Login or Register to unlock everything MedSchool has to offer!

A

B

C

D

E

F

G

H

I

J

K

L

M

N

O

P

R

S

T

U

V

W

X

Z

 

Rinne’s Test

Overview

  • Rinne's test is used to assess a patient with hearing impairment, and can suggest whether their hearing loss is sensorineural or conductive.
    • How to Elicit

    • Place a 256hz tuning fork onto the patient's mastoid process. Ask them to indicate when they can no longer hear the vibration, at which point the tuning fork should be moved in front of the auditory meatus.
    • Interpretation

    • Louder through auditory meatus - normal / sensorineural hearing loss (Rinne positive)
    • Louder through the mastoid - conductive hearing loss (Rinne negative)
    • Causes of Hearing Loss

    • Conductive

    • External auditory canal - wax, foreign body, tumour, otitis externa
    • Middle ear - perforated eardrum, otitis media, otosclerosis
    • Sensorineural

    • Presbycusis (age-related hearing loss)
    • Trauma - noise trauma
    • Inflammation - meningitis, encephalitis, SLE, giant cell arteritis
    • Ototoxicity - gentamicin, frusemide, cisplatin, aspirin
    • Tumour - acoustic neuroma, meningioma, SCC, metastasis
    • Idiopathic - Meniere’s disease
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Associated Diseases
BETA

Ear, Nose & Throat
External Ear
Neurological
Other
CNS Cancers
Feedback