Respiratory Clinical Examination Demonstration - Clinical Skills OSCE Revision - Dr Gill
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- Опубліковано 19 чер 2024
- Respiratory Clinical Examination Demonstration - Clinical Skills OSCE Revision - Dr Gill
The respiratory examination is one of the three core clinical skills, respiratory, cardiac and abdominal examinations. In this video, we demonstrate how to perform a clinical examination of the RESPIRATORY SYSTEM for your medical school Clinical Skills OSCE. As the resp exam is sure a core skill when it comes to examining patients, students should assume that a respiratory assessment is a high yield station for any clinical exams or clinical assessments.
For a passing grade in your Clinical Skills OSCE, for resp examination follow the approach of:
- Inspection
- Palpation
- Percussion
- Auscultation
HOWEVER, a respiratory examination OSCE station does not just involve auscultating the lungs, this video also demonstrates some of the specialised examination techniques required in examining patients such as tactile vocal resonance, and checking the JVP which may be seen to be elevated in pulmonary hypertension
Coughs, colds and general concerns about the chest are a common reason for patients to see a doctor, and in any speciality is probably the most commonly performed patient examination
This video has two other respiratory system focused videos associated with it:
• Taking a Respiratory H... - How to take a respiratory history
• How to do the Respirat... - Understanding the techniques of the respiratory examination
Performed by Dr James Gill
------------
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 recognised standard textbook for clinical skills.
Some people may experience an ASMR effect from watching medical clinical examination videos
#clinicalskills #respiratoryexamination #DrJamesGill #asmr
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
00:24 - Examination of Hands
00:58 - Pulse Check and Blood Pressure Measurement
02:33 - Neck Examination for Swelling or Lumps
03:36 - Chest Examination
04:24 - Listening to Chest Sounds with Stethoscope
05:07 - Back Examination and Breathing Test
06:17 - Conclusion
“Any problem with that?”
“Yes actually”
“Splendid”
Imma be that guy
The vest enhances his power.
FANTASICK waist coat
Without the vest, an ordinary, soft spoken medical practitioner. But when he puts on the vest, he becomes... Putapitapaper Man! Protector against the evils of Double Vision and Lumps and Bumps.
Increases his power level to over 9,000!
The clothes don't make the man, he is just really in-vested.
I would like this comment, but I'm not gonna be the one to break the 420..
The Unintentional King of ASMR 👏🏼
I just thought that lol
You mean The King of Unintentional ASMR.
SnorgonOfBorkkad nope... the unintentional king... he never meant to fall down this rabbit hole 😂👏🏼
The unintentional king of unintentional ASMR
Or intentional
That reupload though.
3:38 has gotta be a world record for shirt removal.
The other guy which removed it from the side was very skilled
Gabriele Simionato the shoulders examination lol
Watch shoulder examination guy
he was ready ;)
That was actually his 1st layer of skin.
That Skeleton in the back is like “you guys gonna ignore me the whole time?”
He may actually have a role in a video yet!!
I didn’t even notice it until reading this comment!
He’s like “HEY MY SHIRT IS ALREADY OFF!”
Dr James Gill the skeleton may have an issue with muscle wasting. Has he been examined? 😁😁
All he wanted was a lil attention
Dr. Gill lookin like a snacc in that vest
oO VioLindsey Oo He’s a snacc who prevent heart attacc
Vest wearing snacc, preventing heart attacc, checkin lungs and bacc.
Pardon my vest breath.
oOEarlGreyAllDay Oo it’s a waist coat not a vest 🥴
All I know is I‘d smash
Oh my gosh I can’t believe you are still doing these! I’m so pumped
4k is not to be sniffed at!! Although the grey stands out more!! 😳
Charles V, Holy Roman Emperor Totally agree! Second night in a row watching his videos. I need more videos like this and longer please Dr Gill
@@DrJamesGill, I quite like the look of the waistcoat you’re wearing as it compliments your physique. I find you to be an extremely handsome man with the perfect body, face, eyes, hair, voice, and temperament. I felt particularly compelled to write this as it is seldom in life we see a person with every feature so matched to our minds ideal.
I'm upset that he didn't #PutAPitOfPaper on him!
But glad your back with a new video Dr Gill...
Bianca Liddy real talk😂
Another t-shirt removal world record attempt... where does Gill find these people
This dude stayed up every night for a week leading up to this exam practicing getting his shirt off like that
3:39 when you've been training for months and your crush enters the room
That shirt came off so fast.
The vest makes more than shirts come off.
I was like, how fast for there to be comments. Then I got to that part of the video. Yup, fast. 😂
Nick Allen loool
I was just thinking that. Someone has a lot of experience getting his shirt off quickly. Maybe he should audition for the next Captain Kirk--there's a striking resemblance. :D
At 3:35 I like to imagine they cut it off cause he said "thats fucked"🤣
0:24 "yup, those are definitely hands"
Highly anticipated and wanted, the Macleod’s Clinical Examination practicals have now entered the 4K region of the Internet. Well done as always, Dr. James Gill. Brilliant!
I wish doctors in the USA did this. This seems to fall under the preventative medicine category. These type of exams only occur when there is a problem!
Actually I remember I used to get very similar exams when I was younger, haven't been to the doctor in a while though so idk.
“These types of exams only occur when there is a problem.”
Umm, duh. Why would a physician waste time examining your respiratory system if you told him your ear ached?
@@lars1296 because both are linked by your sinuses
@@lars1296 Medical problems occur with little to no obvious symptoms.
Occasional check-ups are done so as to not let them go undetected and worsen, potentially to the point of being untreatable.
As an example, one life-threatening illness that should be checked for regularly is cancer, particularly from the 40s onward because that's the age range most cancer occurs in - with a _very_ high prevalence.
There's an adage about this - "prevention is better than a cure".
I need this in a 30 minute loop.
Jaclyn Rachelle if you’re on a desktop computer you can right click on the video and a menu pops up one of them says loop video. And it will loop that video until you click another video or exit the browser.
Hey beautiful...
how u doing !!!
Wanna have coffee together
@@gta52010 gadão internacional
@@CarlosSilva-zu3zg imagina literalmente usar uma foto do coringa e chamar mulher nos comentario de um video relaxante de exame respiratorio pra tomar cafe achando q isso algum dia daria em alguma coisa
My only recommendation would be to take the extra minute and
normalize the audio levels. The transitions will be smoother and
the experience even more enjoyable.
Arturo Arroyo idk why I find it better when the audio goes up and down lol. But I understand what you mean
Guys at warwick are definitely excellent in T shirt removing....
Classic. Real good routine that ticks all the boxes. Excellent medical performance.
Awesome! Could watch a full hour of this!
When will you make an entire head-to-toe assessment in one video? It would be the best video ever ! 😊🙏
bro this guys physique is what i’m aspiring for at the gym
He's a babe
So much love for the Dr Gill videos, what a gem you are! I want us to be friends 🤣
" Hello, the names Gill, Dr. Gill. "
What’s the difference between medical and clinical? And why would Dr Gill have the patient say “one, two” and not “ninety-nine”?
"Ninety-Nine" is a mistranslation. Vocal fremitus was discovered by a German Doctor. The sounds transmitted through the lung changes if there is a consolidation (eg infection). The best way to check for vocal fremitus is to ask the patient to say a word which is a diphthong, ie has low tone vowels.
In GERMAN, where the discovery was made, "Neunundneunzig" (ie German for ninety-nine was used) is a diphthong.
The PROBLEM is the translation, as "ninety-nine" is NOT a diphthong, so technically gives inferior results for the examination, so "one-two", "balloon", or "toy boat" could be used in English
This is one of my favourite misnomers in medicine
- and YES I am that much of a geek!
Dr James Gill I learned something new today. Thank you
@@DrJamesGill That is why Dr G is the daddy of them all 👍
@@DrJamesGill could you do a video talking about these interesting things we will never know unless you enlighten us? I was amused learning that!
I want to go to a medical school where Dr Gill is the professor and he teaches every class.
The master is back!
How elegant is that vest and shirt? Doc always amusing us, be it with knowledge, asmr or style. Hugs from Brazil again!
3:34 "That's f*ck*d"
Wtf yo tambien lo escuche
Hahahahahaha... I literally just noticed that and I was about to comment that... 😅😅
So amazing, James. So good for ASMR.
Doutor Gill sempre trazendo felicidade pa nois
Bravo questo dottore molto professionale ottimo medico 👍👍👍
I think if you did videos teaching about medicine or medical history or anatomy and physiology it would make amazing asmr!
THE AD FOR THIS VIDEO WAS ASMR AND I COULDN’T BE HAPPIER
Dr Gill is awesome.
I am going to pass medical school without going to a single class because of this channel
The most relevant clinical examination I’ve ever come across….. thumbs up Dr Gill… just never stop making such knowledge full videos for us. Thanx a lot
Glad it was helpful!
That guy on the right doesn't seem on his best day, though.
underrated comment
Hes looking a little boned.
Record time, Dr. And classy as always.
Can you make this gang sing with your hands? Terrific! Welcome to the clan!
Navy Suit for war ✔️
established
Half an inch excess
🤣🤣🤣🤣🤙🏻
Thanks for this video and the time and effort that went in. But, when you examined the back, you palpated for chest expansion last and tested for vocal fremitus after auscultation for breath sounds. Perhaps after ausc, you might have instead auscultated for whispering pectoriloquy.
This is random but I have really bad health anxiety bc my dad was always super sick but whenever I watch your videos it gives me comfort cause not only do I learn more about the body but it also reminds me of being taken care of by doctors and that’s comforting lol, so thanks :)
I dunno if its gonna be weird or not but i am proud of You! :DD
@@-_Fawi_- this is why I like the unintentional ASMR community. it's so nontoxic.
Thank you.
I'm calling it, this is gonna reach 1,000,000 views by October 11th.
October 11, 2021
A smart lad is what you are !
He's perfect...😍
Now that I am half way through didactic I get everything in the video, other than how this guy takes his shirt off so fast, despite all the guys in my class none of them can do that.
Also love your videos, helped solidify my decision to go into medicine
i guess it must be hot to watch boys taking their shirts off constantly
Legendary
I also like you wearing the suit vests.
They become you. 😊
Recommended during the respiratory illness of COVID-19... hopefully this ASMR will calm any anxieties 😅
Thank u doctor it's useful for me now ❤️
Glad to hear that
Dr gill you are soooooo clever loving the waistcoat
I don’t think even dr gill was prepared for the smoothness of the shirt removal
"And can you show me your undertaker eyes?"
3.30
"Splendid"
Excellent video
Thanks
👍
Dr Gill: " is there any pain? ".
Me: " not anymore "
Dr Gill: " splendid, now take of your top! ".
Me: * paralysed by sensory overload *
1:10 when you ask a customer service representative to speak with her supervisor .
am the skelton on the back still waiting for her supervisor .
🤣🤣
A clean bill of health from Dr. Gill: "perfect."
I want a supercut of Dr. Gill checking for lumps and bumps.
I enjoy watching your videos and useful for my work
Thanks. I hope they are helpful
What do your work?
@@DrJamesGill I work in a NHS hospital
None of those comments prepared me for how smooth that shirt removal was HAHAHAH
I have pulmonary testing coming up for asthma in the cardiopulmonary department of a local hospital in Canada. Should it be expected to get an exam like this?
terrific
👍
Still the best
I enjoy your videos for many reasons,but I have no idea of medicine so I would like to know what are you looking for in each exercise...for example when you look the fingers,what symptoms are you looking for,what answers do you expect...which connetion is there with the respiratory system...Thank you!
We specifically left that out in these videos so they can be used in various teaching settings
I would guess it has to do with the blood vessels under the nails. Blood must replenish the nails quite quikly after you squeeze it out. But I am no doctor.
Aída Pinazo when he looks at the fingers he’s searching for anything out of the ordinary like cyanosis, fingers clubbing; that would say there’s respiratory problems. When he presses the finger he’s checking the capillaries refill
@@EmbeRobin thank you so much!
Aída Pinazo no problem! I would love to explain the others as well but I’m kinda busy with college atm, I hope you find more answers and understand more💓
While everything is important, I think new procedures have been put in place to advance the process of the respiratory exam. Perhaps, only using this method for those that exhibit respiratory distress in the non emergency setting.
I know this is an older video (hehe i always go back to it for the epic unintentional asmr :)) )... but i have a question, Dr. Gill:
So... i recently did a CT scan and, amongst other things (aka lymphoadenopaties - on my neck, armpit and groin) it said that i ALSO have those bad boys in my lungs (which makes sense with my shortness of breath).
My question comes from a place of curiousity.
~ Q ~
Would there be any possibility that a non-invasive respiratory exam (just like this one you just performed) could detect lymphoadenopaties in a patient's lungs?
~ ~
Tyy for taking the time to read this, and thank you for the awesome videos and the awesome vibes :))
Mmmm...
A much more edited video, with different shots.
Cool.
1:00 thought the video was loading. Dr Gill turned full manikan on me🤣
Very useful for med school
Thanks a lot
That's Fine
Wersow ekpa czynom kwiaty pisekie ❤❤❤
Dr. Gill to me always sounded like the nemesis of Aquaman
sweet and beautiful guest! 😋😁😘
4:06 Can you explain the purpose of tapping over the chest? 5:10 and again across the back?
El ASMR hecho leyenda
How would you change the examination for a patient with a bra/breasts? Would you position your hands any differently? And would you need extra consent or to give more clarification of what you're doing before examining that area? Thank you for the video!
yes yes and yes. 100% on further consent, and as a chap, I'd get a chaperone in
@@DrJamesGill thank you for your reply! Do you ever plan on doing videos that have these changes? Just curious :) thank you for making these videos!
Nora Popadopalous maybe, but it’s a long way down the job list
I must have the laziest Dr's in the world here cause I literally have had no Dr do any of the things I have ever seen on youtube lol. Like ever. I need you as a Dr lol
These are the complete examinations. It’s not often that every part is needed.
@@DrJamesGill Oh I understand that, but I never get examined for anything and not cause I shouldn't or don't need it. I could be hacking up blood and its like I might get a blood test done or something that's it. I also either don't get any results back or they are always fine, But I am not fine. I actually recently had surgery and was on medical leave for 23 days because I am perfectly healthy and fine. Saw 3 specialists 6 Dr's in total (2 of the Dr's I saw twice) nobody could tell me what I had, how to solve it, if it could be solved. What caused it. I was told I didn't need surgery, I did need surgery, it was optional if I had surgery. It wouldn't kill me, could kill me in long run. Last Dr said " I wouldn't want to live like that" or "I wouldn't want to live with that" Feb will be 2 years since the beginning of dealing with it all. Oh also I was in so many words told surgery may or may not resolve all my issues lol. I was told after surgery oh you "should" be ok now. SHOULD BE. I guess nothing in life is definite but damn. I am luckily a lot better but as of now its a waiting game to see if I will be good in the long run because I have 0 idea cause they either had 0 idea or didn't care to tell me and they certainly didn't try to figure anything out or do anything.
sighs
Sorry for the rant. All this was needless to say that you and other Dr's online seem to care more and be much more thorough then any Dr I have EVER come in contact with.
@@DrJamesGill Thank you for the response you really didn't need to take the time to respond to me.
He's perfect and dress perfect as well...
Nah. Just lazy. Waist coats mean you only need to iron the sleeves 😉
Maciczak hopak czynom kocham badanie kwiat ❤❤❤❤❤❤❤❤
YAAASSSSSSS
Super
I suddenly feel sick, I need Dr. Gill 😰
Why do we need to take the blood pressure twice ... one with stethoscope ?
How do you do percussion so that you’re able to get a resonant sound? Are you tapping on the fingernail or DIP? When I practice on the lungs I’m unable to get a good sound
We’ve just done a video trying to help answer that question
This might help 😊
ua-cam.com/video/vejDpudjaio/v-deo.html
I see the muscle shirt came in today. Muscles coming tomorrow?
Dr Gill! What are those lumps/bumps called in someone’s neck, cheeks, chin and back of their head?
Lymph nodes I think you mean
Hello Dr Gill. Quick Q....
Is this COVID stuff preventing you from doing more videos for the moment?
Steve Humphreys completely
Is it weird Im currently watching this as a respiratory inpatient in hospital?😂 Is it weirder that im wondering why I've never had this full exam (severe asthmatic) and only parts of it? Never had the neck thing but pretty much had everything else🤷♀️😂
These examinations are for the gold standard, and the education of students.
A little how you learn to drive one way, but often people will end up taking shortcuts as they become more confident driving.
I know one doctor - Professor at UHCW - EVERY case is like watching him do formal examinations. He hits every note, every time.
Interestingly enough, he’s respiratory too!
@@DrJamesGill OMG thank you so much for replying!!! That's so cool!!! I love watching the videos and seeing how the full examinations would be done its really interesting! :)
Any double vision?
3:38 - how long do you think he had to practice that?
Martą ekpa kocham bardzo czynom ❤❤❤❤❤❤❤❤❤
the guy standing in the back just overdosed on dr gill's live asmr
He starts tapping his chest and, for some reason, Ozzy Osborne pops into my head... *Lack of sleep intensifies*
Crazy train.
Maybe you're Flying High Again.
Need this exam
Whats the purpose of looking at the hands and doing the hand movements. I'm curious to see what its for
We have a video to answer that question 😊
The respiratory deep dive, covers all the steps we go into, and crucially why
ua-cam.com/video/oZR-f5aBS00/v-deo.html
I have noticed in these exams that the guys are either skinny or muscular. Do big guys not exist to get a medical exam or is that a different channel. Just curious....
maybe a video about respiratory issues and imv
That is coming.