Rinnes and Webers test

[@BlackEyePreacher]

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.

[@pfff504]

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.)

[@80monia]

yes, the occlusion effect in the poorer ear

[@akshaypatle2654]

Fuck off dude ....u r confusing otherss

[@filuthamanna6363]

you are right

[@حيدرعبدالرحيم-د9ل]

You are correct

[@Karimsnoussi]

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

[@roze9396]

Yes that right

[@crimbleland]

Corrext

[@anisahmed6266]

Yes

[@hurairaali9038]

I was searching comment for this.

[@hussenali5466]

Correct

[@CoectSolutions]

That old man was not interested haha

[@DrODonovan]

He is my dad! And yes... he wasn't :D haha

[@sweetlovecup]

Thank you for this! I appreciate how clear, short and concise and HELPFUL it was!

[@DrODonovan]

Pleasure. Thanks for watching

[@DrShakir687]

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

[@DrODonovan]

Thanks for the feedback

[@pfff504]

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.)

[@DrODonovan]

+José Alejandro Quintana Thank you Jose for the useful correction. Very kind.

[@muhammadtalhakhan1550]

Tunning fork should be kept parallel in from of external auditory meatus

[@DrODonovan]

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.

[@NN-vy5gv]

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 👍🏻

[@DrODonovan]

Thank you for watching

[@DrODonovan]

Apologies Johnathan - thank you for pointing this out. We will clear this up in a video which will be published later in the year

[@hellfire5143]

+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

[@Morkindie]

Short and sweet. I don't know why, but the explanations in my textbook always make it sound confusing.

[@DrODonovan]

Thank you!

[@osamaahmad6115]

Tomorrow is my OSPE . Thank u sir for this wonderful demonstration

[@DrODonovan]

I hope you did well

[@Kudravets-Diana]

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

[@_saifurRahman]

Best explanation in shortest possible time,,

[@DrODonovan]

Pleasure. Apologies for the one incorrect bit at the end of the video. Please note this.

[@moristhetiger]

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.

[@DrODonovan]

Thanks for commenting and sorry for my (very!) delayed reply.

[@kpoojitha4880]

helpfull comment ever thank you very much

[@moristhetiger]

Thanks to both of you.

[@muhammadarmghanhussain128]

Oposit kr dia ap ne ...Jennet Weber book ,page 347 saying tht ,perform Rinne test to differentiate between sensoryneural and conductive hearing lose

[@mutul1000]

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.

[@ProtectChildrenNotGuns]

In a sensorineural hearing loss, sound would lateralize to the unaffected ear during the weber test. Please correct me if I'm wrong.

[@marianaboitano4466]

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.

[@DrODonovan]

I have amended this in the video. Thanks

[@saikumar802]

*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

[@sirranhaal3099]

Better than this video, thx

[@DrODonovan]

Thanks for this comment - really helpful

[@Ourutubechannel-A]

Thank you so much for making this video 🤝

[@achenyoabigail6487]

Thanks thanks!! You just made it so easy!

[@DrODonovan]

Glad it helped!

[@wahabdilawar]

You are supposed to hold the tuning fork rotated at 90° to how you were holding it when checking air conduction.

[@DrODonovan]

Thanks. I’m aware of this and have addressed in previous comments. The video was made several years ago and will be updated soon.

[@kini699]

The prongs are not kept in this way while checking the bone conduction, its kept parallel to the EAC .

[@DrODonovan]

Many apologies Anjali. I made this as a genuine mistake and thank you for correcting me (as several others have noted)

[@brilliantideas5463]

In conductive hearing loss, the Weber sound is heard better in the affected ( blocked) ear

[@DrODonovan]

Agree

[@annnishimura8394]

um my instructor said that rinne test is based on the duration of the sound not where it is heard best

[@chabandou]

I don't understand, what does it mean to hear it in the middle, does that mean he hears it equally in both ears?

[@TheLechers]

Hicham chabandou sure

[@DrODonovan]

See previous replies to other similar questions

[@hussenali5466]

Short clear and helpful ❤

[@DrODonovan]

Glad it was helpful!

[@akirakenchieedquiban531]

Good video informative and quick i wish i would pass nursing by doing hardwork

[@DrODonovan]

Best of luck

[@fizakhan6314]

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 !!

[@priyasinghchauhan9515]

Ur explanation is Good. But U r extremely Handsome.. And i get concentrated on ur face only 🙈.. Love From India ❤️❤️

[@DrODonovan]

Too kind (and I don’t think that’s true) but thanks

[@GS-qy7hu]

The patient looks so angry!

[@DrODonovan]

He's my dad -- he is probably tired of me :)

[@MuhammadMusaKhan-s6i]

May be he is hurts by examiner 😅

[@HidayatShinwari-f7z]

t think hearing louder in affected ear is conductive hearing loss

[@marie.s9995]

THANKS!

[@DrODonovan]

It’s a pleasure

[@PAVANKALYANAGm]

Hey u keep the tunning fork prongs worngly

[@DrODonovan]

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.

[@Anne_nimation]

What's the first and second??

[@minisankar5640]

Plz....help me.....why sounds is heard in poorer ear in conductive loss in weber test?

[@dr.zinaart5274]

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.

[@DrODonovan]

See below answer

[@DrODonovan]

Thanks

[@imupok1752]

Thank you !

[@DrODonovan]

You're welcome!

[@munmunsha1]

the look on the patient's face at 0.13 = Buzz off !

[@DrODonovan]

Indeed!

[@khadijaalasaadi3486]

Very clear and helpful thanks alot

[@DrODonovan]

Glad it was helpful!

[@tiffanydavis6737]

Very interesting!!!

[@DrODonovan]

Thanks for the feedback!

[@panditrishesharya3048]

Very nice knowledge...... I greet u sir

[@DrODonovan]

Thanks for watching

[@marcorubensvillanueva6134]

I thought u were supposed to hit the tuning fork on the patient’s head

[@DrODonovan]

That would be classed as assault …

[@lakshmilachu9937]

Very good sir❤

[@nageshmagar3033]

What is audiometric version of bing test

[@DrODonovan]

Sorry I don’t quite understand the question

[@medicostuff8140]

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/

[@DrODonovan]

thanks

[@seunaraMD]

Error at the end with interpretation of Weber test.

[@DrODonovan]

Yes - thanks for the comment. I have put in a comment in the description box to explain this.

[@HR-hb3pv]

Time saving.... ❤️❤️

[@DrODonovan]

thanks.

[@priyadharsinim.s272]

Thank u sir👍

[@DrODonovan]

Priyadharsini M.S thanks for watching

[@ayoobewonders5287]

Thanks. Great video. I already subscribed :)

[@DrODonovan]

Thank you!!

[@ahmedalfaqawi4858]

Yes last comment written in the video is wrong

[@DrODonovan]

Thank you - I have stated this is in the comments. Apologiess again.

[@laurataylor847]

謝謝🙏

[@fofungjerridell5893]

it is a conductive hearing loss for both,lol

[@DrODonovan]

Thanks for commenting and watching the video.

[@rasheeq56]

some mistake in Rinnes test

[@DrODonovan]

Many apologies - I have replied to other comments about this. Please accept my apologies.

[@07anamiqbal54]

👍👍👍

[@DrODonovan]

Thanks

[@tofanrobert25]

When did Uncle Chael became Grandpa Chael?

[@DrODonovan]

Thanks for watching

[@KeroRizkalla]

Incorrect

[@spoorthys8816]

I did all this my prof screamed at me 🥲🥲🥲

[@ShubhamSingh-xk3qe]

It'd fun if the no. he said were 420 ,69 , 666 etc

[@DrODonovan]

Thanks for watching

[@-DankPanda-]

chuning fork

[@DrODonovan]

That's what we call it in Yorkshire!

[@milkycow2251]

I want my money back

[@windiantika3548]

Ga bisa bahasa inggres

[@DrODonovan]

Thanks for watching

[@ahmedal-obaidi8305]

unfortunately few mistakes make this video not great for teaching!