Lower Limb Neurological Examination - Clinical Skills - Dr Gill

Lower Limb Neurological Examination - Clinical Skills - Dr Gill
Often neurological issues will affect the limbs, so the "complete" neuro examination can be considered to be split into three sections:
- The Cranial Nerve Examination
- The Upper Limb Neurological Examination
- The Lower Limb Neurological Examination
Today we follow the Appearance, Tone, Power, Reflexes, Sensation and Coordination approach to the neuro exam for the lower limbs
Some people watching this video may experience an ASMR type phenomenon
#clinicalskills #ASMR #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 and Examination Overview
00:46 - Walking and Gait Analysis
02:14 - Appearance: Observing the Lower Limbs
02:25 - Tone: Muscle Tone Testing
03:04 - Power: Muscle Strength Assessment
04:26 - Sensory Examination
06:21 - Proprioception Testing
07:00 - Coordination Checks
07:38 - Reflexes: Knee and Ankle Testing
08:23 - Balance: Romberg's Test
09:17 - Conclusion

Пікірлер: 261

  • @waffleox
    @waffleoxАй бұрын

    The magicly appearing and disappearing socks

  • @DrJamesGill

    @DrJamesGill

    Ай бұрын

    Shhhhhhhh

  • @matthewrayner11

    @matthewrayner11

    Ай бұрын

    Haha I noticed that too! 😂 miracles really do happen!

  • @grf15

    @grf15

    Ай бұрын

    You beat me to it!

  • @gabrielesimionato1210

    @gabrielesimionato1210

    Ай бұрын

    When such things happen, it's a doing of a wizard. But I must acknowledge it was tooooo much intentional, this has to be another little joke from our beloved doctor

  • @michellemackenzie8724

    @michellemackenzie8724

    Ай бұрын

    I only have the disappearing variety 😂

  • @malteschaper3782
    @malteschaper3782Ай бұрын

    Time and time again Dr. Gill blows his patients socks off...

  • @shadey7277

    @shadey7277

    Ай бұрын

    Yup. This one wins it for me

  • @user-uq7tv8nj9b

    @user-uq7tv8nj9b

    Ай бұрын

    Yes 😂😂

  • @jonahblock
    @jonahblockАй бұрын

    Props being being the only guy to still be putting out real exams instead of asmr bait

  • @LadyMephistopheles

    @LadyMephistopheles

    Ай бұрын

    Those were never meant to be ASMR unlike a lot of other videos on the platform. That's just a side effect ;)

  • @NewCandyCane

    @NewCandyCane

    Ай бұрын

    A very pleasant side effect ​@@LadyMephistopheles

  • @bartparet

    @bartparet

    Ай бұрын

    And just because that’s not the real purpose it makes it even better 🤓

  • @k1ng0fqu33n5

    @k1ng0fqu33n5

    Ай бұрын

    @@bartparet Indeed. Unintentional ASMR is the best.

  • @roland969
    @roland969Ай бұрын

    The best part about these videos is that they actualy show real a real doctor working and the ""ASMR"" is just a side effect. And yes the ✨️magic✨️ socks 😂

  • @annaagapova3583

    @annaagapova3583

    Ай бұрын

    He is a real doctor.

  • @AbeLuvsTheatres

    @AbeLuvsTheatres

    9 күн бұрын

    SRP is the same. He’s an actual optometrist with a practice and he creates quality content as well! Love both Dr Gill and SRP!

  • @markmcdonnell
    @markmcdonnellАй бұрын

    Love that the opening 4 comments are about what we all noticed... The sock conspiracy 😅😂

  • @Omni315

    @Omni315

    18 күн бұрын

    I'm just waiting for the next arm exam and he makes the socks appear and disappear for a laugh

  • @turtlesallthewaydown8831

    @turtlesallthewaydown8831

    4 күн бұрын

    The truth is out there!

  • @teddownum7428
    @teddownum7428Ай бұрын

    At this point, Megan Strothers must be the most thoroughly examined person in the West Midlands region. She is certainly a very good sport. (Thank you, Doctor, for another excellent video.)

  • @pumpkinknight5732
    @pumpkinknight5732Ай бұрын

    "Your body's ability to determine where it is spatially is based on your vision, foot placement, and inner ear. We've removed your vision for this one... excellent, now we're going to remove your feet..."

  • @smo0ve209

    @smo0ve209

    Ай бұрын

    Seems a little harsh, doesn’t it?

  • @pumpkinknight5732

    @pumpkinknight5732

    Ай бұрын

    @@smo0ve209 Science is a demanding mistress.

  • @yousra4770

    @yousra4770

    Ай бұрын

    You're funny ​@@pumpkinknight5732

  • @ProperSauce
    @ProperSauceАй бұрын

    Megan demonstrating being an excellent patient!

  • @Caltash
    @CaltashАй бұрын

    Yay our Dynamic Duo!

  • @I666U
    @I666UАй бұрын

    Thanks Dr. G, always the best.

  • @timmysamecphd
    @timmysamecphd24 күн бұрын

    Dr. Gill, not sure if you’ve ever considered it, but I’d be interested in videos covering some of the latest medical journal publications you’ve found interesting. Almost like a mini review lecture! Anyone else?

  • @christian7061
    @christian7061Ай бұрын

    Amazing work from both of you

  • @ViceroyIcarus
    @ViceroyIcarusАй бұрын

    Big help! Thank you!!!

  • @jjar2561
    @jjar2561Ай бұрын

    I could make something of the sock-related continuity errors but I won't. Another great vid

  • @brianinc9294
    @brianinc9294Ай бұрын

    Super Doctor, Super Patient.

  • @kylegross9923
    @kylegross9923Ай бұрын

    It’s like a thing now with the socks. I think he does it on purpose to mess with us.

  • @siriusphantom
    @siriusphantomАй бұрын

    Thanks.This is gonna be a big help for me in the coming exam weeks

  • @DrJamesGill

    @DrJamesGill

    Ай бұрын

    Best of luck!

  • @samir5118
    @samir5118Ай бұрын

    I enjoyed watching thanks dokter

  • @Ricodon2121
    @Ricodon21212 күн бұрын

    Very professional examination

  • @RockyTopSplash
    @RockyTopSplash23 сағат бұрын

    The purell placement is always spot on!!

  • @ladynotron8304
    @ladynotron83046 күн бұрын

    This is one of dan shnider's favorite video

  • @benjaamin
    @benjaamin14 күн бұрын

    Nice to see Quentin Tarantino was directing this one 🤠

  • @gtafans93
    @gtafans93Ай бұрын

    We’ve all been there with continuity. It’s fine.

  • @zoefofo7769
    @zoefofo776916 күн бұрын

    Very relaxing

  • @TenkoBerry
    @TenkoBerryАй бұрын

    This be Good Keep It Up Doctor 👍

  • @uhejnjd
    @uhejnjd13 күн бұрын

    One thing I enjoyed was that during the 30 seconds of her standing with her eyes closed, he just was talking to fill the silence and went for the 30 seconds. He easily could have done it for 5-10 seconds, or did a fast forward in editing but talking about the subject during the 30 seconds was really good.

  • @thatleeburton
    @thatleeburtonАй бұрын

    The option to say "lovely and floppy" was missed 😢

  • @palimpalim.411
    @palimpalim.411Ай бұрын

    magic socks✨

  • @MEATHOOKMANOR
    @MEATHOOKMANORАй бұрын

    Could we get an Avascular Necrosis of the hip exam? I was diagnosed with it after an MRI came back positive and walking is unbearable and my gait is off and painfull. My right leg has lost length due to the flattening of the femur and loss of cartiledge. Please could you do a video? Thank you.

  • @phils1018
    @phils1018Ай бұрын

    Gill!!!!!❤

  • @nnhk0056
    @nnhk005623 күн бұрын

    I enjoyed this field sobriety test

  • @omartorres5626

    @omartorres5626

    15 күн бұрын

    Yeah I was like got to make sure she not under the influence during the test

  • @TheTattedGinger
    @TheTattedGinger23 күн бұрын

    Hi doctor Gill. I've been diagnosed with FND ( functional neurological disorder ) i'm awaiting my next GP appointment for treatment. I'm just after information to ease the episodes... Also, just any professional information about the disorder really, so I'm not relying on googled information.

  • @andyk9414
    @andyk9414Ай бұрын

    I'm off for a glass of water now and I have my fingers crossed for a wonderful response

  • @X-13-X

    @X-13-X

    Ай бұрын

    Check if your legs are the same length afterwards.

  • @andyk9414

    @andyk9414

    Ай бұрын

    @@X-13-X by eye the left is about ¼ inch shorter than the right

  • @ericpiacenti9610

    @ericpiacenti9610

    28 күн бұрын

    …….and god is working through me………

  • @markmccallum475
    @markmccallum475Ай бұрын

    This Roadhouse remake is different to what I expected.

  • @turtlesallthewaydown8831

    @turtlesallthewaydown8831

    4 күн бұрын

    Much, much shorter and almost no punching.

  • @guilhermenunes4275
    @guilhermenunes4275Ай бұрын

    She's more gorgeous every video ❤

  • @ars4455
    @ars4455Ай бұрын

    Megan is my fav

  • @StephEGroff
    @StephEGroff24 күн бұрын

    The socks are easily the best part 🥰 another lovely video!

  • @omartorres5626

    @omartorres5626

    15 күн бұрын

    🤨

  • @standol
    @standolАй бұрын

    Do Megan Strugles ?

  • @Wintersky136
    @Wintersky136Ай бұрын

    Megan superenjoyed that one 😂😅

  • @JulyFourth1776
    @JulyFourth1776Ай бұрын

    7:47 Dr. Gill, I finally got myself a queen square reflex hammer. Its way better than the other variants!

  • @DrJamesGill

    @DrJamesGill

    Ай бұрын

    They are certainly much easier to use. But I tend to use the Taylor hammer in clinic

  • @HighlandsLuke
    @HighlandsLuke25 күн бұрын

    The depressing thing is I remember your first videos the students dob was similar to mine

  • @rebelmc33
    @rebelmc33Ай бұрын

    Would it be possible to do some videos on mental health such as early dementia signs, F.A.S.T test, PTSD, Autism in younger patients, Parkinson's patient care?

  • @vince9292
    @vince9292Ай бұрын

    Why do you confirm the touch of the soft and blunt objects in the neck?

  • @DrJamesGill

    @DrJamesGill

    Ай бұрын

    Because patients with peripheral neuropathy should still retain sensation at the trunk. So it’s a baseline chekc

  • @bennisbranch6976
    @bennisbranch6976Ай бұрын

    Dr. Gill! What brand are your glasses?

  • @DrJamesGill

    @DrJamesGill

    Ай бұрын

    Specsavers

  • @rodneyboulton6410
    @rodneyboulton6410Ай бұрын

    I'm just waiting for the day when someone does have questions at the end of the video

  • @ericwalstrand3512

    @ericwalstrand3512

    Ай бұрын

    I'm just waiting for the doctor to find something that's concerning and give a referral to a specialist.

  • @starfishgurl1984
    @starfishgurl1984Ай бұрын

    I love videos like this where people walk so effortlessly and easily, lol, you can tell I don’t in comparison very obviously thanks to hereditary joint problems, plantar fasciitis in my left foot, and proprioception issues, I’m often all over the place as a result of those and so jealous of people who can easily walk straight 😂😂😂.

  • @tinysnapz6499
    @tinysnapz649913 күн бұрын

    This new better call Saul episode is great

  • @derrickw5204
    @derrickw5204Ай бұрын

    1:36 That's part of the standard DUI Field Sobriety Test here in the United States .

  • @misunderstoodcomedian947
    @misunderstoodcomedian947Ай бұрын

    most magical socks ive ever seen. love this guys videos. with her being my fav patient she is so pretty but those feet def need some TLC and a pedi ASAP

  • @benjaminthishandleistaken
    @benjaminthishandleistaken28 күн бұрын

    This video completely socks!

  • @MoefoeAhole-gy9vd
    @MoefoeAhole-gy9vd4 күн бұрын

    I AGREE 😉 FANTASTIC!!

  • @dmkoz1665
    @dmkoz1665Ай бұрын

    People don't realise is when he moved those toes that he was actually entering a cheat code.

  • @Gooner333333333
    @Gooner333333333Ай бұрын

    What sports does she do?

  • @chadsmith1200
    @chadsmith1200Ай бұрын

    Can someone please tell me what video the gone red in the face, embarrassed is all about? Is there a link to the video? Is it a Dr. Gill video or some other doctor?

  • @piotr8264

    @piotr8264

    Ай бұрын

    It's the same video as the sandwich breath guy, I don't remember the name but you should find it by looking for sandwich breath

  • @Guildforsucks

    @Guildforsucks

    Ай бұрын

    Dr James Kelly

  • @chadsmith1200

    @chadsmith1200

    Ай бұрын

    @@piotr8264oh okay, I've seen that video before. I must have missed that part or didn't get that far or something. Thank you.

  • @vjr4763
    @vjr4763Ай бұрын

    Someone ought to write a children's book: "Megan and Her Magic Socks". She also magically goes between crossed arms and hands-folded with interlocking fingers!

  • @r.h.0101
    @r.h.0101Ай бұрын

    yup

  • @mattiaspersson3846
    @mattiaspersson3846Ай бұрын

    I'm a little odd... But your videos helps me to relax when I have trouble sleeping. It's something with your calm voice I think... :) So thanks.

  • @Bad_Wolf788
    @Bad_Wolf788Ай бұрын

    The continuity with socks, no socks is really distracting

  • @shadey7277
    @shadey7277Ай бұрын

    I am adamant the socks thing was on purpose 😂

  • @ProperSauce
    @ProperSauceАй бұрын

    The closeup view of the feet using an x-ray camera

  • @luked5001
    @luked500125 күн бұрын

    Post instructional compliment final boss

  • @maetalica
    @maetalicaАй бұрын

    Schrödinger's socks!

  • @DrJamesGill

    @DrJamesGill

    Ай бұрын

    😂

  • @andrewmcdonald481
    @andrewmcdonald481Ай бұрын

    No sandwich breath

  • @aj_aka_alan
    @aj_aka_alanАй бұрын

    Sucks when you need two angles of film, but you only have one camera and you forget if you used socks or not.

  • @hazelnicholson
    @hazelnicholsonАй бұрын

    You reused a shot of you using hand gel from another video as your ophthalmoscope was next to it in that shot but not present in any other shot 😄

  • @DrJamesGill

    @DrJamesGill

    Ай бұрын

    True, forgot to record the fresh on this time

  • @boskabiker
    @boskabikerАй бұрын

    I didn't notice either of them getting red in the face... 😂

  • @avocadotoast9489

    @avocadotoast9489

    Ай бұрын

    With that videotape

  • @EuanBCFC
    @EuanBCFCАй бұрын

    I honestly didn’t notice sock-gate until I came to the comments, I’m not sure what that says about me…

  • @lolololollo5377

    @lolololollo5377

    Ай бұрын

    You would be calm in a storm, but you shouldn't be alone when hiking.

  • @chrisrearick6120

    @chrisrearick6120

    Ай бұрын

    Same. But in my defense, I usually just listen as I go to sleep. 😂

  • @iliutacristian8322
    @iliutacristian8322Ай бұрын

    The socks are a paid actor!

  • @samc784
    @samc784Ай бұрын

    Love the sock trick

  • @erikmaster3
    @erikmaster317 күн бұрын

    What’s up with the socks

  • @amandajay9058
    @amandajay905820 күн бұрын

    You guys need to clean that opening out with Chlorhexadine ASAP, so infection doesn't start!

  • @DrJamesGill

    @DrJamesGill

    20 күн бұрын

    ??

  • @hugheszie
    @hugheszieАй бұрын

    It’s always a good sign if you know the location of your toe in time and space.

  • @gabrielesimionato1210
    @gabrielesimionato1210Ай бұрын

    0:15 22nd February is as suspicious as 1st January, but let's sink that. Loved the video, as usual

  • @christian0405

    @christian0405

    Ай бұрын

    Why suspicious?

  • @ShinigamiAUS
    @ShinigamiAUSАй бұрын

    bro that whack with the tuning fork had to have hurt, goddamn

  • @user-wv1ww6ii6s
    @user-wv1ww6ii6sАй бұрын

    Some say the socks are still airborne

  • @datboibobby7637
    @datboibobby7637Ай бұрын

    “Yep. Yep. Yep. Yep”

  • @yidarmy123
    @yidarmy12324 күн бұрын

    I always accuse my dog of stealing my socks. But since watching this video maybe his excuse of the self disappearing socks is valid.

  • @Vibemaker68
    @Vibemaker68Ай бұрын

    Luckily at 4:45 the space time continuum is restored

  • @davefeeley1
    @davefeeley1Ай бұрын

    Dr. G not holding back with the tuning fork. Forearms of STEEL.

  • @dobryisamolet
    @dobryisamolet2 күн бұрын

    За много времени у Dr Hollie Berry появился конкурент, в asmr

  • @canadiankid42
    @canadiankid4217 күн бұрын

    "No it's not ok, Dr Gill"

  • @connorcosgrove2240
    @connorcosgrove2240Ай бұрын

    I do want to mention that you forgot to check the babinski response when you did the reflexes

  • @DrJamesGill

    @DrJamesGill

    Ай бұрын

    Unfortunately it is one of the things I recorded…but now realise it was not included! Doh!

  • @vjr4763
    @vjr476324 күн бұрын

    What did Megan say was wrong with her leg at 0:38?

  • @macaconoturno4843

    @macaconoturno4843

    16 күн бұрын

    "I got a bit of a painful foot"

  • @FursAndMasksMusic
    @FursAndMasksMusicАй бұрын

    What the heck is papal foot?

  • @khayyamkhan7794
    @khayyamkhan7794Ай бұрын

    I wish I had those socks

  • @mkotechno3972
    @mkotechno3972Ай бұрын

    Hope you find Red John soon

  • @DrJamesGill

    @DrJamesGill

    Ай бұрын

    ?

  • @ML-jk4dg

    @ML-jk4dg

    Ай бұрын

    @@DrJamesGillI think it is because you remind him of Patrick Jane, a character from the Mentalist, whose main goal is to capture Red John

  • @DrJamesGill

    @DrJamesGill

    Ай бұрын

    @ML-jk4dg I started to watch that series, but didn’t get sucked in far enough.

  • @k-asmr4248
    @k-asmr424821 күн бұрын

    Bad thing about these videos is that when I go to the doctor I either get really sleepy...or find myself mentally criticizing the examination.

  • @bgg5090
    @bgg5090Ай бұрын

    2:03 Oh snap. I bet he's getting an easy 'yes' there.

  • @Gmc833
    @Gmc83329 күн бұрын

    “Just going toputabitofpaper on your feet”

  • @leee3760
    @leee3760Ай бұрын

    UK: America: that'll be $978 with insurance

  • @johnbeans2000
    @johnbeans200014 күн бұрын

    5:58 that sounded like it hurt! Doc, admit it here... you smacked yourself harder than you thought and had to keep face!?😂

  • @ericwalstrand3512
    @ericwalstrand3512Ай бұрын

    Is this The Ministry of Silly Walks?

  • @DrJamesGill

    @DrJamesGill

    Ай бұрын

    No, tis but a flesh wound

  • @kaleta036
    @kaleta036Ай бұрын

    5:42 shatters wrist bone

  • @gabrielesimionato1210
    @gabrielesimionato1210Ай бұрын

    Aka legs

  • @arnaldofernandez
    @arnaldofernandezАй бұрын

    Why some people have the soles of their feet that yellow?

  • @Aguseze39
    @Aguseze39Ай бұрын

    You are very handsome Doc!!

  • @SAABTURBO1986
    @SAABTURBO1986Ай бұрын

    No babinski?

  • @joribremer5260
    @joribremer526022 күн бұрын

    Yerr a wizard James 😂

  • @IvanSantosMalpica
    @IvanSantosMalpica13 күн бұрын

    5:42, man, that hurts 🤣

  • @seyara1
    @seyara111 күн бұрын

    I didn't even notice the sock fiasco until I came to the comments 😅

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