Respiratory Examination - OSCE Guide (old version 2) | UKMLA | CPSA
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- Опубліковано 13 лип 2024
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This video provides a step-by-step demonstration of how to perform a respiratory examination in an OSCE station.
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Chapters:
- Introduction 00:00
- General inspection 00:40
- Hands 00:58
- Heart rate & respiratory rate 01:30
- Fne tremor and asterixis 01:39
- Face, eyes & mouth 02:01
- Jugular venous pressure 02:25
- Trachea & cricosternal distance 02:50
- Inspect chest 03:02
- Palpate chest 03:20
- Chest expansion 03:42
- Chest percussion 04:06
- Auscultation 04:50
- Lymph nodes 06:17
- Posterior chest 06:42
- Summary of findings 07:43
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Always adhere to your medical school/local hospital guidelines when performing examinations or clinical procedures. DO NOT perform any examination or procedure on patients based purely upon the content of these videos. Geeky Medics accepts no liability for loss of any kind incurred as a result of reliance upon the information provided in this video.
Some people have found this video useful for ASMR purposes.
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3 years later,he is still a 5th year med student,lol
anyway great video as always!Thanks
The patient looks scared... good video.
Supercharge your clinical skills with our collection of OSCE Stations, Questions and Flashcards 👾 geekymedics.com/bundles
I have my OSCE tomorrow, thank you so much for making Medicine easier
thanks for making the time to do this assessment. My partner is doing her MSc autonomous practice, this will help a lot
Thanks for the awesome vids guys. It really help me a lot. Gonna suggest to others! 😊
So helpful, thanks so much for posting!
thanks doc !! keep doing the good work !!
Great work guys. I like the speed and fluidity you have. Only things I would add are tactile fremitus (although you don't have to have it if you do vocal fremitus), bronchophany, whispered pectoriloquy.
Thankyou so much for these videos. They helped me alot during my exam preparation. Not only i passed my medicine exam with great marks but i got a distinction as well. Thankyou so much. I couldnt have done this without your help. May God bless you all for such a great work. Thankyou. :)
Ittrat Haider what was your method of studying? i have medicine exam after 1 month from now and i feel lost
@@emansam7741 it's been years now and i'm just really curious how did it go? How's your life now?
Share the books for osces please
Thank you a lot guys for this great videos
Wow thank you so much guys so helpful !
Amazing work... I Completely understand... Great work make more videos on examinations with subtitles please
love the slo-mo left clavicular percussion
So helpful! Thank you so much doctor 😊
Thank you this video is really clear and meaningful
Excellent explanation for students ,,, thank you
Very helpful !
Thank you.
Thanks for the video!
Well done keep up the good work 🌸
Very useful. Thank you 😊
yay, a new one. welcome back. Thanks for the new video.
thank you very much
I appreciate your work,,
thanks again indeed
thank you for this great video
Thank you so much doctor 🎉❤
Thank you so much , very useful
pray 4 me .. my OSCE is tomorrow :(
..
thanx 4 that video :)
How did it go last year? Now my osce is after tomorrow
now my osce is tomorrow
mine is tomorrow. pray for me please
OrangeJuicez91 don't be afraid it's easy ^^
Thanx guys.. I passed😁💖
Mind blowing u made my day
A very simple but yet enormously helpful video, appreciate the great work.
Thank you for these video
You are saving me in the OSCE bro
Excellent!
that was really helpful .. merci
great video.
Thanks, tommorow morning is my OSCE exam☺
Awesome. 👏🏻
great :) tks a lot :)
Great video, just one thing though. When we percuss, our finger should bounce completely off the extended finger in order to clearly assess the note
thank you 🙏
Thank you !!!!
very helpful
Brilliant as always guys. I've learned alot from your video posts so keep up the good work!! Just a quick question I was under the impression that asterixis is a sign of liver pathology however in the video it quotes CO2 retention? Is asterixis a positive symptom for both?
DSP 88 Hey! Yep asterixis can be caused by CO2 retention. Other causes include hepatic encephalopathy (secondary to raised ammonia) and also uraemia. Hope the revision is going well :)
very nice👏👏
You need to observe the chest also from the foot end to look for any chest asymmetry or abnormal chest movements
many thanks .
nice work guys ........
thank you very much
amaziiiiiiing..keep going ^_^
MY OSCE IS TOMORROW DAMNNN
Great video very helpful!
Great vid as always :) was wondering if you could do one with a female patient?
High, Thank you for excellent video. . I have just subscribed and sent you a message.
poor Dan, he looks so bored and miserable
He's sick
so good ^_^
thank you :D
Dan P is an absolute legend
+Daniyal Munir Percival?
Excellent video.
Seems a bit lengthy, I suppose the full exam is purely for demonstration and teaching purposes since the entirity of the exam should be based on the patients chief complaint.
Very informative but you should have mentioned the need to check the temperature of the hands.
I suppose cold extremities may indicate a circulatory disorder.
If the patient had tremors what would this suggest/course of action? Thank you.
+Frasier Crane A tremor can be caused by a wide range of pathologies. If the patient had recently had a B2 agonist such as Salbutamol, that might be the cause, this would only be transient and would resolve without any intervention. Other causes would require further investigation.
+Geeky Medics the patient may have a flapping tremor which suggests CO2 retention as in case of end organ damage like severe respiratory failure (liver or renal failure)
Geeky Medics the b2 agonist interferes with the neurotransmitters distrubition in which b2 agonist reduce them right?
pray for me guys..my osce and ospe will be on monday
pray for me .. my OSCE is tomorrow ❤️❤️
+Ahmed AL-Tai good luck Ahmed! We're sure you'll do great 👾
Am also writing osce exams what are the materials u are using kindly share or any source of your study materials
hi can you please make a video of how to set up iv fluids
Thank you ,, my osce exam on 1/6/2014
lolz , which uni ?
KKU
well gd , i thought nfs l,uni ..
gd luck
u 2
great😄😄😄😄
isn't the percussion (directly) on the clavicle ???
Percussion can be performed directly on the clavicle
thank you the best youtube channel
thanks god i finished my OSCE exam and i had a full mark
thank you guys from the bottom of my heart
Yeah it's .. directly on the clavicles
I know the "99" Test as a Test where you put your hands on the chest and compare the vibrations
Bruce Wayne that's tactile fremitus, these guys did vocal fremitus, which is an alternative. PS Dream Theater rocks
Apical of the lung ( supra clavicular ) auscultation. Should we auscultate by the bell or the diaphragm?!
This guy could be Dr Berry's brother!
Brilliant video, I did not understand why we have to percuss the medial 2/3 of the clavicle ? Thank you for this video.
+Alex Igredibbo This is for percussion of the apex. In MacLeod, they start from clavicle first (instead of the apex and clavicle here).
Thank you
i wonder why noone asked about the intro music. song title anyone?
after percussion, your index finger should not be resting on your middle finger, as this will dampen the resonance, two clicks and elevate your finger
This is a hard one to complete under 6 1/2 minutes....
nvk1001 in my college we must do it in 4 minutes):
Wow
What does "bare below the elbow" mean please?
+BackToThe FutureGeek It just means that the doctor should ideally not have any items of clothing below the elbow (including sleeves, watches and jewelry). This policy of being bare below the elbows isn't universal, so you should follow your local hospital or medical schools guidance.
no comment about resp. pattern, and stridor ?
+Hamad Alsheikh If there was an obvious abnormality in respiratory pattern or if stridor was present you would absolutely mention this to the examiner. In this case neither was present.
They look like the actors in The office
What happened to 'bare below the elbows'?
This had actually slipped by whilst filming. So we've included a reminder to adopt a bare below the elbow approach for clinical practice (at 0.36).
gool tnx
hehehehe :D
Guys..I think you missed tactile fremitus thought the palpation.
You can choose to do either tactile fremitus or vocal resonance. Both of these test for the same thing and therefore you don't need to include both, one or the other is fine :)
+Geeky Medics Now it makes sense, I appreciate your efforts
over all its brilliant but something I want to add
1)roll up ur shirt sleeves before examining patient it prevent cross-contamination
2)help the patient while dressing and undressing
Is that an American or an English accent ??
3:07 weird pose😂
I've literally NEVER heard respiratory pronounced that way before!
At 1:36 when you're assessing the pulse and respiratory rate, are you actually assessing the pulse as well? I thought you were pretending to assess the pulse so as to not make the patient aware of their own respiration and thus affecting the patient's respiratory rate. I would find it difficult to do both at the same time, tbh, unless I spent at least 45 seconds (30 for resp. and 15 for pulse).
المريض شبه الشيطان
You cant really say INSPECT, I said once & my teacher said you are a doctor & not an INSPECTOR :)
+Muhammad Berki You don't necessarily have to state out loud that you are "inspecting", but the definition of inspection means only that you are looking at something carefully and critically. Feel free to substitute with other appropriate terms.
umm, so whats the proper word then?
+Lixnelsxn Norbert on Inspection. lol
***** exactly. Thats what i was taught too.
***** yeah, thats what i was taught too.
Learning respiratory exam and English at the same time. res-peera-tory. interesting.