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Physical examination in ENT: Difference between revisions
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** Weber | ** Weber | ||
*** Tuning fork placed on the forehead. | *** Tuning fork placed on the forehead. | ||
*** In case of conductive hearing loss, the tone is lateralised (louder) | *** In case of no hearing loss, the tone is heard equally well on both sides. | ||
*** In case of conductive hearing loss, the tone is lateralised to (louder on) the side with decreased hearing. | |||
*** In case of sensorineural hearing loss, the tone is lateralised to the side opposite of the one with decreased hearing | *** In case of sensorineural hearing loss, the tone is lateralised to the side opposite of the one with decreased hearing | ||
** Rinne | ** Rinne | ||
*** Tuning fork placed in front of ear opening and on the mastoid process. | *** Tuning fork placed in front of ear opening and on the mastoid process. | ||
*** In case of conductive hearing loss, the tone is heard best on the mastoid process (called Rinne negative) | *** In case of conductive hearing loss, the tone is heard best on the mastoid process (called Rinne negative) | ||
*** In case of | *** In case of no hearing loss or sensorineural hearing loss, the tone is heard best in front of the ear opening (called Rinne positive) | ||
* Spontaneous vestibular signs | * Spontaneous vestibular signs | ||
** Head impulse test | ** Head impulse test | ||