Otolaryngology Book

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Tuning Fork Test

Aka: Tuning Fork Test, Weber Test, Weber's Test, Rinne Test, Rinne's Test
  1. Indication: Differentiate Hearing Loss cause
    1. Sensorineural Hearing Loss
    2. Conductive Hearing Loss
  2. Preparation
    1. Tuning fork should be 512 Hz (preferred) to 1024 Hz
  3. Test: Weber
    1. Technique: Tuning Fork placed at midline forehead
    2. Normal: Sound radiates to both ears equally
    3. Abnormal: Sound lateralizes to one ear
      1. Ipsilateral Conductive Hearing Loss (louder in the defective ear) OR
      2. Contralateral Sensorineural Hearing Loss (louder in the unaffected ear)
  4. Test: Rinne
    1. Technique
      1. First: Bone Conduction
        1. Vibrating Tuning Fork held on Mastoid
        2. Patient covers opposite ear with hand
        3. Patient signals when sound ceases
        4. Move the vibrating tuning fork over the ear canal
          1. Near, but not touching the ear
      2. Next: Air Conduction
        1. Patient indicates when the sound ceases
    2. Normal: Air Conduction is better than Bone Conduction
      1. Air conduction usually persists twice as long as bone
      2. Referred to as "positive test"
    3. Abnormal: Bone conduction better than air conduction
      1. Suggests Conductive Hearing Loss
      2. Referred to as "negative test"

Rinne test (C0278245)

Concepts Diagnostic Procedure (T060)
SnomedCT 84636009
Italian Test del diapason di Rinne
Japanese リンネ音叉検査, リンネオンサケンサ
English hearing Rinne's test (tuning fork on mastoid), rinne test, rinne's test, rinne testing, rinne tests, rinnes test, Rinne test (physical finding), Rinne test, Rinne tuning fork test, Rinne's test, Rinne test (procedure)
Czech Rinneho test ladičkou
Hungarian Rinne hangvilla vizsgálat
Spanish prueba de Rinne (procedimiento), prueba de Rinne, prueba del diapasón de Rinne, Prueba de Rinne
Portuguese Prova do diapasão de Rinne
Dutch Rinne stemvorktest
French Test de Rinne
German Rinne Stimmgabeltest
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Weber's test (C0278247)

Concepts Diagnostic Procedure (T060)
SnomedCT 62447004
Italian Test del diapason di Weber
Japanese ウェーバー音叉試験, ウェーバーオンサシケン
English hearing test using tuning fork on forehead, Weber test, Weber test (physical finding), Weber's test, Weber tuning fork test, Weber's test (procedure), Audiological evaluation by Weber lateralization
Czech Weberův test ladičkou
Hungarian Weber hangvilla vizsgálat
Spanish prueba de Weber (procedimiento), prueba de Weber, prueba del diapasón de Weber, Prueba de Weber
Portuguese Prova do diapasão de Weber
Dutch Weber stemvorktest
French Test de Weber
German Weber Stimmgabeltest
Sources
Derived from the NIH UMLS (Unified Medical Language System)


O/E - tuning fork testing (C0437476)

Concepts Finding (T033)
SnomedCT 164066005, 164071003, 141269004, 141264009
Spanish al examen: prueba del diapasón (hallazgo), al examen: pruebas con el diapasón, SAI (categoría dependiente del contexto), al examen: prueba del diapasón (categoría dependiente del contexto), al examen: pruebas con el diapasón, SAI, al examen: pruebas con el diapasón, SAI (hallazgo), O/E - tuning fork testing NOS, al examen: prueba del diapasón
English O/E - tuning fork testing NOS, On examination - tuning fork testing, tuning fork test, fork tests tuning, On examination - tuning fork testing NOS (finding), O/E - tuning fork testing NOS (finding), O/E - tuning fork testing (finding), On examination - tuning fork testing NOS, O/E - tuning fork testing, Tuning fork test, On examination - tuning fork testing (context-dependent category), On examination - tuning fork testing NOS (context-dependent category), On examination - tuning fork testing (finding)
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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