hello there so you're here for your hearing test and examination to start with provide
your name please
and you date to birth
okay a couple of questions any history of hearing loss in either ear?
any history of ear infections?
and has there ever been any injury to your ears or any event that caused damage to either
ear?
okay i'm going to start off by having a little feel of your ears at the same time, like so,
i'm have a feel of the helix the lobule and the tragus there okay your job is to tell
me as i'm moving along if you feel any pain or discomfort and then where that pain or
discomfort is located okay
i'll start at the top on the helix
moving there to the lobule
and then just to try this a little bit of contact
okay
any pain or discomfort there?
excellent
okay we're going to move on to what's called a whisper test so just cover your right ear
like so, so that you don't hear any sound, i'm going to come on this side and just whisper
some phrases just tell me what you think you've heard just repeat okay let's come here okay
let's begin
mastoid
perennial
larynx
palpable
66
anisocoria
dendritic ulcer
stromal
apixaban
ophthalmoscope
vitrectomy
frequency
tympanic membrane
helix
good
okay and just cover the other one for me i'm going to go on the other side and again just
repeat the phrases you think you hear
helix
tympanic membrane
frequency
vitrectomy
ophthalmoscope
apixaban
stromal
dendritic ulcer
anisocoria
66
palpable
larynx
perennial
mastoid
good work there
that's 14 phrases
perfect score on each side there okay so next i'm going to set up the otoscope we're going
to have a look inside the external zones through the auditory canal and then through to the
tympanic membrane also known as your eardrum
okay fresh specula
looks to be working fine okay i'm going to start on this side so if you just turn that
way ever so slightly there's going to be no pain just gently enter the auditory canal
as i say i'm not going to go too far back i'll be able to see all i need to see okay
so if you just hear me whispering it's just me thinking out loud just making some verbal
notes
okay so external
areas clear okay it's grade zero
and those external parts okay just into the ear canal there i'm just checking the level
of wax looking for scarring inflammation
and then through to the tympanic membrane looking for any perforations and for any deposits
okay that's looking clear
okay just relax i'm going to have a look on the other side now at the other ear okay so
just turn this way for me please okay i'm just checking the external areas again
that's looking fine okay and just through the auditory canal the level of wax looking
fine no signs of any inflammation and the superior or inferior areas of the canal there
there's a good level of wax
the discharge is negative tympanic membrane looking clear no signs of perforations or
an abnormal amount of deposits
so inside the ears are looking fine
i'm just going to make some notes there
no unusual amounts of deposits there
okay i'm going to move on to the hearing portion of the examination we're going to just do
some gross hearing checks using the sound of wood
against wood just very quickly close the two eyes and tell me whether you hear the sound
on your right or left side okay
excellent start
okay so to further checking the hearing we're going to be using the aluminium tuning fork
set here let's have a little look inside see what we've got
okay i'm going to be using three specific types of tuning fork this one this one and
this one so the c denotes the note the tuning fork is going to be making and the number
represents the frequency of the sound let's get those out okay
let's start with our higher frequency tuning fork here and i'm going to ring it place it
on the forehead just tell me whether you hear the sound more in the right or left ear or
equal okay
good
we have this frequency tuning fork now
good
that's fine that's the Weber test
it seems with those frequencies so we have two O four eight 1024 hertz 512 hertz note
C
ears picking them up equally on either side that appears normal, okay i'm going to continue
with the tuning forks we'll start with the highest frequency this time i'm going to place
it on the mastoid bone behind the ear i want you to tell me when you stop here the ringing
okay start with this side
do you hear it now? and for the other side
do you hear it now?
excellent
1024 hertz tuning fork now
tell me when you stop hearing the sound
and do you hear it now?
and now for the final test we have the low frequency 512 hertz there okay
once more
lovely do you hear it now?
excellent so we're around 8 to 10 seconds
using the Rinne test
same frequencies 2048 hertz 1024 hertz 512.
eight to ten seconds right and left ear falling into the medium to normal category there lovely
okay so it looks like that's your hearing test completed a good set of results there
do you have any further questions?
okay i'll sign this off
today's date
okay you might want to book another hearing test in two years time bye for now