You want to do both tests to rule out possibilities from each test.
I have amended this in the video. Thanks
In conductive hearing loss, the Weber sound is heard better in the affected ( blocked) ear
Agree
Incorrect information about ''sensorineural deafness'' at the end of the video. Actually it should be a patient with unilateral
conductive hearing loss will hear the sound loudest in the affected ear, whereas a patient with unilateral sensorineural hearing
loss will report the sound to be loudest in the unaffected ear.
The patient looks so angry!
He's my dad -- he is probably tired of me :)
May be he is hurts by examiner 😅
um my instructor said that rinne test is based on the duration of the sound not where it is heard best
You are supposed to hold the tuning fork rotated at 90° to how you were holding it when checking air conduction.
Thanks. I’m aware of this and have addressed in previous comments. The video was made several years ago and will be updated soon.
The prongs are not kept in this way while checking the bone conduction, its kept parallel to the EAC .
Many apologies Anjali. I made this as a genuine mistake and thank you for correcting me (as several others have noted)
Thank you so much for making this video 🤝
Thanks thanks!!
You just made it so easy!
Glad it helped!
Good video informative and quick i wish i would pass nursing by doing hardwork
Best of luck
I don't understand, what does it mean to hear it in the middle, does that mean he hears it equally in both ears?
Hicham chabandou sure
See previous replies to other similar questions
Ur explanation is Good. But U r extremely Handsome.. And i get concentrated on ur face only 🙈.. Love From India ❤️❤️
Too kind (and I don’t think that’s true) but thanks
Short clear and helpful ❤
Glad it was helpful!
the look on the patient's face at 0.13 = Buzz off !
Indeed!
What if in rinne test air conduction and bone conduction both are negative??
Also Weber test is negative..no vibration heard by right or left !!
I thought u were supposed to hit the tuning fork on the patient’s head
That would be classed as assault …
Hey u keep the tunning fork prongs worngly
I am really sorry about this. I made this video several years ago and I will endevour to make a new, better quality video. Please accept my apologies.
Very nice knowledge...... I greet u sir
Thanks for watching
Very interesting!!!
Thanks for the feedback!
Very clear and helpful thanks alot
Glad it was helpful!
THANKS!
It’s a pleasure
Very good sir❤
Error at the end with interpretation of Weber test.
Yes - thanks for the comment. I have put in a comment in the description box to explain this.
What's the first and second??
Plz....help me.....why sounds is heard in poorer ear in conductive loss in weber test?
This is because the ear with the CHL is only receiving input from the bone conduction and no air conduction, and the sound is perceived as louder in that ear.This finding is because the conduction problem of the middle ear masks the ambient noise of the room, while the well-functioning inner ear picks the sound up via the bones of the skull, causing it to be perceived as a louder sound in the affected ear.
See below answer
Thanks
Yes last comment written in the video is wrong
Thank you - I have stated this is in the comments. Apologiess again.
it is a conductive hearing loss for both,lol
Thanks for commenting and watching the video.
some mistake in Rinnes test
Many apologies - I have replied to other comments about this. Please accept my apologies.
What is audiometric version of bing test
Sorry I don’t quite understand the question
Thanks. Great video. I already subscribed :)
Thank you!!
Time saving.... ❤️❤️
thanks.
I did all this my prof screamed at me 🥲🥲🥲
👍👍👍
Thanks
I want my money back
謝謝🙏
The hearing loss can be better checked with audiogram. Read this article about what is audiogram and how it is interpreted. www.medicostuff.com/audiogram-audiometric-zero/
thanks
When did Uncle Chael became Grandpa Chael?
Thanks for watching
Thank u sir👍
Priyadharsini M.S thanks for watching
Incorrect
chuning fork
That's what we call it in Yorkshire!
It'd fun if the no. he said were 420 ,69 , 666 etc
Thanks for watching
Ga bisa bahasa inggres
Thanks for watching