Abdominal Clinical Examination OSCE - Clinical Skills - Dr Gill
Abdominal Clinical Examination OSCE
The abdominal examination is a relatively straight forward clinical examination and is an opportunity for medical students to pick up easy marks during their exams.
There are however several specific clinical skills which need to be focused on during medical school revision for the effective completion of an abdo exam
Inspection, looking over the hands, face and abdomen
Palpation is needed both superficially, looking for pain, but also with increased force checking for the presence of abdominal masses.
Percussion - listening for changes in town
Auscultation - including listening for renal bruits as well as bowel sounds
________
Please note that there is no ABSOLUTE way to perform a clinical examination. Different institutions and even clinicians will have differing degrees of variations - the aim is the effectively identify medically relevant signs.
However during OSCE assessments. Different medical schools, nursing colleges, and other health professional courses will have their own preferred approach to a clinical assessment - you should concentrate on THEIR marks schemes for your assessments.
The examination demonstrated here is derived from Macleods Clinical Examination - a recognized standard textbook for clinical skills.
#AbdominalExamination #ClinicalSkills #DrGill
You can now consult via video or in person with Dr Gill at Dr Finlay’s Private Practice - www.drfinlays.co.uk/services/...
00:00 - Introduction
00:49 - Hand Examination and Pulse Check
01:36 - Blood Pressure Check
02:48 - Head and Neck Examination
03:36 - Stomach Examination
06:36 - Legs Examination
07:01 - Conclusion
Пікірлер: 631
Hi dr Gill. At 1:42 you are checking something... but what? Looks like you are checking if the blue matches his skin tone?
@DrJamesGill
3 жыл бұрын
We’re ensuring the size of the cuff is appropriate for his arm. Wrong sized cuffs can affect the blood pressure. We explain it a little more in the video “understanding blood pressure” kzread.info/dash/bejne/pIB5xLGjh8rTpqg.html 😊
@meltee01
3 жыл бұрын
For patients who are Smurfs, you often need to opt for a differently colored cuff.
@DrJamesGill
3 жыл бұрын
🤣🤣🤣
@EditorOfSL
3 жыл бұрын
@@meltee01 Or if they’re cosplaying as someone from the X-Men! 😂
@1nickdaora
3 жыл бұрын
He's so kind to answer it. Loved it
This man has fully accepted his role in the asmr community without even batting an eye. We love a multifaceted king
ASMR has taught me more about medicine and anatomy than 7 years of science classes in school ever did
@DrJamesGill
3 жыл бұрын
The internet can be quite surprising
@horseylover17
3 жыл бұрын
I took and failed/passed anatomy classes for a degree I have never used in my life (shows you how much i hate that degree) now i am back in school for something i have passion for but we had to learn how draw anatomy which i hissed on 😂 anyway I agree with you though. ASMR is better than learning anatomy in science classes.
@DrJamesGill
3 жыл бұрын
What are yous studying now?
@jassinghchaney6141
3 жыл бұрын
@@DrJamesGill I don't know why but whenever I am reading your comments or replies I always imagine you doing the Basil Rathbone voice from Sherlock Holmes movies. Your voice has so much similarity, just if you add the sharp sophistication which Rathbone did.
@chrisstevens3567
3 жыл бұрын
@@jassinghchaney6141 it’s pretty cool how he interacts with the fans. One of the few ‘celebrities’ on KZread that actually do. Much respect!
One day I think we should get a full head to toe cranial nerve assessment
@muhammadhidayatullahbinoma1980
3 жыл бұрын
agree💫💫💫
@ShayBowskill
3 жыл бұрын
Not sure if brilliant joke or mild confusion
@charlessmith8662
3 жыл бұрын
Head to toe cranial nerve haha. Cranial nerves are the one directly connected to the brain in the head. Head to toe would just be a physical exam
@steffilea3873
3 жыл бұрын
Oh baby yes
@blue_jay31
2 жыл бұрын
Please signed me up!
Dr Gill, since the birth of my children I’ve not slept well only averaging around 4 hours per night and taking forever to finally fall asleep. I now play your videos every night and the soothing tones of your voice coupled with the interesting subject matter get me off to sleep within 30 mins. I don’t mean that in a bad way, your not boring me just relaxing my mind and putting me at ease. I can’t thank you enough.
@alizay3026
8 ай бұрын
Omg. You are just like me. I have been listening to him to relax and eventually sleep.
@iloveyouskii
7 ай бұрын
@@alizay3026you recently had a kid too?
@alizay3026
7 ай бұрын
@@iloveyouskii no dear. 🙂
“Hello there I’m Dr Gill, open the cash register and give me all your money”
@DrJamesGill
3 жыл бұрын
Nope. Doesn’t work 😔
@Midge-xn9tp
3 жыл бұрын
“Let me putapitapaper” would allow the register to be opened
@89horizon
3 жыл бұрын
**cashier hands over bag of money** "That's lovely thank you." ;)
@DrJamesGill
3 жыл бұрын
🤣🤣🤣
@Midge-xn9tp
3 жыл бұрын
@@89horizon Any double vision!
The doctor always asks how the patient is doing. But I want to know how the doctor is doing. So. How are you Dr. Gill?
@DrJamesGill
3 жыл бұрын
Considering all things. Could be worse! Thanks for asking 😊
@andreamolinacamposano7416
3 жыл бұрын
Hope you’re still doing good Doc. We care about your well being
@DrJamesGill
3 жыл бұрын
Thanks guys. We’re ticking along. Trying to keep smiling 😊
@lexigrimhaive
3 жыл бұрын
Dr James Gill How is kitty doing??
Pressing on your stomach is a way to find out if the size of your internal organs is normal, to check if anything hurts, and to feel if anything unusual is going on. Looking, listening, and feeling are all part of a physical exam.👍
@preppy_robloxlife
Жыл бұрын
Why so deep though 😟
@cleocatra9324
Жыл бұрын
Yeah well these virtual appointments cannot tell most of that.
1:09 “Can you please do the Macarena”
"Going to check your liver" Me: "During Quarantine? uhh......... uuuuuuuuuuuhhh....... how bout next year?"
@vicklemiss
3 жыл бұрын
Hahaaaa I relate to this 😆
@KH-nt7ej
3 жыл бұрын
Same here👍👍🤣
@patrickqin
3 жыл бұрын
😂
@See-if_I_care
3 жыл бұрын
😂😂😂😂😂
@igorgarciadeoliveira
3 жыл бұрын
ok
Someone please do a "in and out" 1hour loop....it really make me relax 😂
@Yankee-rq4zg
3 жыл бұрын
I’ll take that with an “any double vision” loop
@89horizon
3 жыл бұрын
OMFG I definitely would "second" that! :D
@samcrawley8690
3 жыл бұрын
And putapitofpaper
@karminasotelo9638
3 жыл бұрын
Yes pleaseeeee
@ML-jk4dg
2 жыл бұрын
I don’t know if this works for you guys, but know KZread lets you to repeat indefinitely the video ❤️
I used to think I was weird as a kid cos I loved when the nit nurse used to come to school and check our hair for lice . The sensation is now known as ASMR and everyone loves it. Happy days . Great vid
@schmiedepaul4766
3 жыл бұрын
Ha! Not just me then 😀
@grahamsmythe8895
2 жыл бұрын
Yes!
"Hello MyNamesDr Gill" Me: well hello sleep :d!
@DrJamesGill
3 жыл бұрын
Are you SURE you are not one of my students?? 😂😂
@emmanuelk.4520
3 жыл бұрын
@@DrJamesGill haha we all wish we were
@AIRLINE500
3 жыл бұрын
@@DrJamesGill OMG A LEGEND HAS ANSWERED ME!!! Wish I were but although I have been learning from your videos I mostly use them to relax because ASMR haha You’re awesome! Both as an instructor and as a asmrtist Saludos!
@See-if_I_care
3 жыл бұрын
@@emmanuelk.4520 aint that the truth 😊
Well with the mask the patient don't have to worry about sandwich breath
@ckd5740
3 жыл бұрын
these r my fave comments
This reminded me of the type i had a tumor in my ovary for over a year. STORY: I went to my dr to get checked since I was gaining weight fast, wasn't pooping, and looked pregnant. (I was in 8th grade). They did blood work, I took a pregnancy test, and my dr did an abdominal check. She felt something so she sent me to a small local hospital. There they did xrays, an ultrasound, and another pregnancy test. They ended up telling me that I had poop stuck in there and so they gave me medication to help me. Months passed and the pain got worse. It was so bad I couldn't get out of bed and 3 500mg pain killers did nothing. I went to me dr again and she did an abdominal check again. She told she didn't think it was poop and that i needed to go to bigger hospital ASAP. I was scared so I waited a month. In that month I couldn't even get out of bed. On the day I finally went, the hospital run xrays, an ultrasound, pregnancy test, and did some more blood work. Within 4 to 5 hours a dr came in and said, "yeah, your going to need emergency surgery. We don't know what it is. And whatever it is, it has taken over your entire ovary. So yeah your getting surgery tomorrow at 7am." When I got out of surgery he told me things were a bit complicated so he had to basically do a c section. He said that I had a tumor the size of a melon in my ovary and that my ovary was literally about to rip. He couldn't save my ovary but the good thing is that he took it out when he did since he said it could of caused cancer if it erupted. What was funny about his visit is that he brought in the tumor in a container that had some liquid. IT WEIGHTED 5 POUNDS! I was as fascinated as he was when I saw it. His eyes lit up like Christmas lights when he saw it. 😂 For years I didnt know what caused it but finally, fast forward to today, 26 years old now. I just found out that I have PCOS... which *drumroll* causes tumors to grow in your ovary. Point of the story, GET YOUR ABDOMIN CHECKED!
@cleocatra9324
Жыл бұрын
You poor thing. It’s shocking how they miss so many womens issues
This patient obviously works hard. The Palms of his hands tell the tale.
@juanmanueljorgeleonarte5038
3 жыл бұрын
He a climber
@stanrix
3 жыл бұрын
@@juanmanueljorgeleonarte5038 oh right. Thanks mate. 👍
@spencerschmidt75
3 жыл бұрын
@@juanmanueljorgeleonarte5038 How'd you know? Do you have his Instagram?
@benjaminn8534
2 жыл бұрын
@@spencerschmidt75 I'd quite like to know too. Who is the patient in the video
@spencerschmidt75
2 жыл бұрын
@@benjaminn8534 Yup. It's been months but haven't found it yet
I would love to have Dr. Gill as my physician. He’d make me feel so comfortable I’m already nervous doing physical exams and so shy. I love his accent too!
I just love these relaxing videos and the sound of his voice
Have to hand it to you; you are the only channel that I can watch and not fall asleep because I am too immersed in watching the examinations and explanations despite not being a medical student. I never would have thought that I enjoy watching an examination, but dislike being in one. The more you know 😅
Dr Gill: Patient: But are you gonna putapitapaper?
@DrJamesGill
3 жыл бұрын
Not in an abdo exam
@TheMindfulHomestead
3 жыл бұрын
@@DrJamesGill When the man himself responds. I am humbled sir.
Any1 else get proper buzzing when dr gill uploads a vid? I instantly know I’m going to drift into a deep sleep tonight. Also. I’m pretty sure I’ve become a qualified doctor as a sideline of asmr.
Great video, I’ve been watching this as a registered nurse to review some of my assessment skills I haven’t used in a while. One thing I noticed that was different from what I’ve been taught though is the order you assessed in. We were always taught to inspect, auscultate, percuss, and then palpate on an abdomen inspection since palpating May cause the bowels to produce some slight sounds that wouldn’t be there otherwise. Just wanted to throw that out there to highlight some of the difference in technique! Thank you for the videos they’re much appreciated!
@DrJamesGill
3 жыл бұрын
I'm not sure why some countries approach it differently. I've tried to address that fact in the Abdo exam explanation kzread.info/dash/bejne/onl_uauGctOxgtY.html
Much love for that thorough and aggressive hand sanitizer use !
OMG my favourite exam. And I’m Not even a doctor. Just love it!
3:27 doc be wearin his watch everyday holy fahk the hair is gone and the tan line strong 🤣🤭
An hour long compilation of all these examinations and Ill never wake up
Nice! The mask didnt hurt the audio quality at all Awesome video Doc :)
@DrJamesGill
3 жыл бұрын
👍
Cannot wait until this video goes viral so glad thar Dr gill is bringing another Asmr video for us
@amarie4874
3 жыл бұрын
Actually, Dr. Gill videos are for educational purposes. For Warwick students, and others with diverse interests in health. Of course there we are, the asmr fans. This man deserves all the good things in life. 🤍
@La_sagne
3 жыл бұрын
ive had enough "going viral" this year
@Leon-do9xc
3 жыл бұрын
@@La_sagne valid Point
@tylerbush9908
3 жыл бұрын
The asmr is what YOU take away from this It isn't his intent
Hace ud un gran trabajo con estos videos, no solo educa y enseña, sino que tambien entretiene. Le animo a seguir en esta linea. Saludos desde España You are doing a great job with these videos, not only educates and teaches, but also entertains. I encourage you to continue with your job. From Spain, greetings
@DrJamesGill
3 жыл бұрын
Thank you! I appreciate that 😊
Μου αρεσουν πολλυ τα βιντεοσας ειστε πολλυ καλος σας θαυμαζω σαν ανθρωπο και σαν επιστημονα και την ευγνειασας
The lord of the ASMR kingdom is back! Thanks for another great video Dr.!
@DrJamesGill
3 жыл бұрын
More to come!
Could you imagine Dr. Gill and Hollie doing a video together... the medical ASMR world would implode
@See-if_I_care
3 жыл бұрын
That would be my dream come true...💥
the video- *a detailed professional examination by a doctor for informational purposes* the people who watch it- *unintentional asmr and memes*
@DrJamesGill
3 жыл бұрын
If people are learning, I’m happy 😊
Excellent video. It really helped me in my OSCE. Couple of things that were needed in my station and not here were: 1- Inspection & palpation of the testicles for testicular atrophy (Cirrhosis) 2- Per Rectal Examination Thank you very much for the video Doctor
@FerasATQ
3 жыл бұрын
Reference: Clinical Examination by Nicholas And Simon
@DrJamesGill
3 жыл бұрын
They are mentioned at the end of the video as things which are often required to “complete” the exam. However more often than not for osce purposws they are considered separate exams - certainly in the two Med schools around here
1:42 "Ah yes. He is not blue. Perfect."
@pedrotoro246
3 жыл бұрын
Anyone knows why he did that?
@DrJamesGill
3 жыл бұрын
We’re checking the size of the cuff, against the size of the arm. If the cuff is too small, then it will mean the blood pressure is artificially elevated
love dr Gill!!! THE KNOWLEDGEYOU LEARNED AND ASMR YOU EXPERIENCED!!! LOVE FROM NYC WASHINGTON HEIGHTS!!🔥🔥💯💯
@DrJamesGill
3 жыл бұрын
Thanks 😊
i had an examination today and i was so stressed before but after watching this i was all good!
Imagine in 20 years someone will find out this video and will think: Why those ppl are wearing masks?
@DrJamesGill
3 жыл бұрын
Wouldn’t it be lovely in 20yrs if we’re that far past it!
@massakr
3 жыл бұрын
Imagine they are saying: "Damn they already wore them 20 years ago"
@tastethejace
3 жыл бұрын
Who says we won't still be wearing masks in 20 years?
@DrJamesGill
3 жыл бұрын
I think it’s unlikely. Partially due to cultural reasons. I think once the covid 19 vaccines are being widely administered I think use will reduce
@tastethejace
3 жыл бұрын
@@DrJamesGill That implies that enough of the herd will take the vaccine. Not sure how it is for you guys in England, but here in the US half the population is INSANE.
Good video Dr Gill
1:18 "Love you Dr. Gill!"
I like this channel .... because always check pulse. Blood pressure etc. To patient ... Good atitude....
@DrJamesGill
3 жыл бұрын
BP is an essential vital sign, and should really be part of most examinations
🔥🔥💪💪🙏🙏💯💯!! DR GILL THW GOAT OF ASMR AND DOCTOR SUBJECTS!!💪💪💯💯
You have the voice of an ASMRtist 😌 Stay Safe Doctor Gill! 😷
Hello and thank you for your fantastic videos! My only wish -if you could have an explanation of why you are doing what you are doing for each manoeuvre-or what you are looking for. I think this could enhance learning! Again, thank you so much-you have such a wonderful manner with patients!
@DrJamesGill
3 жыл бұрын
Already done 😊 Here is the playlist for all of the medical Deep Dive videos where we look at what is being done in the demos 😊 kzread.info/head/PLi9o6OEHhWUiM6z1GNGpdQZTqf9PQqzDT
I love this man❤️greetings from Bosnia🤗❤️
Great informative video Dr. Gill as always!
@DrJamesGill
3 жыл бұрын
Thanks 😊
Such a friendly doctor
Dr. Gill checking for lumps and bumps is a huge ASMR trigger.
The Return of The King
Quick question; why did you start with palpation before auscultating and percussion? I have always been taught auscultation first, then percussion, and then palpation... in order to avoid potential changes you will make in hearing bowel sounds and tympani; from the applied pressure of palpation to the abdominal organs.
Best videos in the world !
The best. The only one I would trust to be examines by
Thank you for all you do!
@DrJamesGill
3 жыл бұрын
👍
Question Doctor. Wouldn’t the JVP also be examined during the Abdominal Examination?
Dr. Gill does it again!
@DrJamesGill
3 жыл бұрын
👍
Next level ASMR from the doctor of ASMR.
Your glasses don't seem to be fogging...I have found one of Dr. Gill's superpowers!! :)
New episodes of Dr Gill? Yaasssssss keep this up and I just may be a qualified medical professional
@DrJamesGill
3 жыл бұрын
well I think a couple of people have said they're considering medical school...
Based on his hands and feet, this man is hardworking
I listen to this Drs voice to fall asleep. It tickles my brain.
Awesome, thank you! I learned so much from the chat, gotta look more into some of the conditions mentioned :)
@DrJamesGill
3 жыл бұрын
Really pleased to hear that 😊
Always been curious about the tapping technique. What kind of reaction does it cause and what is James feeling for?
@DrJamesGill
3 жыл бұрын
Listening for dullness - obstructions of some form, and hyper resonance which might also be associated,
@gafa7938
Жыл бұрын
นำ ำทยีา
“I can’t see any ABnormal issues on ur stomach.” Very clever Dr Gill
Dr Gill, when percuss what actually are you doing/learning?
Wish I had a doctor this good, really bad waistline pain while sat at desk. Have to undo trousers.. just flares up for weeks at time
@DrJamesGill
3 жыл бұрын
It would definitely be worth while talking to your doctor. There are a couple of things, which you could easily be helped with 😊
glad to see you're still posting videos Dr. Gill, and staying safe!
@DrJamesGill
3 жыл бұрын
Thanks? You too! We’re trying 😊
David's a worker, have seen this video a number of times and this is the first I've noticed the callused hands.
Even the best doctors I’ve seen in America don’t have your particularly caring cadence, Dr. Gill.
I really want to know how you check the organs when you tap your finger on them. What kind of sound you want to hear and what should alarm you?
For all the dislikers , there is special room in hell for specially those who dislike Dr gill's videos.
Dr. Gill has nice hands.
Nice approach doctor , but do you think u must auscultate before you palpate ned percuss the patient's abdomen ? It may be sound wired to jump right away to auscultation , but I guess u know why?
Best upload time!!:) Love the videos
@DrJamesGill
3 жыл бұрын
Glad you like them!
Dr Gill I realy like your voice
Dr Gill, I was wondering why do you ask the patient to do that with their fingers at 1:18. I've seen many videos where doctors do this and I'm curious.
A question Dr. Gill; obviously due to covid-19 restrictions (and for demonstration purposes) the oral section of the standard of the HEENT check was omitted. In a true clinical environment, would this be performed by a nurse, with proper protection (mask, gloves, face shield..etc)? Love your videos and your calming demeanor. 👏
@DrJamesGill
3 жыл бұрын
At the moment, if we need to examine someone’s mouth - for example ? Tonsillitis, one of the practices has erected a larger tent where we do the flu jabs. I see then in there, so plenty of air flow AND PPE
Great video, Dr. Gill! :)
@DrJamesGill
3 жыл бұрын
👍
Exciting. Thank you 👍🙂
@DrJamesGill
3 жыл бұрын
Thanks for watching!
Just a heads up, at the end there's a list of possible abnormal findings, which isn't legible due to a suggested playlist. This might be something you'd want to solve, or not.
@DrJamesGill
3 жыл бұрын
Thanks I’ll tweak that shortly 😊
Hi The patient's legs were not hooked when examining the abdomen. Did you look at the hernias? What about the appendix? Very good video btw
Excellent vid!
@DrJamesGill
3 жыл бұрын
Thanks 😊
Excellent abdominal exam given the constraints of covid
@DrJamesGill
3 жыл бұрын
👍
Nice!
Love your videos 👏🏼
@DrJamesGill
3 жыл бұрын
🙏
Could you please do a video on how an abdominal exam is preformed differently in a pregnant patient?
I was taught to auscultate the abdomen before palpation and percussion because this could influence bowel sounds
@DrJamesGill
3 жыл бұрын
In the same way that “ninety nine” was previously taught for vocal resonance, I feel that the direction to auscultate first is similarly outdated. We address the point in the abdominal deep dive video and touch on the lack of evidence to support auscultation being first kzread.info/dash/bejne/onl_uauGctOxgtY.html
Happy 30th birthday for yesterday to Aiden Cross. It's my husband's 30th tomorrow
Dr. Gill I wish you were our family doctor, you are so calm and punctilious, rare features to find. Please come to practice in Italy we love you so much! Ps: GREAT ASMR, as always 🙏🏻♥️ thanks!
@cleocatra9324
Жыл бұрын
I like my doctors she is so cool seems like a “ good witch” if that makes sense lol
I like the patient's body and he's very laidback
I find myself quite curious. Perhaps this has been explained and I'm just a bit dull, but what does the tapping on the abdomen signify? I've seen multiple exam videos that do this, and I'm not sure why.
@DrJamesGill
3 жыл бұрын
percussion allows us to assess for dull areas - masses/faeces. loud, or resonant areas allow us to look for blockages, and gas buildup as two simple examples. we’ll go through this more with the Deep Dive abdo explanation video
классный вы специалист
Where can you be from?
I've been watching your videos for like 3 years now and I've just realized, how do you get all these different camera angles?
@DrJamesGill
3 жыл бұрын
We re film MANY times. I think the abdo film took us about 3 hours
@benjaylehman
2 жыл бұрын
@@DrJamesGill you re-film each time??? You don’t just have multiple cameras???
But is their a littlebitofpeiceofpaper
Hi thank you so much dr. Gill! One question tho, auscultation should come first before palpation shouldn’t it?
@DrJamesGill
3 жыл бұрын
Not according to Macleod Clinical Examination textbook. A few people have raised the point, but the literature searches I have done not support an alternative approach. I wonder if these is USA / Europe divide. In the same way we perform prostate checks with the patient lying down, but I believe it is different in the USA
Did I go to medical school No. Have I watched all of these a thousand times Yes
What’s the purpose of the tapping around?
When tapping, what are you looking for?
Love abdominal exam with Dr. Outlaw,
No word of a lie, when the Doc started washing his hands, all I could smell for the next 5 minutes was sanitiser.. ghost smells on another level ! Lol
@DrJamesGill
3 жыл бұрын
Now that’s an interesting hallucination
@XSemperIdem5
3 жыл бұрын
Meanwhile I was thinking, "oh, name brand. Fancy."
@rascalragdoll182
3 жыл бұрын
@@XSemperIdem5 😂