Peripheral Vascular Examination - Clinical Skills - Dr Gill

Examination of Peripheral Vascular System - Clinical Skills OSCE Revision - Dr Gill
In this video, we demonstrate the peripheral vascular examination - a less common examination, but still vitally important, particularly amongst the older population
Starting with the examination of the hands looking for clinical signs of vascular compromise, we then check the pulses of the major arteries of the upper body - the radial, brachial and carotid arteries, before moving down to assess for an abdominal aortic aneurysm.
At this point, I feel it's a practical step to check the femoral pulses before doing the overview of the legs.
After visually assessing we must examine the major vascular areas of leg.- namely the popliteal pulses, before wrapping up around the ankle with the posterior tibial and dorsalis pedis pulses
For completeness, the cardiovascular examination is demonstrated here
• The Cardiac Examinatio...
#PeripheralVascular #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/...

Пікірлер: 245

  • @blannibal3610
    @blannibal3610 Жыл бұрын

    She went from socks to wearing shoes in a blink of an eye. Doctor and magician.

  • @DrJamesGill

    @DrJamesGill

    Жыл бұрын

    🪄

  • @randiekay4994

    @randiekay4994

    Жыл бұрын

    Or a continuity error.

  • @DrJamesGill

    @DrJamesGill

    Жыл бұрын

    Given the two options I’ll prefer to claim to be a magician

  • @sasukesarutobi3862

    @sasukesarutobi3862

    Жыл бұрын

    The waistcoat isn't just because he's well-dressed.

  • @tomabbott5815

    @tomabbott5815

    Жыл бұрын

    Then back to socks again. That's hilarious

  • @tehflip
    @tehflip Жыл бұрын

    Here for the ASMR. Stay for the medical information. In addition, the shot from the carotid artery with the reflection of Dr. G in the stethoscope was a nice piece of artistic flair. 👌

  • @DrJamesGill

    @DrJamesGill

    Жыл бұрын

    I really didn’t see that. I’ll take a look

  • @florenciabricco7876

    @florenciabricco7876

    Жыл бұрын

    Súper ASMR.

  • @coreyblackadder8367

    @coreyblackadder8367

    Жыл бұрын

    yeah at 5:23

  • @hand587
    @hand587 Жыл бұрын

    Thanks Dr Gill. Very happy you’re still making videos after all these years and the quality just keeps getting better

  • @DrJamesGill

    @DrJamesGill

    Жыл бұрын

    More to come!

  • @philliesruleurschool

    @philliesruleurschool

    Жыл бұрын

    the hits just keep on rolling. Gill is the Beatles of educational/ASMR videos

  • @williamwinder5011
    @williamwinder5011 Жыл бұрын

    Who would have thought this channel would be as big as it is.

  • @DrJamesGill

    @DrJamesGill

    Жыл бұрын

    I remain eternally surprised

  • @richardpruger4772
    @richardpruger4772 Жыл бұрын

    Since I just came from a vascular surgeon, this video is very relevant to me!

  • @DrJamesGill

    @DrJamesGill

    Жыл бұрын

    Good luck!

  • @cleocatra9324

    @cleocatra9324

    Жыл бұрын

    Me too and i am scheduled to have surgery soon.

  • @graemehall9537
    @graemehall9537 Жыл бұрын

    Love how her shoes magicaly appeared on her feet during the exam 🤣😂🤣😂 1:47

  • @joeyderdsantana3494

    @joeyderdsantana3494

    Жыл бұрын

    What the. Lol

  • @Flipvan

    @Flipvan

    Жыл бұрын

    They kept appearing and disappearing throughout the video. Glad I’m not the only one who noticed that

  • @fetseroony

    @fetseroony

    Жыл бұрын

    Came here to comment that 😂

  • @CradleInTheCrater
    @CradleInTheCrater Жыл бұрын

    I wish every doctor I visited was as informative as Dr. Gill.

  • @unleashthecarnage5813
    @unleashthecarnage5813 Жыл бұрын

    For the incredible Dr Gill I must say thank you for these videos im Not learning to be a Dr but I do find these videos very informative

  • @trevorsmith2736
    @trevorsmith2736 Жыл бұрын

    Crazy I’ve been watching these videos for literal years. Keep up the great work Dr. Gill!

  • @polly1472
    @polly1472 Жыл бұрын

    Thanks for posting all these years Doc. I thank you as a med student for the medical info and I thank you as ASMR fan.

  • @DrJamesGill

    @DrJamesGill

    Жыл бұрын

    You are welcome. Where are you studying? Are there any topics we can help with?

  • @polly1472

    @polly1472

    Жыл бұрын

    @@DrJamesGill Thanks for your reply! I live in Brazil! This is my 2nd year in med school!

  • @The_Albatorette
    @The_Albatorette11 ай бұрын

    I went here to learn english, medecine and ASMR. 3 in 1 videos. Thank you Dr Gill !

  • @user-uk7pp8ic7u
    @user-uk7pp8ic7u Жыл бұрын

    The videos when your checking a patient are the best.Informative and very relaxing at the same time.

  • @lunajayde_xx
    @lunajayde_xx Жыл бұрын

    I found your videos looking for cranial nerve ASMR a couple years ago. I still watch you’re videos because they and you are relaxing, but I also like feeling like I’m learning something along the way.

  • @derrickw5204
    @derrickw5204 Жыл бұрын

    It is important to get consent from a patient if you going to touch near a sensitive area especially when palpating for a femoral pulse . I learned this from my first EMT instructor and stressed this to my EMT students .

  • @DrJamesGill

    @DrJamesGill

    Жыл бұрын

    I would stress, it’s important to get consent for anything with a patient

  • @Xerebaz
    @Xerebaz Жыл бұрын

    Very informative even for a non student,thanks for the video Dr Gill,a hug from Brazil

  • @DrJamesGill

    @DrJamesGill

    Жыл бұрын

    Glad it was helpful!

  • @playerb3672
    @playerb3672 Жыл бұрын

    Aah yes, the Bob Ross of medical exams

  • @duellingdescartes7950
    @duellingdescartes7950 Жыл бұрын

    The close-up of the Purel is a nice touch.

  • @starfishgurl1984
    @starfishgurl1984 Жыл бұрын

    Love these videos because as an anxiety sufferer it’s so calming to understand the why’s behind the things you do and the reasons they matter and as someone with sensory issues I also appreciate your open communication about touch so that people aren’t caught off guard by it because things like that help me a lot! Great magician skills too with the disappearing and reappearing shoes 😂, love it!

  • @williamwinder3466
    @williamwinder3466 Жыл бұрын

    Informative and entertaining as usual Dr. Gill.

  • @DrJamesGill

    @DrJamesGill

    Жыл бұрын

    👍

  • @josemerino7894
    @josemerino7894 Жыл бұрын

    Dr Gil never fails,,much love to you brother 🙏🏼💪💯🔥

  • @loadventureslife5090
    @loadventureslife5090 Жыл бұрын

    Who would of thought 15 years ago my favorite show would be Dr Gill in 2023.

  • @nenuanenenuane6645
    @nenuanenenuane6645 Жыл бұрын

    Put a pit of paper

  • @DrJamesGill

    @DrJamesGill

    Жыл бұрын

    Not this one

  • @han-lf5nx
    @han-lf5nx Жыл бұрын

    So glad that i find you before my exam

  • @DrJamesGill

    @DrJamesGill

    Жыл бұрын

    When do you have the exam? We have a playlist on looking at the science behind the exams

  • @runs6237
    @runs6237 Жыл бұрын

    Thank you Dr Gill !

  • @WAFC_CH
    @WAFC_CH Жыл бұрын

    I could listen to this guys voice for hours😍

  • @heymimi2557
    @heymimi2557 Жыл бұрын

    Your voice is perfect for ASMR, love your vids! I'm learning a lot too

  • @chrish8903
    @chrish8903 Жыл бұрын

    Well done, Dr Gill. Happy New​ Year.

  • @soyunbonus
    @soyunbonus Жыл бұрын

    Lovely video as always. Super high quality!

  • @DrJamesGill

    @DrJamesGill

    Жыл бұрын

    Glad you think so!

  • @ivantorres6146
    @ivantorres6146 Жыл бұрын

    I love your videos Dr James, regards from Mexico

  • @DrJamesGill

    @DrJamesGill

    Жыл бұрын

    👍

  • @chadsmith1200
    @chadsmith1200 Жыл бұрын

    More of these types of videos please.

  • @lordsnooks2804
    @lordsnooks2804 Жыл бұрын

    Shout out to the magic shoes at 1:48 and 3:11!

  • @slynikiclh9040
    @slynikiclh9040 Жыл бұрын

    As always, excellent and very instructive video👍

  • @DrJamesGill

    @DrJamesGill

    Жыл бұрын

    Hope it was helpful

  • @optimistic1996
    @optimistic1996 Жыл бұрын

    Is there any chance of these being uploaded to Spotify? I listen to them all so often! Thank you so much!

  • @Alejandro35GN
    @Alejandro35GN Жыл бұрын

    Esta muy bien el examen periférico, ahora veamos el perianal.

  • @DolfoLicks
    @DolfoLicks Жыл бұрын

    The patient has been diagnosed with a mild case of intermitent shoes. Treatment is very simple and effective, fortunately!

  • @NickzAndMikz
    @NickzAndMikz Жыл бұрын

    Hi Dr. Gill, I had a recommendation for a video or series of videos (which you have likely planned to make already. Admittedly I’ve been caught up in coursework to have kept up to date fully with your channel) regarding the doctor patient relationship. We have standardized patient encounters for breaking bad news to patients, difficult/angry patients, and the motivational interview. I think seeing these videos from your perspective would be tremendously helpful for other medical students.

  • @DrJamesGill

    @DrJamesGill

    Жыл бұрын

    I think there is an area to look at doing MEC consultations initially - so making every contact count

  • @erosaphrodite
    @erosaphrodite Жыл бұрын

    Gotta respect the doctor drip

  • @Draedaja
    @Draedaja Жыл бұрын

    Who turned off the- ooh, you're done. Great video as always, thank you very much! And perfect timing as well :)

  • @DrJamesGill

    @DrJamesGill

    Жыл бұрын

    Glad you enjoyed it! Hope it was useful

  • @missilemiata7593
    @missilemiata7593 Жыл бұрын

    Professional 👍💤

  • @Voladormedical
    @Voladormedical6 ай бұрын

    We are medical furniture and device supplier in China,I am very glad to study some medical knowledge.

  • @thoughtsurferzone5012
    @thoughtsurferzone50127 ай бұрын

    Great green eyes.

  • @rebeka145
    @rebeka14510 ай бұрын

    Loved the video, actually would like to hear issues you could find during examination. I have some problems like, deep pulsating feeling on left side of abdomen, my big toe has turned purpleish and sometimes goes back to normal. Also when I lidt my left arm, it gets weak and I feel tingling. Sometimes my veins on my hands bulge up to the point it hurts and they get very hot, when I out my hands up in the air, the blood goes down and creates a relief. Had this since an accident after broken collar bone. Which doctor should I go to? Primaru care didnt take me seriously

  • @thornados4887
    @thornados48878 ай бұрын

    Esse médico fala tão calmo q parece vídeo de asmr eu assisto os vídeo pra dormi kk amo

  • @alafe.

    @alafe.

    2 ай бұрын

    Mano eu tbm kkkkkkkkkkk

  • @Bathrezz1
    @Bathrezz1 Жыл бұрын

    Shoes magically appear and disappear in this one XD

  • @Macsimus75
    @Macsimus75 Жыл бұрын

    Excellent video as always. The only flaw, Abby not there anymore 😔

  • @philfmiller
    @philfmiller11 ай бұрын

    My apologies. I forgot to put a bit of pay-pah on your hands. If I may... That's better. 🤓

  • @dnkykng3369
    @dnkykng3369 Жыл бұрын

    I have noticed this Med Student? has become more comfortable on camera, compared to her first video appearance, must be helpful with the demonstrations knowing they are not as tense as their first time on camera

  • @vois
    @vois8 ай бұрын

    Soothing

  • @keithlivingstone2525
    @keithlivingstone2525 Жыл бұрын

    Am I remembering correctly that the scar on Megan’s L knee is an old hockey injury? 🤔

  • @kianagraham7529
    @kianagraham7529 Жыл бұрын

    Is there any way to make a video explaining syncope? and the best way to deal with it? I really enjoy your videos!!!! they are very informative :)

  • @DrJamesGill

    @DrJamesGill

    Жыл бұрын

    We could certainly look at that - it doesn’t need a student, so perhaps a medicine explained video The question is always “what is CAUSING the syncope.” As it is a symptom

  • @rdonshatalov
    @rdonshatalov Жыл бұрын

    Intro Inline is a great font indeed

  • @ebola1974
    @ebola1974 Жыл бұрын

    Love these videos, but like many here I guess none of us are even slightly medically trained, would it be possible to explain why these checks are required and the likely issues a patient may face if say the pulse on either arm were not in sync?

  • @DrJamesGill

    @DrJamesGill

    Жыл бұрын

    That will come in the deep dive that we’ll record soon A lot of the explanations are on the “medicine explained” playlist

  • @learicist
    @learicist Жыл бұрын

    I wonder how bad something would have to be to be caught by the initial visual examination. ie. the neck around halfway through the vid

  • @Fortitude1960
    @Fortitude1960 Жыл бұрын

    Continuity director needs sacking lol. One minute she’s got shoes on during the bp test next minute she’s not then whoa back on again. Lol.

  • @DrJamesGill

    @DrJamesGill

    Жыл бұрын

    Yup. I could actually do with someone helping for the filming, I’d likely get more done!

  • @DevRSVR
    @DevRSVR Жыл бұрын

    Hi Dr Gill, non medical student here. Is there actually a reason why you might detect a different or abnormal pulse in the abdomen or lower extremities compred with the neck or upper body and what would that mean? Presumably it wouldn't be a good thing? Love your channel and content.

  • @DrJamesGill

    @DrJamesGill

    Жыл бұрын

    Yes. You are looking for different things, but as a big example. The abdominal pulse you are looking for a medical problem called an abdominal aortic aneurysm We will be doing a deep dive on this exam later Check out the medicine explained playlist, it has all of our current deep dives

  • @oryon6502
    @oryon6502 Жыл бұрын

    I had never noticed before, but you have your name engraved on your stethoscope, that's so cool !

  • @rageagainstthebath

    @rageagainstthebath

    Жыл бұрын

    In one video Dr Gill said it was a gift from his parents IIRC, after he lost his old one.

  • @m.syamil_KR4PU

    @m.syamil_KR4PU

    Жыл бұрын

    You can order them that way from the shop

  • @DrJamesGill

    @DrJamesGill

    Жыл бұрын

    Yes that is correct. My medical school one disappeared in my second job in ITU after graduating 😐

  • @Wod-c
    @Wod-c Жыл бұрын

    Think I need one of these, my feet are always cold.

  • @jaroslavvyskok8488
    @jaroslavvyskok8488 Жыл бұрын

    those eyes 😍😍😍

  • @pb879
    @pb879 Жыл бұрын

    Dr. Gill. Are these routines happen like this on a daily bases in the UK? In America, and Japan. Doctors usually just kinda look at you, and say. Well everything is normal, without even checking my blood pressure the way I see UK doctor do. It seems like the UK health care system is more advanced at checking for problems or complaints from a patient than in America and Japan. What are your thoughts, Dr. Gill?

  • @DrJamesGill

    @DrJamesGill

    Жыл бұрын

    It’s more that we still rely on the basics rather than ordering scans. It also might be related to the teaching I had a Warwick, where I was told “Be proud of your clinical skills and be able to work even when the power cuts”

  • @pb879

    @pb879

    Жыл бұрын

    @@DrJamesGill I don't believe clinical skills are applied. Information America and Japan seek as.drug seekers

  • @antusgabor

    @antusgabor

    Жыл бұрын

    @@DrJamesGill Your skills will be the most useful when the inevitable apocalypse hits XD

  • @noeliarocio4367

    @noeliarocio4367

    Жыл бұрын

    @@DrJamesGill that's great, I wish I had access to that kind of doctors

  • @uhranus2969
    @uhranus2969 Жыл бұрын

    generally curious how the body size of the patient affect these tests (being adipositas)? I guess it is harder to 'feel' the important stuff with my belly haha Also does the heart beat sound changes with the body size of person? e.g. lower frequency, quieter? thx in advance!

  • @Farsightful

    @Farsightful

    Жыл бұрын

    Good question

  • @christophermusso
    @christophermusso Жыл бұрын

    2:10 Blood pressure check "...we're going to do first without the blood pressure cuff." That's some cutting-edge medicine right there. Dr. Gill is just that bloody AWESOME!!! 😃👍

  • @matthewmckee3762
    @matthewmckee3762 Жыл бұрын

    Is there any significance to the number of fingers used when taking a pulse? Sometimes two are used, sometimes more.

  • @DrJamesGill

    @DrJamesGill

    Жыл бұрын

    Not really.

  • @r.h.0101
    @r.h.0101 Жыл бұрын

    Looks like a fine specimen.

  • @zouzou_u
    @zouzou_u Жыл бұрын

    I thought I was going crazy. She had socks on, then shoes on, then socks on again. Had to make sure I wasn’t seeing things. Never thought I’d be gas lit like that 🤣

  • @DrJamesGill

    @DrJamesGill

    Жыл бұрын

    Yup. Slight editorial issue

  • @incognito9532
    @incognito9532 Жыл бұрын

    I notice the faint tan lines from a time piece, as a horology enthusiast and a long time fan I'd love to know why you choose to film without it and also what Dr Gills daily watch might be.

  • @DrJamesGill

    @DrJamesGill

    Жыл бұрын

    We should be bare below the elbows in the clinical setting - certainly in the hospitals As for watch, I’m currently using a Garmin Fenix 😊

  • @kathiepohner5902
    @kathiepohner5902 Жыл бұрын

    Dr Gill, what can u tell me about kidney stones with a composition of calcium oxylate?

  • @DrJamesGill

    @DrJamesGill

    Жыл бұрын

    Ouch. I bet that is uncomfortable They are the most common type of stones. Occasionally they can resolve A urologist is normally involved with the care even if not their removal Diet is a huge factor, there is an older, but good paper here www.ncbi.nlm.nih.gov/pmc/articles/PMC1455427/

  • @kathiepohner5902

    @kathiepohner5902

    Жыл бұрын

    Thank you Dr Gill

  • @TheJamesrw10
    @TheJamesrw10 Жыл бұрын

    Wish my bp was that good

  • @TenableVegan
    @TenableVegan Жыл бұрын

    When you lift the leg & say you are looking for changes, what changes are you looking for? When you hold any limb in the air the veins go into hiding.

  • @DrJamesGill

    @DrJamesGill

    Жыл бұрын

    It’s called Buergers test - if the foot / leg goes pale it indicates distal ischaemia - which is then confirmed later getting the patient to sit up and see if the skin goes red

  • @MaxPowerVideos
    @MaxPowerVideos Жыл бұрын

    Can you do a video on the Achilles tendon. Did something to mine playing basketball. 🦶 👢

  • @DrJamesGill

    @DrJamesGill

    Жыл бұрын

    It’s on the list. Just need to get there

  • @MaxPowerVideos

    @MaxPowerVideos

    Жыл бұрын

    @@DrJamesGill Awesome!!! Love the videos and time and effort you put into them. Congrats on getting married.

  • @seyara1
    @seyara1 Жыл бұрын

    Sometimes when my hands or feet get cold the fingers and toes can go completely white and I lose most of the sensation and feeling in them...they feel like lifeless little bricks! This only started happening after I had gastric bypass surgery and lost around 180lbs in 18 months. Would the weight loss be the cause of it? Its driving me nuts at the minute because the weather is cold here and when I go walking the top half of my feet are so numb it is starting to affect my balance when I try to walk fast.

  • @DrJamesGill

    @DrJamesGill

    Жыл бұрын

    You need to speak to your GP

  • @nondescriptbeing5944

    @nondescriptbeing5944

    Жыл бұрын

    Yeah you should ask your doctor, but I will say you do get a lot colder after such significant weight loss. It may help to move around more or wear warm socks or slippers etc. if that’s the problem

  • @radar5464

    @radar5464

    11 ай бұрын

    Not a Dr but between personal experience and general knowledge, but as I understand people who undergo gastric bypass can often suffer from nutrient deficiency due to decreased absorption. Since we build blood through the transformation of food, could certainly see how that could affect blood supply/flow. Believe there are recommendations for those with this surgery to optimize their nutrition so might want to look into that and ask a Dr.

  • @deonblaster2546
    @deonblaster2546 Жыл бұрын

    I can’t see any double vision?

  • @deemcdaniel9150
    @deemcdaniel9150 Жыл бұрын

    I've always wondered, why do it once without the stethoscope and then with? I've never had that done here in the US.

  • @DrJamesGill

    @DrJamesGill

    Жыл бұрын

    I think we covered that in the cardiac deep dive - I know it’s in that or one of the blood pressure videos It’s about ensuring the measurement is accurate

  • @DrJamesGill

    @DrJamesGill

    Жыл бұрын

    Cardiac Examination Deep Dive - Clinical Skills Explained - Dr Gill kzread.info/dash/bejne/lqyJqtJxZbCem7Q.html

  • @deemcdaniel9150

    @deemcdaniel9150

    Жыл бұрын

    Thank you so much for answering. I haven't seen that one yet!

  • @tolukhatea

    @tolukhatea

    Ай бұрын

    You are checking for the Auscultatory gap after which you add 30mmHg to it and pump the cuff to the reading so you don't miss the accurate systolic reading

  • @antoinehunter3776
    @antoinehunter3776 Жыл бұрын

    Detroit in the building...

  • @bazajames8196
    @bazajames8196 Жыл бұрын

    In previous videos when you demonstrate your examinations you explain what you are doing, why and what to look for... in this one you are examining without any detail as to why and what exactly you are looking for. Is this because this is used as a teaching aid and you play to students and reply and pause to ask them questions on each part of the examination?

  • @DrJamesGill

    @DrJamesGill

    Жыл бұрын

    Yes the videos are two fold. We do the demonstration, and then we do the deep dive (I’m working on the deep dive for Romberg’s atm, the deep dive for this week be a little longer )

  • @nathanfugate8210
    @nathanfugate82103 ай бұрын

    The legendary Abbie Tutt MD has been followed by the beautiful Megan Struthers. Love those unusual bright turquoise eyes! 😍💘

  • @anthonymcneil1542
    @anthonymcneil1542 Жыл бұрын

    Megan Struthers is the new Abbie Tutt

  • @GreenC0rdial
    @GreenC0rdial Жыл бұрын

    Have you ever found any issues while conducting these examinations ?

  • @tavitafish
    @tavitafish Жыл бұрын

    So I noticed during this you also checked temperature of extremities? Is it an issue if say the hands or feet or legs or something is an extreme temp change from the rest of the body?

  • @DrJamesGill

    @DrJamesGill

    Жыл бұрын

    It’s that poor circulation may result in a colder limb, perhaps seen more clearly when comparing to the other limb

  • @Rambit
    @Rambit6 ай бұрын

    Genuinely curious as to whether this is your natural voice or if you happen to embellish or alter it Dr Gill. In addition what are your thoughts on ASMR? In my opinion it appears to be evolutionary leftovers from humans long distant ape relatives, as social grooming was certainly a factor there and relaxation and feelings of bliss or euphoria are visible when these things are observed in nature with great apes and monkeys today.

  • @chuckles6482
    @chuckles6482 Жыл бұрын

    How did i get here?

  • @josemerino7894
    @josemerino7894 Жыл бұрын

    Am I THE ONLY ONE WHO TRY FEELING PULSE AROUND MY GROIN??😅😅😅

  • @liambegley6410
    @liambegley6410 Жыл бұрын

    Wait how the hell did she get her shoes on when she had socks on whilst dr gill was examining her

  • @RafaelW8
    @RafaelW8 Жыл бұрын

    Is having pulse in the abdomen normal?

  • @DrJamesGill

    @DrJamesGill

    Жыл бұрын

    Yes. But having an expansile pulse is not

  • @me_d.i.
    @me_d.i. Жыл бұрын

    His voice is lulling. That's probably the way it's meant to be)

  • @matthampton8692
    @matthampton8692 Жыл бұрын

    Team Green

  • @gijsv8419
    @gijsv8419 Жыл бұрын

    She has beautifull green eyes

  • @johnathanleonardo912
    @johnathanleonardo912 Жыл бұрын

    Her eyes are beautiful

  • @strayxxiii7601
    @strayxxiii7601 Жыл бұрын

    1:48 shoes randomly appear 3:09 shoes randomly disappear again 😂

  • @DrJamesGill

    @DrJamesGill

    Жыл бұрын

    Magic 🪄

  • @pumpkinknight5732
    @pumpkinknight5732 Жыл бұрын

    Cripes, even stethoscopes are digital now? My Doctor's still on analogue.

  • @Caltash
    @Caltash Жыл бұрын

    I drop my thumbs up before beginning the video, particularly if the mighty mighty Meghan is featured. 😀

  • @Snowball_Earth
    @Snowball_Earth Жыл бұрын

    This guy literally has a stethoscope with his own name ingraved in it 😂😂 doctor's flexing in the lunchroom be like

  • @Cornelius71176
    @Cornelius71176 Жыл бұрын

    In love again

  • @CaptBrightside89
    @CaptBrightside89 Жыл бұрын

    For some stupid reason I thought I would try a clinical health degree despite my absolute, phobic disgust of veins. I noped out of there quick smart. I couldn't even take a radial pulse on the test dummies without cringing. I have no idea what I was thinking.

  • @holnrew
    @holnrew Жыл бұрын

    Got my hopes up for a bit of paper when her hands were out

  • @aml7758
    @aml7758 Жыл бұрын

    In the stomach, I thought you auscultate first before palpating?

  • @DrJamesGill

    @DrJamesGill

    Жыл бұрын

    That would be listening for bowel sounds, which is not what is being listened for here Have a look at the abdominal exam deep dive, and we discuss that very point about auscultation of the bowel - when to do it, and what the clinical effect of the timing is

  • @DrJamesGill

    @DrJamesGill

    Жыл бұрын

    kzread.info/dash/bejne/onl_uauGctOxgtY.html here is the deep dive video

  • @aml7758

    @aml7758

    Жыл бұрын

    @@DrJamesGill I understand, but after you palpating the stomach, the bowel sound would interfere and make the listening of the pulse much more difficult. I always teach my students, for the stomach, always auscultate it first, whatever you want to hear

  • @DrJamesGill

    @DrJamesGill

    Жыл бұрын

    When I looked at the research on it, there were a few papers looking at when auscultation is performed, the general conclusion was it actually had an insignificant impact on auscultation findings, and no impact on clinical pathology detection (although I think that is partially as the bowel sounds are an incredibly weak clinical sign - there are some shocking research numbers where consultants were finding up 50% difference between clinical suspicion from bedside vs on imaging) - but I’ll admit, I was looking from the perspective of palpation affecting bowels sounds rather than being how it would affect presence of bruits

  • @aml7758

    @aml7758

    Жыл бұрын

    @@DrJamesGill I agree, in most patients, the bowel interferes insignificantly, but there're some patients, especially elderly, the GIT of which can react in an unpredictable way to palpation; some of my patients could not lie still after palpation. Anyway, you're doing a great job and there's nothing wrong with the video. Thank you for your work

  • @180nrd
    @180nrd Жыл бұрын

    Chevrolet, Zebra and Honesty

  • @UCONN_HUSKIES
    @UCONN_HUSKIES Жыл бұрын

    Congratulations Doctor you were recently married?

  • @DrJamesGill

    @DrJamesGill

    Жыл бұрын

    👍

  • @georgepierson4920

    @georgepierson4920

    Жыл бұрын

    He may still be.

  • @learicist

    @learicist

    Жыл бұрын

    @@georgepierson4920😂😂

  • @adrianbenedykt7591
    @adrianbenedykt7591 Жыл бұрын

    The shoes appears magically at 1:48" and disappear again in 3:10" 😀

  • @ejlare
    @ejlare Жыл бұрын

    Good night everyone

  • @learicist

    @learicist

    Жыл бұрын

    🫡

  • @domt5298
    @domt5298 Жыл бұрын

    a sneaky part of this examination seems to be putting the patient's shoes on mid-exam without anyone noticing. Is this something only qualified doctors can do?

  • @DrJamesGill

    @DrJamesGill

    Жыл бұрын

    No. Just qualified magicians 🧙‍♂️

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