Ace Your Respiratory Examination OSCE - With This Clinical Skills Master Class - Dr Gill

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  • Опубліковано 6 лют 2025

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  • @DolfoLicks
    @DolfoLicks Рік тому +118

    A couple of videos ago this patient was diagnosed DEAD! Dr. Gill trully is a remarkable professional. 👏👏👏

  • @amyr2876
    @amyr2876 2 роки тому +154

    I am a professional coder in the United States. I read operative reports and also evaluation & management notes, then I “translate” them into diagnosis and procedure codes to bill the insurance companies. Watching your videos has really helped me understand better what I am reading in my physicians’ documentation. Thank you so much!

  • @lizzieandmocha1131
    @lizzieandmocha1131 Рік тому +12

    Love these. I'm no doctor or medical practitioner, but I've always had a fascination with medicine and anatomy. I love to learn as much as I can, even if I'd never be able to use these.

  • @seekerofknowledge4533
    @seekerofknowledge4533 Рік тому +46

    Inspection
    Pattern of breathing
    Symmetry
    Hands:
    Fine tremors
    Flapping tremors
    Nails koilonychia leukonychia splinter hemorrhage
    Capillaries refill time
    Fingertips cyanosis
    Clubbing shamroth window test
    Nodes osler Heberdon bouchards
    Palms:
    Palmer erythema
    Dupuytren contracture
    Thenar hypothenar eminence
    Pulse Rate 15 × 4 rhythm rebounding pulse
    Temp thermometer in axilla
    Bp palpatory and then auscultatry method
    Eyes:
    Anemia jaundice
    Tongue:
    hydration
    Anemia
    Central cyanosis on upper surface of tongue
    Anemia on lower surface of tongue
    Oral hygiene
    Chest scar marks
    Palpation:
    Ask for pain
    Tracheal deviation
    Tracheal tug
    Tracheal crepitus
    Cricosternal distance
    Lymph nodes palpation
    Apex beat
    Chest expansion by hands
    (Below axilla, in middle chest)
    Measure also chest expansion
    Percussion:
    Normal resonant
    Dull on right sides at 6th ICS due to upper border of liver
    Above clavicle
    On medial third of clavicle
    2 more sides below ( on both sides)
    In axilla 2 sites ( on both sites)
    Auscultation:
    Normal vesicular breath sounds
    Check
    Wheeze strider
    Crackles
    Pleural rub
    Bronchial breath sounds in lungs
    Post chest:
    Scar marks
    Kyphosis
    Scoliosis
    Crossing the patients hands on shoulders
    Same as in ant chest +
    Vocal resonance
    Sacral edema
    Pedal edema
    Thanks patient

  • @jimkreider9997
    @jimkreider9997 2 роки тому +16

    I like these videos by Dr. Gill. I try to do the tests on myself. But I go to my GP twice a year and all this is done. Of course he's not as polite as Dr. Gill but spends as much time with me as needed. I love the guy. Wouldn't change for anything.

    • @guesswhat-chickenbutt
      @guesswhat-chickenbutt 2 роки тому +1

      Consider yourself lucky. I myself am lucky also because my double first cousin is my practitioner.

  • @largehenne5988
    @largehenne5988 2 роки тому +56

    I started vocational training in medical technical lab work a couple months ago, now I'm able to understand much more things watching your videos which makes me happy :)
    Maybe I'll go to med school after my apprenticeship is complete

    • @DrJamesGill
      @DrJamesGill  2 роки тому +10

      Congratulations! Are you working in the UK?

    • @largehenne5988
      @largehenne5988 2 роки тому +3

      @@DrJamesGill I'm in germany!

    • @guesswhat-chickenbutt
      @guesswhat-chickenbutt 2 роки тому +2

      I see you're subbed to the Slipknot channel. And to that I say: fuck yes 🤘🤘🤘🤘🤘🤘

  • @quinnthadiva
    @quinnthadiva 2 роки тому +5

    Thanks to your clinical videos , I Aced my Nursing Exams, Thank you doc!!

    • @DrJamesGill
      @DrJamesGill  2 роки тому +3

      Great job! I'm so pleased to hear that! you must be so proud!
      where will you be working?

  • @Ibelikemj
    @Ibelikemj 2 роки тому +40

    Honey! Come quick, new Dr Gill is on!

  • @loadventureslife5090
    @loadventureslife5090 2 роки тому +17

    Oh snap he has on the vest so u know it's gonna be another banger.

  • @chrisstevens3567
    @chrisstevens3567 Рік тому +7

    This man is legitimately a celebrity.

  • @viperboy403
    @viperboy403 2 роки тому +426

    "we're going to take a piece of paper" You know darn well that's not how you say it! I want a refund

  • @mo793
    @mo793 2 роки тому +42

    Perfect timing! Was planning to practise cardiac & respiratory examination this weekend for my osce , thank you!

    • @DrJamesGill
      @DrJamesGill  2 роки тому +13

      You got this!
      I need to get the cardiac done on my side as well!

    • @mo793
      @mo793 2 роки тому +2

      @@DrJamesGill Looking forward to it!

  • @josephjordan9650
    @josephjordan9650 2 роки тому +54

    Always a pleasure to see an upload doc, Keep up the good work!

  • @gemmahamilton2565
    @gemmahamilton2565 2 роки тому +8

    I'm always amazed by your medical knowledge, I honestly don't know how you remember it all! Thank you for these educational videos. Not only does it relax me but I learn so much from them.

    • @guesswhat-chickenbutt
      @guesswhat-chickenbutt 2 роки тому +2

      Ikr. I can barely remember what I did ten minutes ago. 🥴🥴🥴

    • @tncountryboy06
      @tncountryboy06 2 роки тому +1

      theres a reason doctors go to school for basically a decade lol

  • @matthewmersin2026
    @matthewmersin2026 2 роки тому +5

    A charming British accent is also a requirement for every examination.

  • @ProjectTokyo
    @ProjectTokyo 2 роки тому +11

    8:26 "Patient showing signs of drowsiness during examination attempts to stay conscious not succeeding"

  • @roomyplayz101
    @roomyplayz101 22 дні тому +3

    Hey Doctor, I was wondering if you work as a Doctor as well as practicing medicine, it's amazing what you do on your channel sharing your knowledge as it is though! :)

  • @yelha26
    @yelha26 2 роки тому +11

    Yo veo todos sus videos y ni siquiera soy doctor :D saludos desde México

  • @MATSULEIGO
    @MATSULEIGO 2 роки тому +10

    Amazing explanation, fellow doctor. Regards from Brazil 🇧🇷

  • @herosbreath6715
    @herosbreath6715 2 роки тому +31

    My ONE critique of these videos is that everyone is always healthy. Is there any chance you could get someone on the table that actually has some of the symptoms or presents with some of the signs mentioned?

    • @DrJamesGill
      @DrJamesGill  2 роки тому +50

      No easily as that is a huge confidentiality issue

    • @herosbreath6715
      @herosbreath6715 2 роки тому +11

      @@DrJamesGill Ahh. Yeah, I suppose that’s an issue.

    • @TaterChip91
      @TaterChip91 2 роки тому +18

      I want to see a doctor that completes all the tests and at the end is like "you have a week left to live"

    • @dscarmo
      @dscarmo 2 роки тому +7

      There are some pretend ASMR videos doing that on youtube but none are performed by an actual medical doctor and serious, as far as I know

    • @akilghosh
      @akilghosh 2 роки тому +1

      Ah yes unhealthy specimen. I can volunteer for that, in a condition not to wake me up in case I doze off.

  • @Wakeywines
    @Wakeywines 2 роки тому +3

    just saw this reccoemend on my feed, turns out we share the same last name! which I think is so cool! subscribed

    • @DrJamesGill
      @DrJamesGill  2 роки тому +1

      Welcome! Hopefully you find it useful here 😊

  • @d.williams9610
    @d.williams9610 Рік тому +1

    Thanks for explaining why to multiply. Dr. ❤

  • @optimistic1996
    @optimistic1996 2 роки тому +4

    Absolutely love listening to your videos on Spotify, is there any possibility of these newer video's being uploaded at some point? Totally understand if it's too much work 🥰

  • @MrZomg17
    @MrZomg17 Рік тому +1

    I feel My English as an American is terrible after listening to Dr. Gill

  • @davidjones421
    @davidjones421 11 місяців тому +1

    Thank you for your videos, they really are very helpful.
    By the way 10 minutes in, you said 10 deciliters per ml... But 1 deciliter is a 100 ml...

  • @SimmeringPotpourri
    @SimmeringPotpourri 10 місяців тому +2

    Doctor: It's it Ok that I examine you? I will need to touch you.
    Patent: No
    Doctor: Super. Please see my receptionist and she will take your payment.
    Doctor: Please send in the patient who went to a doctor but isn't interested in being examined.

  • @seang2012
    @seang2012 2 роки тому +35

    Dr Gill, I tried this exam on my dog. He demanded belly rubs and fell asleep on me. You ever have that problem with patients?

  • @ryanschultz9413
    @ryanschultz9413 2 роки тому +2

    I for one would love to see more A-Z NHS videos

  • @sheepdog03
    @sheepdog03 Рік тому +2

    Great video! Dr Gill, or anyone who knows, how do you adapt percussion techniques to overweight patients and, in particular, patients with obesity? Or is the sound transmission the same?

    • @DrJamesGill
      @DrJamesGill  Рік тому +3

      Unfortunately you can’t really. The test becomes less sensitive

  • @abducens92
    @abducens92 Рік тому +14

    Wonderful video, as always, Dr Gill!
    Minor correction: at 23:57, wheeze is expiratory and stridor is inspiratory (or actually can be both). Keep up the good work!

  • @YourFreeBeats
    @YourFreeBeats 2 роки тому +2

    This was a very relaxing video.

  • @thelearicist
    @thelearicist 2 роки тому +10

    Dopest vest collection in the game

  • @Sithu-1112
    @Sithu-1112 28 днів тому

    Thank you so much sir ❤

  • @RemberingWoody
    @RemberingWoody 2 роки тому +3

    12 out of 10

  • @waiswaarafatlaxil5999
    @waiswaarafatlaxil5999 Місяць тому +1

    ❤❤

  • @ysaleh911
    @ysaleh911 8 місяців тому

    Your videos are great. Thank you!!!

  • @mermanshahi
    @mermanshahi 9 місяців тому +5

    Stridor is inspiratory and wheeze is expiratory

  • @carissamatipwiri1272
    @carissamatipwiri1272 2 роки тому +3

    This was so much helpful!!! Please do a video on every system (major systems rather)😅

    • @DrJamesGill
      @DrJamesGill  2 роки тому +3

      That's the plan! We’re doing cardio next

  • @swarmy9459
    @swarmy9459 6 місяців тому

    Great vid

    • @swarmy9459
      @swarmy9459 6 місяців тому

      Future rt 👍🏽

  • @califlop
    @califlop 2 роки тому +1

    You're a real life doctor bashir! Thank you

  • @JohnnyTightIips
    @JohnnyTightIips 2 роки тому +4

    13:20 Looks like "Lumps and Bumps" is back on the menu, boys!

  • @eznf98
    @eznf98 2 роки тому

    Watching this by work while taking a break. I almost fell asleep

  • @stickstories2750
    @stickstories2750 2 роки тому +73

    I bet 50% of the people watching have already fallen asleep

    • @stonehousetales6954
      @stonehousetales6954 2 роки тому +16

      pff. no. i havent fallen asl....asmmmdm....*snores*

    • @No1SlapFIGHTFan
      @No1SlapFIGHTFan 2 роки тому +10

      Here for sleep lol

    • @acefrmoahu
      @acefrmoahu 2 роки тому +9

      Gonna end up watching this video a good 5-10 times this month just to fall asleep.

    • @dclxvi_89
      @dclxvi_89 2 роки тому +7

      Asmr crew

    • @DrJamesGill
      @DrJamesGill  2 роки тому +24

      Gosh, yes. Just had a look.
      UA-cam applies them automatically, so I’ve pulled a few of them
      Thanks for the heads up

  • @wangcoffee
    @wangcoffee 2 роки тому +1

    Waiting with some popcorn! Thanks for the vid :)

  • @BarefootCaveman
    @BarefootCaveman 2 роки тому +1

    All of the internal systems!! One million systems need to be checked

  • @شهدعلاء-د4ث
    @شهدعلاء-د4ث Рік тому +2

    💗💗 deeply appreciates the effort u put into these vids… thanks a ton

  • @dclxvi_89
    @dclxvi_89 2 роки тому +6

    Oh wow. I see some grey in the beard. I always thought Dr. Gill was super young, like early 30s, late 20s in his earlier videos. 😅

  • @oliverkey1435
    @oliverkey1435 2 роки тому

    I’m just some random bloke interested in chemistry who’s here because this sounds nice

  • @anathinkangana2982
    @anathinkangana2982 2 роки тому

    bless your heart Dr🙏

  • @rdonshatalov
    @rdonshatalov 2 роки тому

    I love Intro Inline font too

  • @michaelaldredge-greenwell1692
    @michaelaldredge-greenwell1692 25 днів тому

    I think Dr Gill & the patient are both cute & beautiful.

  • @testing3265
    @testing3265 Рік тому +1

    Hi Dr Gill, I have osces coming up; can you kindly clarify why we 1) percuss the clavicles 2) check for heaves in a resp exam. Thank you kindly!

    • @DrJamesGill
      @DrJamesGill  Рік тому +3

      I) percussion over the clavicle allows you to assess the apices of the lung
      Ii) Pulmonary hypertension can result in increase work of the heart, leading to RIGHT ventricular hypertrophy and possibly failure

    • @DrJamesGill
      @DrJamesGill  Рік тому +1

      Good luck, and any other questions, stick them in the comments and I’ll try to get back ASAP

  • @mehtabwazir8794
    @mehtabwazir8794 3 місяці тому +1

    Needs correction.. Wheezes r expiratory mainly( due to small airways' obstruction)& Stridor is Inspiratory sound due to obstruction of larger airways

    • @DrJamesGill
      @DrJamesGill  3 місяці тому

      100% unfortunately there doesn’t appear to be a way to do so on existing videos

    • @mehtabwazir8794
      @mehtabwazir8794 3 місяці тому

      Very informative Videos of clinical exam.. Thnx to Dr James.. Regards

  • @UndercoveerAngel
    @UndercoveerAngel Рік тому

    great video! but i was under the impression that stridor is inspiratory and a wheeze expiratory?

    • @DrJamesGill
      @DrJamesGill  Рік тому

      It is. Stridor large airway narrowing causing inspiratory noise
      Due I missspeak?

  • @TaterChip91
    @TaterChip91 2 роки тому +2

    Hey Doc, when your "putapitapa" video came out and you became easily top 3 most popular ASMR Gods....was that your intention? Like, where you aware of your growing popularity? Or did you find out after the fact?

  • @annalie.love27
    @annalie.love27 2 роки тому +6

    30min isnt enough still haha..getting addicted

  • @louishenderson3835
    @louishenderson3835 9 місяців тому

    God the NHS in scotland really needs to up their game, when I get checked I am lucky if they even whip out the stethoscope!

  • @christineblake7909
    @christineblake7909 10 місяців тому

    Could you share the link for that aneroid please

  • @Brickktopp
    @Brickktopp 2 роки тому +1

    When that boy had his hands out he looked like he had bn taken hostage boy george style 🤣🤣

  • @t.r.h.1433
    @t.r.h.1433 2 роки тому

    2nd January 2000 ! A brand new millenium baby 💚

  • @SquirrellyOtter
    @SquirrellyOtter 2 роки тому +9

    "I'm a bear of very little brain"
    *"Hello, I'm Tigger" intensifies*

  • @matthewmckee3762
    @matthewmckee3762 2 роки тому +1

    At the beginning of the video, I legit thought there was a split screen, and something was going to come up on the other side. Nope, just the wall.

  • @floridafirstpodcast4740
    @floridafirstpodcast4740 2 роки тому +7

    "RES-PEER-AH-TREE"

  • @jdbolynhoward8557
    @jdbolynhoward8557 2 роки тому

    Love for you to do s suspected diabetese examination and even a diabetese check in general my gp was shouting at my l.d teenage daughter mentioning bad things willl happen to her if she does not take metaformin which incidently gave her symptoms of so would love to see an examination of a suspected case of to see what my gp should of done

    • @guesswhat-chickenbutt
      @guesswhat-chickenbutt 2 роки тому

      Hey. I don't know why it seems like doctors are prescribing metformin to those that don't need it. I would get a second opinion before making your daughter take that medication anymore. Doctors get financial kickbacks to prescribe unneeded meds. Good luck to you and your family.

    • @guesswhat-chickenbutt
      @guesswhat-chickenbutt 2 роки тому

      My aunt had them prescribed years ago and for what, who knows. She is literally the healthiest person I know. She's 100 pounds soaking wet with little to no body fat. And when she does occasionally put on a pound or two, usually ten at the most, it all goes below the waist which is the healthier body fat.

  • @hub-edu
    @hub-edu Рік тому

    very good unnintentuonal asmr
    bonus learn some about medical procedures

  • @paolarebeco
    @paolarebeco 2 роки тому

    Seria genial subtítulos en español..gracias!!!

  • @davyyyy1782
    @davyyyy1782 2 роки тому

    Eu estou no trabalho assistindo isso, começou bater o sono mas nao posso deitar 😡

  • @MaggieMay135
    @MaggieMay135 2 роки тому

    This might be a stretch BUT since you just got married, can we get a video with you and your wife to hear your love story 💗

  • @ditaylor1000
    @ditaylor1000 2 роки тому +1

    Have you ever checked someone and found something disturbing like a tumor or something they didn’t know about?

  • @richtsai6708
    @richtsai6708 8 місяців тому +2

    i thought wheeze is expiratory and stridor is inspiratory

  • @wheelmanstan
    @wheelmanstan 2 роки тому +1

    I wonder if there is a way you can make a video about something called the Bystander Effect (the theory that states that individuals are less likely to offer help to a victim when there are other people present). Maybe you can explain the tell-tell signs that show someone is actually in need of medical assistance.

  • @nataliajot4036
    @nataliajot4036 22 дні тому

    Biil Natalia horor gamy ❤

  • @peskyseagull
    @peskyseagull 2 роки тому

    You don't advocate for auscultating suprasternally?

  • @haby570
    @haby570 5 місяців тому

    13:29
    "No"
    *End*

  • @TheCorrectAdam
    @TheCorrectAdam Рік тому

    14:44 good

  • @3bdulkaderasmar
    @3bdulkaderasmar 7 місяців тому +1

    He didn't have to take his watch off

  • @AnitaBlessing-gs7oh
    @AnitaBlessing-gs7oh 7 днів тому

    Hi dr

  • @keithlivingstone2525
    @keithlivingstone2525 2 роки тому

    The first ‘patient’ born in this Century?....😂

  • @3DGvisuals
    @3DGvisuals 2 роки тому +2

    "Ninety nine" is used in lots of other instructional videos 😳

    • @DrJamesGill
      @DrJamesGill  2 роки тому +3

      But unfortunately that is an error. “Ninety nine” should not be used
      It’s a misunderstanding of the original research

  • @aewowww
    @aewowww Рік тому

    Specifically your hear…. your lungs

  • @thecrowfliescrooked
    @thecrowfliescrooked Місяць тому

    Comment.

  • @Daytonian17
    @Daytonian17 Рік тому

    Putapitapaper on it!!!

  • @SrNerd
    @SrNerd 3 місяці тому

    ASMR...

  • @Ottoniel-rb1jm
    @Ottoniel-rb1jm 9 місяців тому

    Que hace Trevor ahí🤨

  • @shahmirkhan5411
    @shahmirkhan5411 Рік тому

    PLEASE CAN YOU TALK LOUDER DR. HEARING YOUR VOICE IS MORE DIFFICULT THEN THE TOPICS YOU COVER IN YOUR VIDEOS.

  • @ADjustinG2013
    @ADjustinG2013 2 роки тому +1

    Is the honeymoon over already?

  • @t0raneko
    @t0raneko 2 роки тому +1

    For god's sake give him a pillow! He looks so uncomfortable!

  • @mikefitzgerald1013
    @mikefitzgerald1013 Рік тому +1

    O

  • @azu_9025
    @azu_9025 Рік тому

    P po po

  • @KZK2333350
    @KZK2333350 2 роки тому +2

    on to their left, lol 18:28

  • @Nezc
    @Nezc 2 роки тому +5

    Wasn't this guy pronounced dead in a previous episode?