Rinne and Weber testing are useful clinical bedside assessments to

differentiate the two primary causes of hearing loss.

RINNE (+): Air conduction > Bone Conduction [Normal or Sensorineural hearing loss]

RINNE (-): Bone Conduction > Air conduction [Conductive hearing loss] 

PROCEED to WEBER if RINNE (+)

WEBER

  • Lateralizes to better ear in Sensorineural hearing loss
  • Lateralizes to worse ear in Conductive hearing loss
Credit: Clinical Neurology, 10e, 2017

REFERENCES

  1. Clinical Neurology, 10e, 2017. Neurologic History & Examination. Roger P. Simon, Michael J. Aminoff, David A. Greenberg

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