A 14 year old comes into the clinic setting with ear pain that started after getting out of the swimming pool. The pain is described as a constant sharp pain, accompanied with intermittent ringing, light-headedness, and a change in hearing. Clear fluid is draining from the ear during the examination. After performing a Weber/Rinne tuning fork test and consulting with ENT a diagnosis of Perilymphatic Fistula is given and emergency surgery is required to correct the problem.
View my collection, "Barotrauma/Perilymphatic Fistula" from NCBI
Barotrauma 6.23.2010
For a detailed description of the Tunning Fork test use the search term Rinne in the search box below and go to the second search result. This reference is Glasscock-Shambaugh Surgery of the Ear, 5th edition, volume 1 found online through Google Books.
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