hello there, welcome to the clinic, so today I'm going to be doing a hearing examination
in-depth examination using the tuning forks only and we'll be incorporating the Weber
and the Rinne tests just to see how you're getting on and compare the hearing between the two sides
there. So let me first reveal the set we're going to be using. We're going to be using the
aluminum tuning fork set there
Let's get
that unzipped and I'll show you inside
we should have five tuning forks in place ready to go
okay there they are
they're beautifully protected
in their individual slots
and the red velvet there
okay so let's start from low to high frequency
first up is this tuning fork here
okay it's going to be the note C at 128 Hertz. Jot that down before we begin
okay I just want you to adopt a nice upright posture, keep the back nice and straight,
you can close your eyes if you wish. I'm going to first start by ringing the tuning
fork and placing it on the top of the head. Let me know when you stop hearing the ringing please
excellent, Weber we have 12 to13 seconds, and I'm going to ring it this time,
place it just behind the ear on the bony process, tell me when you stop hearing the ringing please
and do you hear it there? excellent, and for the other side
and can you hear it there? marvellous
that completes the
128 Hertz check there
nine seconds each side, excellent, okay next tuning fork
moving up the scale now to say 256 Hertz
okay relax for me
tell me when you stop hearing the ringing
okay equal between the two sides there?
okay and for behind the ear
nine, excellent, and the other side
excellent, nine and ten there
now let's see
Note C, 512 Hertz there
okay and just relax please
on top of the head
okay seven seconds
let me just repeat to see whether you hear it equally between the two or more on one side please
okay about equal there, excellent
and just behind the ears now
thank
you
and the other side
okay
seven seconds
and eight seconds for the corresponding side there
okay next tuning fork
1024 Hertz there
okay and for the Weber test
does that sound equal between the two? okay and I shall repeat
tell me when you stop hearing the ringing
six seconds
and equal
six, and for the other side
and about there, excellent, so we have six seconds
excellent and for the final tuning fork here
we're up to 2048 Hertz now
so we've doubled from the previous frequency there. Are you ready? Relax
five seconds
let's see if it's equal between the two sides
Do you
hear it more left, right or about the same?
Equal again so you have good balance between the two sides
based on the results from each tuning fork there, okay and for behind the ear on this side
okay and the other side please
then excellent, four seconds and five seconds
right so just looking at the results there
I've noticed a pattern has emerged, as we increase the frequency of sound
your detection time decreases, so increased frequency,
reduction in detection time. That's the same for the Weber test
and the Rinne test, so that's following the pattern we'd expect, marvellous
okay I'm just going to finish off with a quick whisper test, okay? Just cover this ear just with
the finger there, I'm going to whisper on this side, just repeat the numbers please
okay just cover the other ear
like so. Just come to to this side now, repeat the numbers please that I'm going to whisper
would you know
excellent, so I'm finding that you're hearing is within normal ranges.
It is balanced between the two, there's no imbalance when checking individually. And
you have a full score on the whisper test so I'm pleased to say I'm going to discharge you now,
you can go back to your community care audiologist
and hopefully I don't have to see you again in the future