Upper Limb Neurological Examination - OSCE Guide (old version) | UKMLA | CPSA

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  • čas přidán 17. 06. 2024
  • We now have a NEW and UPDATED version of this video: • Upper Limb Neurologica...
    This video demonstrates how to perform an upper limb neurological examination in an OSCE station including assessment of tone, power, reflexes, sensation and co-ordination.
    You can access our step-by-step OSCE guide to accompany this video here: geekymedics.com/upper-limb-ne...
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    Chapters:
    - Introduction 00:00
    - General inspection 00:32
    - Tone 01:22
    - Power 01:41
    - Reflexes 03:13
    - Light touch and pin-prick sensation 03:42
    - Vibration sensation 04:46
    - Proprioception 05:19
    - Co-ordination 05:52
    - Summary of findings 06:44
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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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Komentáře • 202

  • @AhmedHassan-yw6jh
    @AhmedHassan-yw6jh Před rokem +108

    bro gained all the med knowledge by gazing into the soul of the medical student

    • @xerzeke
      @xerzeke Před 8 měsíci +2

      My thoughts exactly. 😂
      The stare is ambitious.

    • @michigan1085
      @michigan1085 Před 6 měsíci

      because the med student was staring at him to check for scars, involuntary movemnts, etc for a long time... must be so awkward for the patient, especially with your shirt off

    • @aaronlubunda1102
      @aaronlubunda1102 Před 2 měsíci

      😂😂😂

  • @Koo-pw7yo
    @Koo-pw7yo Před 5 lety +899

    I'm so glad even after 4 years the comment section is still alive and so is the chemistry between them lol.

  • @chatsash36
    @chatsash36 Před 5 lety +725

    Looks like the examination started mid-day and ended late-evening. What a patient patient.

    • @yehheapsmadaybut
      @yehheapsmadaybut Před 8 měsíci +5

      That was to test orientation to time and place. You've passed, congrats.

    • @Boramianvella
      @Boramianvella Před 8 měsíci

      ​@@yehheapsmadaybut😂😅

  • @hellolmnop318
    @hellolmnop318 Před 3 lety +188

    I felt as if I was third wheeling rather than revising

  • @almosawi90md
    @almosawi90md Před 9 lety +1481

    Man they must have a great gym at their university .. everyone is bulked up!

  • @flissford5994
    @flissford5994 Před 2 lety +247

    wish someone looked at me the way patient was looking at Dr😩

    • @mckenzielangendorf1437
      @mckenzielangendorf1437 Před rokem +16

      Lmaooo Im pretty sure I’ve seen this video before, but I didn’t remember the *tension* and noticed somebody’s comment and I was like huh rly? And then this dude didn’t take his eyes off the dr and I was like lmaoooo u rite 😂😂

    • @kaysmith8992
      @kaysmith8992 Před rokem +20

      I cannot unsee this and now I cannot concentrate on the ASMR 😂

    • @NojusEmperor
      @NojusEmperor Před rokem +7

      Well the doctor is cute so you can’t blame him!

    • @mglivwinamanimaran8529
      @mglivwinamanimaran8529 Před rokem +1

      😂😂😂😂

    • @let.me.go321
      @let.me.go321 Před 11 měsíci

      ​@@kaysmith8992what is ASMR?

  • @keabetswemolelekeng8357
    @keabetswemolelekeng8357 Před 8 lety +558

    I think he should always be examined

  • @drhameedullah8299
    @drhameedullah8299 Před 2 lety +78

    Its always great to come here years later when u have another clinical exam coming up 😌

  • @watanmohammed9021
    @watanmohammed9021 Před měsícem +2

    Can't believe this is 9 years ago ! Congrats for the great work

  • @danspitalnik
    @danspitalnik Před 5 lety +60

    I don't know what I'd do without you guys.

  • @pinksfan93
    @pinksfan93 Před 9 lety +547

    1:47 "We both know there is no way you are going to win this." Hahah thanks guys awesome video! :)

  • @725776
    @725776 Před 3 lety +70

    The chemistry between them thou :D

  • @deb3386
    @deb3386 Před 7 lety +223

    Great video, just some additives:
    - Ask about any pain in the shoulder, elbow or wrist before testing tone.
    - Look specifically for carpal tunnel and ulnar decompression scars at the wrists and elbow
    - May be good to add in functional power (pincer grip, aswell as getting them to undo a button etc)
    - With joint position sense (proprioception), the movements should be much smaller, almost discernible, otherwise you won't pick up a subtle loss.
    - Finger-to-nose test is debatably better than dysdiadochokinesis at detecting and distinguishing between coordination/ functional pathology, but I always do both.

    • @hirogaru346
      @hirogaru346 Před 5 lety +6

      Whoah, these are some good additional to that examination, Thanks!

    • @renevener
      @renevener Před 4 měsíci

      At the beginning, he asked for pain.

  • @LINHLE-md1yy
    @LINHLE-md1yy Před 7 lety +53

    Why do some people dislike videos ? It's very important for examination in the clinical . Thanks Geeky Medics very much

  • @inayatullah6940
    @inayatullah6940 Před 3 lety +11

    Perfect! Brief and nice explanation! Thank you for making it easy!

  • @Alghamdiim
    @Alghamdiim Před 2 lety +13

    That look on harry’s face when he overpowered the examiner in almost all power tests

  • @anonymouswanderer8278
    @anonymouswanderer8278 Před 3 lety +4

    My lecturer didn't mention this in class. Thank you!

  • @brandonpershin3923
    @brandonpershin3923 Před 9 lety +10

    So glad you guys are back

  • @shaikhsufyan8004
    @shaikhsufyan8004 Před 8 lety +13

    You guy's have an awesome technique, can you do an explanatory video & some marking scheme stuff, so that a student should know which steps usually mean A-lot as far as marks are concerned.

  • @tinamcgui
    @tinamcgui Před 4 lety +2

    Very much appreciate you all setting up Geeky medics and these videos. Thank you.

  • @rahulzalte8933
    @rahulzalte8933 Před 5 lety +32

    We all remember these guys right before our exam.

  • @katepeiyinzhang507
    @katepeiyinzhang507 Před 9 lety +7

    Thank you for the concise video :)!!!

  • @Dhminyou
    @Dhminyou Před 8 lety +8

    You are doing great job..thanks

  • @dipaksatapara4101
    @dipaksatapara4101 Před 3 lety +4

    Very informative and helpful video sir.
    Thank u !!

  • @britisley9921
    @britisley9921 Před 9 lety +20

    That new intro,though!thanks for the vids,guys!i use them for asmr and the gf uses them for her nursing clinicals

  • @dramina2326
    @dramina2326 Před 6 lety +8

    Tons of thanks guys. You are brilliant!

  • @ekaterinashul3194
    @ekaterinashul3194 Před 7 lety +3

    So much thanks for you, guys!)

  • @xxxx-xs5vr
    @xxxx-xs5vr Před 6 lety +5

    THANK YOU SO MUCH YOU HELPED ME ALOT

  • @alexigredibbo7899
    @alexigredibbo7899 Před 8 lety +18

    Very nice, I am hoping all this will help me with my PLAB2 examination lol. Thank you guys for providing all these very beneficial videos. Great job.

    • @Nordic_Scandinavia
      @Nordic_Scandinavia Před rokem +1

      Did the exam go well?

    • @halfdoc97
      @halfdoc97 Před 5 měsíci

      lmao the dude's probably in specialty training by this point😂@@Nordic_Scandinavia

  • @mudancadehabito21
    @mudancadehabito21 Před 4 lety +2

    So relax! Thanks for the vidro

  • @azibzn6741
    @azibzn6741 Před 4 lety +2

    Wonderful skills and presentation easy to learn

  • @afrii01
    @afrii01 Před 9 měsíci

    I learnt more than upper limb neurological examination from this.

  • @MzChellamz
    @MzChellamz Před 7 lety +130

    that gaze though!

  • @rahafmishal4593
    @rahafmishal4593 Před 5 měsíci

    thank you for your work

  • @mwv9802
    @mwv9802 Před 8 lety +95

    Another heart exam video, maybe with this patient guy? ;-D

  • @inasali2235
    @inasali2235 Před 8 lety +5

    Peeeeeeeerfct 👏🏻👏🏻👏🏻 thnx alot alot 😇😇

  • @dodododo-gs2el
    @dodododo-gs2el Před 8 lety +5

    thanks alot.. you are greatly help me... I'm from iraq

  • @mariammalaa6624
    @mariammalaa6624 Před 7 lety +2

    Very useful video ..... thank you

  • @shsh1373
    @shsh1373 Před 5 lety +2

    Wonderful learning video. A friendly comment that the medial aspect of the forearm is T1 and the medial aspect of the arm is T2.
    Cheers

  • @stephaniemonreal9215
    @stephaniemonreal9215 Před 3 lety +7

    I hope that I can experience that kind of session,

  • @xubi2432
    @xubi2432 Před 5 lety +1

    Brilliant work

  • @benreinders3991
    @benreinders3991 Před 8 lety +5

    Hi - when you are checking for past pointing is the doctor meant to keep their finger in the same place throughout the test, or move it and see if the patient can still touch their finger and follow the movement?
    Thanks very much for these vids - they're really great!

  • @binary964
    @binary964 Před 8 měsíci +1

    don't mind me i'm just binge watching all videos on your channel to refresh my memory

    • @geekymedics
      @geekymedics  Před 8 měsíci +1

      Welcome back dear friend. We’ve missed you. 😂

  • @TheHotpinksarah
    @TheHotpinksarah Před 7 lety +3

    Great video, thank you for your help xoxo Sazzles out

  • @DrDinooshDeLivera
    @DrDinooshDeLivera Před 5 lety +3

    Thank you!

  • @raghdaadnan7229
    @raghdaadnan7229 Před 7 lety +2

    thanks alot, , nice examination

  • @Counterbalance_
    @Counterbalance_ Před 9 lety +2

    Brilliant!

  • @MrDiasJoana
    @MrDiasJoana Před 6 lety +1

    great assessment

  • @DrAdilRamzan
    @DrAdilRamzan Před 7 lety +177

    reference: 06:16 ............. the examiner shouldn't move his finger when the patient's finger is moving toward the examiner's finger, the examiner should change the position of his finger when the patient is moving his finger towards his nose.

    • @Hijazi44
      @Hijazi44 Před 5 lety +5

      Can you further explain why he shouldn't ?

    • @jamescrompton541
      @jamescrompton541 Před 5 lety +2

      It defeats the whole purpose of a test of co-ordination. أحمد حجازي

    • @gabrielesimionato1210
      @gabrielesimionato1210 Před 5 lety +38

      Because you want to assess a neurological issue. This exam is to check patient's ability to aim a target without overshooting. If you move the target when he is trying to reach at it, it could be a sight issue, not a neurological one.

    • @Timecapsule96
      @Timecapsule96 Před 5 lety

      Curious, but how does one go into this profession? (Neurology)

    • @MrAlexmercer94
      @MrAlexmercer94 Před 5 lety +8

      @@Timecapsule96 medschool

  • @hasananjum1493
    @hasananjum1493 Před 7 lety +1

    very helpful thanks

  • @percivalacosta4742
    @percivalacosta4742 Před 5 lety

    Very nice explanation

  • @michaelkks
    @michaelkks Před 9 lety +260

    Handsome guys!

  • @chuckchuck5239
    @chuckchuck5239 Před 5 lety +91

    At 1:40 , what's that look for ?????

  • @SF_5
    @SF_5 Před 5 lety +1

    Great video

  • @EsraaMohamed-qm6qi
    @EsraaMohamed-qm6qi Před 5 lety +2

    Awesome. ❤️❤️❤️❤️❤️

  • @Eishah_Abdullah
    @Eishah_Abdullah Před 3 lety +1

    Amazing 🤩

  • @ronaldouk1
    @ronaldouk1 Před 8 lety

    Awesome video...

  • @jamiuadebiyi6778
    @jamiuadebiyi6778 Před 3 lety +3

    This is a very resourceful video on cranial nerve examination

  • @nishadevi922
    @nishadevi922 Před 4 lety +1

    Thank you doctor it was very helpful

  • @thesoloist2501
    @thesoloist2501 Před 7 lety +1

    Thanks

  • @nilakhan6506
    @nilakhan6506 Před 7 lety +1

    THANKS

  • @mrs.khadidja9152
    @mrs.khadidja9152 Před 2 lety

    Thank you so much

  • @myopinion418
    @myopinion418 Před 7 lety +109

    This guy's been bulking

  • @frankyfurbo1054
    @frankyfurbo1054 Před 3 lety +1

    AWESOME :)

  • @terraflames7809
    @terraflames7809 Před 5 lety +3

    *Definitely yes*

  • @user-pi2fr2ve2s
    @user-pi2fr2ve2s Před 10 měsíci

    Nice summary

  • @user-kj8zp1jz6o
    @user-kj8zp1jz6o Před 10 měsíci

    Could you do a video about pupil examination with a neurological pupillometer?

  • @homer9601
    @homer9601 Před 5 lety

    thank you

  • @MySHINeeAWESOME
    @MySHINeeAWESOME Před 7 lety +78

    shirtless dude !!! *crying inside * lol

  • @wholeNwon
    @wholeNwon Před 8 lety +28

    Perhaps the examination should begin with observing arm movements as the patient walks into the room.

  • @nebitnoime1377
    @nebitnoime1377 Před 7 lety +203

    Its 2Am how did I got here?

    • @amtm5645
      @amtm5645 Před 7 lety +1

      Please don't tell me you're a medic!!

    • @nebitnoime1377
      @nebitnoime1377 Před 7 lety

      Am Tm After This Video I Don't Know 😂

    • @amtm5645
      @amtm5645 Před 7 lety +1

      😂 😂 😂 😂 😂 😂 😂 😂 😂

    • @TrueMadness95
      @TrueMadness95 Před 5 lety

      Nebitno Ime 2:02 am here and wondering the same question

    • @theelders8413
      @theelders8413 Před 5 lety +1

      It's 3 AM here, buddy. I'm equally as confused.

  • @TheDzenie
    @TheDzenie Před 8 lety +1

    love it

  • @rawan9557
    @rawan9557 Před 7 lety

    fantastic

  • @jkrabby607
    @jkrabby607 Před 7 lety +1

    excellent

  • @duaasolyman6449
    @duaasolyman6449 Před 2 lety

    Awesome 👍

  • @user-nt2cx6vw3t
    @user-nt2cx6vw3t Před 4 lety +1

    Thankss

  • @etomidateem222
    @etomidateem222 Před 4 lety +23

    hahaha they only recorded the "thank you" part late in the evening. You guys are hilarious :)

    • @geekymedics
      @geekymedics  Před 4 lety +35

      These video shooting sessions often take many hours, all in the quest for creating something useful for you guys!

    • @etomidateem222
      @etomidateem222 Před 4 lety +6

      @@geekymedics gotta love the dedication !

  • @28loss
    @28loss Před 4 lety +4

    Love the seagulls at 3:02

  • @kabosi3693
    @kabosi3693 Před 8 lety +78

    its easy in video but hard in the osce 😆😆

  • @azeemdar5688
    @azeemdar5688 Před rokem +1

    What about reinforcement for reflexes?

  • @DarkSoul6484
    @DarkSoul6484 Před 6 lety

    Hi,
    I wanted to ask please: why do you need to test for both proprioception and vibration ? both of them are from the same spinal tract. Thanks

  • @fasogeeek
    @fasogeeek Před 5 lety

    what year do u learn this in? we do in 2nd year

  • @DoDo-fp4rc
    @DoDo-fp4rc Před 5 lety +1

    Thank you .. nice good vid

  • @mostafayousef8051
    @mostafayousef8051 Před 7 lety

    very good man...Amazing with nerve Supply but where are the periphe Nerves Ulnar und Radial ??

  • @bipulprasadray5495
    @bipulprasadray5495 Před 2 lety +5

    I think youtube should be thanked and bowed more than med schools as youtube help much more than them

  • @aidenfootball5754
    @aidenfootball5754 Před rokem +3

    the eye contact

  • @terka._.2819
    @terka._.2819 Před 5 lety +5

    He looks like Nathan Drake 👏👏

  • @michaelbohuskimhc
    @michaelbohuskimhc Před 5 lety +7

    Anyone else notice it gets dark outside and then light again over the course of the video

  • @Yemenjapan
    @Yemenjapan Před 8 lety +20

    5:09 that was painful

  • @miljenkopopovic6604
    @miljenkopopovic6604 Před 6 lety +2

    Super

  • @dreyxd5245
    @dreyxd5245 Před 3 měsíci

    Why am I so invested in their relationship? 😅

  • @Justin-ul1pe
    @Justin-ul1pe Před 5 lety +1

    Nice

  • @DisgaeaCharm
    @DisgaeaCharm Před 9 lety +162

    Date of birth 7/34/93...something doesn't seem quite right there

    • @kristenslice561
      @kristenslice561 Před 6 lety +28

      April 7, 1993.

    • @Hudson0033
      @Hudson0033 Před 4 lety +1

      Kristen Slice it pins the DOB at Sept 3, if you push the 34. Sept 3, 1993

  • @AsadKhan-lm6yr
    @AsadKhan-lm6yr Před 6 lety +1

    Yes David!!

  • @alexiscolton3332
    @alexiscolton3332 Před 5 lety +14

    3:17

  • @anandnabhatia7689
    @anandnabhatia7689 Před 3 lety +1

    Which tuning fork should be used to test proprioception?

  • @ezymedicine6247
    @ezymedicine6247 Před 5 lety +1

    Nice systematically done examination would have been better and more complete if all intrinsic hand muscles examined

  • @freethinkr8179
    @freethinkr8179 Před 8 lety

    Trying to get the app from apple store but I get a message saying the app is being modified so no purchase possible at this time.

    • @geekymedics
      @geekymedics  Před 8 lety

      +freethinkr81 That's very odd. Did you eventually manage to download it? We've not heard this issue from anybody else

  • @ashrafkhalil5805
    @ashrafkhalil5805 Před 8 lety

    The inner side of forearm sensation is supplied by C8 or T1?

  • @geekymedics
    @geekymedics  Před 6 lety +48

    Learn clinical skills on the move and support us in producing more awesome videos with the Geeky Medics app geekymedics.com/geeky-medics-app/ 👾💉🎉