MEDizzy - A 38-year-old gentleman reports of decreased hearing in the

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Combined ENT

A 38-year-old gentleman reports of decreased hearing in the right ear for the last 2 years. On testing with a 512 Hz tuning fork, the Rinne test is negative on the right ear and positive on the left ear. With the Weber’s test the tone is perceived as louder in the left ear. Most likely, the patient has:

ExplanationB. Here the patient has right sided hearing loss. In the right ear Rinne is negative so there can be 2 possibilities: (a) Conductive hearing loss of right ear (b) Severe SN loss of right ear (false negative Rinne) Weber’s will help us to differentiate between the two. Since it shows lateralisation to left side which is the better side it means that there is severe SN hearing loss on the right side.