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#379 Hearing Loss, Tinnitus, and Meniere's Disease

The Curbsiders Internal Medicine Podcast

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Acute Unilateral Hearing Loss

The majority of people with sudden hearing loss have conductive hearing loss. They have ear wax that's occluding the canal or they have Fluid behind the drum from a head called hay fever and having you know impaired tube function. The way we would assess that at the bedside, you know in the examining chair is with a tuning fork test. You can put your finger in your ear and and hum or you can start humming with your ears open and then block one ear and your voice jumps into the blocked ear If they have a sensory neural loss their voice lateralizes to the healthy ear Opposite direction so that if you want to have it as a mnemonic if they hum and

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