Lower Limb Neurological Examination - Clinical Skills - Dr Gill

Поділитися
Вставка
  • Опубліковано 21 тра 2024
  • 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

КОМЕНТАРІ • 279

  • @waffleox
    @waffleox Місяць тому +1778

    The magicly appearing and disappearing socks

    • @DrJamesGill
      @DrJamesGill  Місяць тому +544

      Shhhhhhhh

    • @matthewrayner11
      @matthewrayner11 Місяць тому +47

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

    • @grf15
      @grf15 Місяць тому +14

      You beat me to it!

    • @gabrielesimionato1210
      @gabrielesimionato1210 Місяць тому +20

      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 Місяць тому +17

      I only have the disappearing variety 😂

  • @malteschaper3782
    @malteschaper3782 Місяць тому +624

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

  • @jonahblock
    @jonahblock Місяць тому +567

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

    • @LadyMephistopheles
      @LadyMephistopheles Місяць тому +98

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

    • @NewCandyCane
      @NewCandyCane Місяць тому +7

      A very pleasant side effect ​@@LadyMephistopheles

    • @bartparet
      @bartparet Місяць тому +18

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

    • @k1ng0fqu33n5
      @k1ng0fqu33n5 Місяць тому +20

      @@bartparet Indeed. Unintentional ASMR is the best.

  • @roland969
    @roland969 Місяць тому +204

    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 Місяць тому +3

      He is a real doctor.

    • @AbeLuvsTheatres
      @AbeLuvsTheatres 27 днів тому +1

      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
    @markmcdonnell Місяць тому +265

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

    • @Omni315
      @Omni315 Місяць тому +1

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

    • @turtlesallthewaydown8831
      @turtlesallthewaydown8831 23 дні тому

      The truth is out there!

  • @teddownum7428
    @teddownum7428 Місяць тому +60

    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
    @pumpkinknight5732 Місяць тому +95

    "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 Місяць тому +12

      Seems a little harsh, doesn’t it?

    • @pumpkinknight5732
      @pumpkinknight5732 Місяць тому +13

      @@smo0ve209 Science is a demanding mistress.

    • @yousra4770
      @yousra4770 Місяць тому

      You're funny ​@@pumpkinknight5732

  • @ProperSauce
    @ProperSauce Місяць тому +63

    Megan demonstrating being an excellent patient!

  • @kylegross9923
    @kylegross9923 Місяць тому +48

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

  • @Caltash
    @Caltash Місяць тому +31

    Yay our Dynamic Duo!

  • @christian7061
    @christian7061 Місяць тому +1

    Amazing work from both of you

  • @I666U
    @I666U Місяць тому +9

    Thanks Dr. G, always the best.

  • @ViceroyIcarus
    @ViceroyIcarus Місяць тому +1

    Big help! Thank you!!!

  • @brianinc9294
    @brianinc9294 Місяць тому +5

    Super Doctor, Super Patient.

  • @siriusphantom
    @siriusphantom Місяць тому +23

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

  • @jjar2561
    @jjar2561 Місяць тому +14

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

  • @timmysamecphd
    @timmysamecphd Місяць тому +6

    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?

  • @Ricodon2121
    @Ricodon2121 20 днів тому

    Very professional examination

  • @michellesupper1303
    @michellesupper1303 17 днів тому +2

    :-) the sock discontinuity is absolutely charming

  • @samir5118
    @samir5118 Місяць тому +3

    I enjoyed watching thanks dokter

  • @RockyTopSplash
    @RockyTopSplash 19 днів тому

    The purell placement is always spot on!!

  • @zoefofo7769
    @zoefofo7769 Місяць тому

    Very relaxing

  • @gtafans93
    @gtafans93 Місяць тому +3

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

  • @TenkoBerry
    @TenkoBerry Місяць тому +1

    This be Good Keep It Up Doctor 👍

  • @drivassful
    @drivassful 9 днів тому

    Here a spanish viewer! I loved ur video for relaxing and i love ur speak to learn to understand english. Congrats ^^

  • @ladynotron8304
    @ladynotron8304 24 дні тому +2

    This is one of dan shnider's favorite video

  • @StephEGroff
    @StephEGroff Місяць тому +1

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

  • @MEATHOOKMANOR
    @MEATHOOKMANOR Місяць тому +2

    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.

  • @thatleeburton
    @thatleeburton Місяць тому +14

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

  • @nnhk0056
    @nnhk0056 Місяць тому +4

    I enjoyed this field sobriety test

    • @omartorres5626
      @omartorres5626 Місяць тому

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

  • @rankinspurff3431
    @rankinspurff3431 17 днів тому +1

    Abracadabra Scooby Doo ....Holy moly...you blew my socks away

  • @markmccallum475
    @markmccallum475 Місяць тому +12

    This Roadhouse remake is different to what I expected.

  • @andyk9414
    @andyk9414 Місяць тому +5

    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 Місяць тому +2

      Check if your legs are the same length afterwards.

    • @andyk9414
      @andyk9414 Місяць тому

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

    • @ericpiacenti9610
      @ericpiacenti9610 Місяць тому +3

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

  • @palimpalim.411
    @palimpalim.411 Місяць тому +16

    magic socks✨

  • @TheTattedGinger
    @TheTattedGinger Місяць тому

    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.

  • @guilhermenunes4275
    @guilhermenunes4275 Місяць тому +1

    She's more gorgeous every video ❤

  • @benjaamin
    @benjaamin Місяць тому +3

    Nice to see Quentin Tarantino was directing this one 🤠

  • @JulyFourth1776
    @JulyFourth1776 Місяць тому +4

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

    • @DrJamesGill
      @DrJamesGill  Місяць тому +2

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

  • @Wintersky136
    @Wintersky136 Місяць тому

    Megan superenjoyed that one 😂😅

  • @rodneyboulton6410
    @rodneyboulton6410 Місяць тому +4

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

    • @ericwalstrand3512
      @ericwalstrand3512 Місяць тому +2

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

  • @ars4455
    @ars4455 Місяць тому +11

    Megan is my fav

  • @benjaminthishandleistaken
    @benjaminthishandleistaken Місяць тому +2

    This video completely socks!

  • @rebelmc33
    @rebelmc33 Місяць тому +7

    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?

  • @maetalica
    @maetalica Місяць тому +16

    Schrödinger's socks!

  • @faber_1500
    @faber_1500 6 днів тому

    I came here for ASMR now I got a masters degree in medicine after this crazy! 🤯🎉

  • @vince9292
    @vince9292 Місяць тому +5

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

    • @DrJamesGill
      @DrJamesGill  Місяць тому +8

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

  • @phils1018
    @phils1018 Місяць тому

    Gill!!!!!❤

  • @tinysnapz6499
    @tinysnapz6499 Місяць тому

    This new better call Saul episode is great

  • @vjr4763
    @vjr4763 Місяць тому +5

    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!

  • @MoefoeAhole-gy9vd
    @MoefoeAhole-gy9vd 22 дні тому

    I AGREE 😉 FANTASTIC!!

  • @EuanBCFC
    @EuanBCFC Місяць тому +8

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

    • @lolololollo5377
      @lolololollo5377 Місяць тому +2

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

    • @chrisrearick6120
      @chrisrearick6120 Місяць тому

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

  • @bennisbranch6976
    @bennisbranch6976 Місяць тому +4

    Dr. Gill! What brand are your glasses?

  • @uhejnjd
    @uhejnjd Місяць тому

    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.

  • @ilgazkeskin869
    @ilgazkeskin869 11 днів тому +1

    Perfect video for Quentin Tarantino…

  • @dmkoz1665
    @dmkoz1665 Місяць тому +3

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

  • @HighlandsLuke
    @HighlandsLuke Місяць тому

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

  • @iliutacristian8322
    @iliutacristian8322 Місяць тому +2

    The socks are a paid actor!

  • @aj_aka_alan
    @aj_aka_alan Місяць тому +4

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

  • @starfishgurl1984
    @starfishgurl1984 Місяць тому

    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 😂😂😂.

  • @shadey7277
    @shadey7277 Місяць тому +5

    I am adamant the socks thing was on purpose 😂

  • @jkk2399
    @jkk2399 4 дні тому

    She is stunning

  • @standol
    @standol Місяць тому

    Do Megan Strugles ?

  • @chadsmith1200
    @chadsmith1200 Місяць тому

    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 Місяць тому +2

      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 Місяць тому +2

      Dr James Kelly

    • @chadsmith1200
      @chadsmith1200 Місяць тому

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

  • @derrickw5204
    @derrickw5204 Місяць тому +7

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

  • @hazelnicholson
    @hazelnicholson Місяць тому +3

    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  Місяць тому

      True, forgot to record the fresh on this time

  • @mattiaspersson3846
    @mattiaspersson3846 Місяць тому +9

    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.

  • @misunderstoodcomedian947
    @misunderstoodcomedian947 Місяць тому +1

    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

  • @boskabiker
    @boskabiker Місяць тому +7

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

  • @Gooner333333333
    @Gooner333333333 Місяць тому

    What sports does she do?

  • @ProperSauce
    @ProperSauce Місяць тому +2

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

  • @luked5001
    @luked5001 Місяць тому

    Post instructional compliment final boss

  • @ShinigamiAUS
    @ShinigamiAUS Місяць тому +2

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

  • @johnbeans2000
    @johnbeans2000 Місяць тому +1

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

  • @r.h.0101
    @r.h.0101 Місяць тому

    yup

  • @yidarmy123
    @yidarmy123 Місяць тому

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

  • @samc784
    @samc784 Місяць тому +1

    Love the sock trick

  • @andrewmcdonald481
    @andrewmcdonald481 Місяць тому +8

    No sandwich breath

  • @joribremer5260
    @joribremer5260 Місяць тому

    Yerr a wizard James 😂

  • @davefeeley1
    @davefeeley1 Місяць тому +2

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

  • @datboibobby7637
    @datboibobby7637 Місяць тому +1

    “Yep. Yep. Yep. Yep”

  • @user-wv1ww6ii6s
    @user-wv1ww6ii6s Місяць тому +1

    Some say the socks are still airborne

  • @khayyamkhan7794
    @khayyamkhan7794 Місяць тому +1

    I wish I had those socks

  • @Aguseze39
    @Aguseze39 Місяць тому +4

    You are very handsome Doc!!

  • @amandajay9058
    @amandajay9058 Місяць тому +1

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

  • @eriquinhogameplays6876
    @eriquinhogameplays6876 14 днів тому

    I cant not notice the socks just getting off in one frame to other LOL

  • @canadiankid42
    @canadiankid42 Місяць тому

    "No it's not ok, Dr Gill"

  • @hugheszie
    @hugheszie Місяць тому +1

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

  • @IvanSantosMalpica
    @IvanSantosMalpica Місяць тому +1

    5:42, man, that hurts 🤣

  • @bgg5090
    @bgg5090 Місяць тому +1

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

  • @dobryisamolet
    @dobryisamolet 20 днів тому

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

  • @leee3760
    @leee3760 Місяць тому +1

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

  • @k-asmr4248
    @k-asmr4248 Місяць тому

    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.

  • @gabrielesimionato1210
    @gabrielesimionato1210 Місяць тому +5

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

  • @vjr4763
    @vjr4763 Місяць тому

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

  • @dgxxtreme
    @dgxxtreme 12 годин тому

    Shes now 27!!!
    Ima be 27 too!!
    💯🔥

  • @connorcosgrove2240
    @connorcosgrove2240 Місяць тому +1

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

    • @DrJamesGill
      @DrJamesGill  Місяць тому

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

  • @guarrand
    @guarrand Місяць тому

    Socks on, Socks off.... there is a movie in there somewhere.

  • @Vibemaker68
    @Vibemaker68 Місяць тому

    Luckily at 4:45 the space time continuum is restored

  • @seyara1
    @seyara1 29 днів тому

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

  • @mkotechno3972
    @mkotechno3972 Місяць тому +2

    Hope you find Red John soon

    • @DrJamesGill
      @DrJamesGill  Місяць тому

      ?

    • @ML-jk4dg
      @ML-jk4dg Місяць тому +2

      @@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  Місяць тому +1

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