Assessing Hearing: Sensorineural Vs Conductive Hearing Loss - Weber And Rinne Test - Dr Gill

Hearing Assessment - Sensorineural vs Conductive Hearing Loss - Webers and Rinnes Test - Dr Gill

One of the easier parts of the cranial nerve examination to performed is looking at cranial nerve VIII - the vestibular cochlear system. If a patient comments, or is found to have hearing loss, then we need to determine if that is conductive hearing loss, or sensorineural hearing loss.

We perform a hearing assessment in this case by performing two linked tests - Webers and Rinnes test. These two tests allow us to determine if there is hearing loss from a sensorineural issue, for example menieres disease, age related hearing loss, or a tumour. They also allow testing for a conductive hearing loss, which is most commonly observed in ear wax

It is crucial that the 512hz tuning fork is used for this part of the cranial nerves test, as the 128hz tuning fork should be reserved for testing vibration sensation.

Please note there will always be minor variations in how clinical examinations are performed. You should priorities the input from your educators or institutions in terms of directions used

Some people may find an ASMR effect from these clinical examination videos.

There are two linked videos with this examination:

Cranial Nerve VIII - The Vestibulocochlear Nerve

#CranialNerves #ClinicalSkills #DrGill

[DrNoxin]

Dr. Gill is like the Bob Ross of medicine.

[gritnix]

"We're not looking for adequate here. We're looking for excellence." Excellent.

[babyblue]

dr gill, i will probably become a nurse this fall on my way to becoming a med student, and your videos keep me going as i finish school, had my first exam today, actually! please know the educational and inspirational value of your videos does not go unnoticed and continously motivate me to go towards what i want the most … thank you for everything you do

[sarah-rose]

I stumbled upon your videos a while ago and was an art student at the time.
A year later I’m now a med student and I can not be more grateful for your videos for not only teaching me but also having a part in inspiring me to change my career choice.

[pauldaviesantiques]

Excellence is all Dr Gill will accept.

[Billy-djzw]

This doctor is quite a catch. I love his soothing voice, his accent, the way he dresses, his deep blue eyes, everything about him.

[rageagainstthebath]

These videos are heading in a great direction. Not a student or professional in the field, just a guy in his 30s more mindful about his health. Thank you!

[Mississippibabb]

My youngest son was born hard of hearing. (Bilateral hearing aids since 3 months old). He has a mixed hearing loss (more sensory loss than conductive). Thank you for explaining the difference.

[benjaylehman]

I’m a big fan of the words on screen having a background behind them :) makes them much easier to read! Wonderful and informative video as always. Thanks Dr. Gill, have a great weekend!

[kapibara]

Really good graphics and the approach of giving the information. Such a wonderful doc and a patient :) Love it. Thanks for your work!

[WJMG]

Yay - Abbie and Dr Gill! Looking forward to it!

[thiagovarella]

The best thing about Dr. Gill is that I relax and learn something new at the same time

[JoRoWi]

These two are quickly gaining legendary status

[shawnomancy]

Outstanding presentation as usual, Doctor, and great to see Abbie as always. Best to each of you!

[weisey]

For unintentional ASMR, I liked the older videos more. I always get the most tingles when Dr. Gill is examining something and thinking out loud to what he is doing. Or gives very calm instructions.

[stu_jam]

Dr Gill, your voice is heavenly. If it wasn't for you riveting lectures which I'm sure your tutees love, I wouldn't be surprised if your students fell asleep because of your euphonious voice.

[noah]

This is fun for me to watch as a hearing impaired person looking to go into audiology.

[ezequielrivero]

I just want to say that I watch these videos because: the ASMR factor, and for practicing my English listening
Thank you Dr Gill!! I learn so much about medicine and clinical stuff too

[zoomanderson]

Interesting video. My ENT said that I had lost my hearing in my left ear due to a virus (this was ten years ago, so not COVID). It mostly came back after a course of steroids, but one night it was like somebody unplugged a stereo speaker, the room started spinning and it never came back. After a few years, I was examined by an audiologist and was told that I have a big scar on my eardrum. Hearing aid doesn’t do much other than amplify indecipherable noise. Oh well, maybe they’ll come up with something one day.

[TheFrenchMansControl]

Thanks again! An idea for future videos is that it could be good to do a quick debrief from the patients perspective. I.e. you could ask Abby "how was that for you?", "was bone or air conduction louder for you?", "was the bone conduction unpleasant?" (perhaps you could talk about a scenario where it might be). Also I remember as a child having a hearing test with beeps via headphones, might have been a nice way to have some viewer participation. Keep up the great work!