Cranial Nerve Examination - Deep Dive - Clinical Skills - Dr Gill
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- čas přidán 13. 05. 2024
- Cranial Nerve Examination - Deep Dive - Clinical Skills - Dr Gill
The cranial nerve deep dive obviously starts with cranial nerve I. The olfactory nerve is your sense of smell, over this series of videos I'll be covering what most people have asked for, additional information on:
- The normal function of each cranial nerve
- How / why any special tests are performed
- crucially what is being looked at during each step of the examination.
*****
For other cranial nerve examination explanation videos please look here:
Cranial Nerve Examination Demonstration:
• Cranial Nerve Examinat...
Cranial Nerve I - Olfactory Nerve:
• How to Examine Cranial...
Cranial Nerve II - Optic Nerve
• How To Perform Optic N...
Cranial Nerves III, IV & VI
• Cranial Nerves III, IV...
Cranial Nerve V - Trigeminal Nerve
• Cranial Nerve V: The T...
Cranial Nerve VII - The Facial Nerve
• Cranial Nerve VII - Th...
Cranial Nerve VIII - The Vestibulocochlear Nerve
• Cranial Nerve VIII - T...
Cranial Nerve IX & X - Glossopharyngeal & Vagus Nerve
• Glossopharyngeal & Vag...
Cranial Nerve XI & XII - Accessory & Hypoglossal Nerve
• Cranial Nerve XI & XII...
I'm hoping to have this whole series finished this week - it was previously going to be delivered as a single video, but I think it would be more useful for people to be able to jump in and out to the various nerves they are wanting extra information on
Keep dropping the comments, and I'm really grateful for all the improvements people are suggesting, which is helping this channel to evolve - THANK YOU
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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.
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.
Some people watching this video may experience an ASMR effect
#CranialNerves #ClinicalSkills #DrGill #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
00:41 - Patient Information
01:10 - Cranial Nerve I: Olfactory Nerve Examination
04:11 - Cranial Nerve II: Optic Nerve Examination
10:20 - Checking the Red Reflex and Fundoscopy
14:20 - Visual Fields Testing
17:20 - Cranial Nerve III, IV, VI: Eye Movements and Pupillary Responses
22:40 - Cranial Nerve V: Trigeminal Nerve Sensation and Motor Function
29:14 - Cranial Nerve VII: Facial Nerve Examination
32:50 - Cranial Nerve VIII: Auditory Nerve and Hearing Tests
35:48 - Cranial Nerve IX: Glossopharyngeal
36:54 - Cranial Nerve X: Vagus Nerves
37:45 - Cranial Nerve XI: Accessory Nerve Function
38:33 - Cranial Nerve XII: Hypoglossal Nerve Examination
39:42 - Summary and Conclusion
Dr James Gill is such a legend that his videos get likes and comments before they've even been watched
🤣
LONG LIVE THE KING
He watches it before he uploads and approves of his own work.
@@DrJamesGill en donde donde se está está escribiendo
James gill is to medicine as what James bissinette is to history
Congrats you've made the BEST cranial nerve examination on CZcams. No one so far has been able to actually show CLEARLY the pupil constricting and demonstrated it so simply.
Honestly I wasn’t too happy with that demo, but perfection can be the enemy of completion at times.
@@DrJamesGill 9kmkkkkkkkkkkkkmkkmkkkmkkmkmmkmkmkkkkkkmkkkkkkkmkkmkkmkmkkkkkkkkkkkkkkkkkmkkmkmkkmkkkkkmkkkkkkkkkkkmkmkkkkmkkkkkkkkmmkkmkkmkkkmkmkmikmkkkkkkmmkmkmkkkkkmmmmkkmkkmkkkmmimmmkmkkmmimmmikmmkkmkkkmkmkmmiimkkkkkmiijkimmmkmmmkmmimkkmmiiimikikkkkkmmmkkkkmkmikmkm8imkkmkm8jmimkmkmk8mmm8mmiiimimkmimmmmjkkmimim88iimmkmmmimmmm mmm kmkmiimmmii.muimiiimkiikmimiimmkkmikmii kk mm8immm8jikkiim8umikmikmimiiimmmikmmiiimmmmimikiiimikiki8mkmmkikmkiimi8m
@@DrJamesGillwell said. Almost always true
he didn't apologise for his sandwich breath
@DrJamesGill Don't let perfect be the enemy of Good.
I'm not a med student, but I can just listen him all day😊 what a smoothing sound😊
i use him for asmr to go to sleep sometimes
*soothing
Ce faci 11:00 bună 100 1
@@antusgabor Don't be that strict, wo/man.
Soothing and smoothing.
smooth verb (REMOVE PROBLEMS)
[ T ]
to remove difficulties and make something easier to do or achieve
(Cambridge dictionary)
@@antusgabor You forgot to correct 'listen TO' 😉😝
My father had a severe head injury in 2018 after falling off a roof head first. Luckily he survived but completely lost his sense of smell. Since watching your initial video on this test it all finally made sense. Thanks Dr Gill!
Is your father Clark Griswold?
@@greglinski2208it can be, yes..
But he can still differentiate taste between sweet, salt, bitter...?
My dad also had a head injury after being knocked down by a car. Totally lost the sense of smell.
He couldn't taste his food properly, didn't like it. He'd literally have a conversation whilst adding salt n pepper to his food. It would be a layer of salt n pepper you could barely see food underneath. Couldn't really identify sour. Hadn't liked spicy food but would add chilli flakes in a layer too. Said he could barely taste it with that much salt/pepper/chilli on there.
I'd never quite understood how he'd lost the entire sense....but now I get it!!
It's 1.15am
I cannot sleep
But Dr Gills vids
Are like counting sheep
Or back from one hundred
With a face full of gas
Soothing smooth voices
Help one to relax..
Doctor Gill drops a 40min long cranial nerve examination and I'm excited because my amsr addicted brain will be able to sleep easy tonight 😚
An absolute LEGEND! …for those of us with insomnia & need good quality ASMR 😂🙌
I actually get much from these videos. I'm not in the medical field, but I love learning. I've also noticed the manner in which I speak with people has started to sound reminiscent of Dr Gill. It puts people at ease when they know you are interested in their comfort and well being by your tone, mannerisms, and clear communication.
I'm currently in my neurology rotation and I'll have the practical exam in less than 2 weeks so you couldn't be more precise with this video.
Mulțumesc, dr. Gill! That means 'thank you' in my language! 😇
Good luck! Please drop back and tell us how it goes after 😊
So wholesome 😭
@@DrJamesGill Thank you so much! I will! 😇
Where are you?
Good luck Dr Jones
Not just another banger. A wonderfully long one.
Maybe Aidan Blunt will bring Dr Hollie Berry out of hiding to respond with an EVEN LONGER exam video.
Yes!
I second this
I hope so!
And maybe we can all get red in the face with a good old sandwich breath
It's been 10 years since Hollie Berry (alias?) did those vids, time flies
7:46 "Your hand stops you banging foreheads!"
^Funny, but also a super practical pro-tip! Attention to little details like that really makes this channel special. 😊
👍
With all these different videos that Dr. Gil is putting out, I’m set to graduate with a full doctorate degree in the Spring of 2023
Med student here! I’m so thankful for your videos Dr Gill!!! You explain it wonderfully, oftentimes i Find myself searching for your videos to study for tests!! Thanks so much for this awesome work!
That’s a brilliant compliment- thank you
If you have found it useful, if you could consider sharing it on one of the social platforms I’d really be grateful- plus it might help someone else 😊
Dude gets millions of views per video and only has 166k subscribers.
Just goes to show how many people don't care about actually "supporting" a channel they enjoy.
Well I just subscribed good sir.
Great content. I thoroughly enjoyed the video.
Thank you for joining us 😊
Return of the King
I appreciate the work you put into making this video Dr Gill. I can imagine how long it took to edit
She is so lucky. I wish I could get a cranial nerve exam done by Dr. Gill. I think I would fall asleep during the test though. His voice is heaven.
Having watched many different CN examinations this is the most in-depth and best explained I’ve seen.
With my dad having had 3 TIAs and people I know suffering MND it makes understanding how the medical professionals identify and diagnose.
Also extremely relaxing viewing. Well done Dr James Gill. Thank you 🙏
I’m a nurse studying clinical examination skills, all of Dr Gill’s videos give great understanding behind each system. Especially the cranial nerves. Thank you!
Great video as usual, and also, please do not ever worry about the videos being too long lol... this is what we want !
Came for the ASMR but I have to say every video I watch I learn something new as a result. Keep it up Doc your voice is divine!
i love how the edit doesnt take away from the video or bother the viewer, its quite natural
honestly, I'm a high school student who is going into engineering, but this stuff is so interesting and I have learned so much I am very appreciative of Dr James.
Engineering and medicine are overlapping fields. Look into medical device engineering or Biomedical engineering. Good luck with your studies.
- a med device engineer
I had my practical exam a few days ago and your video helped me a lot! Thank u so much doc, greetings from Mexico ❤️
I'm in engineering rather than the medical field, but I've always found these videos incredibly interesting, especially around neurological exams and the cranial nerves.
My partner has recently been diagnosed with MS so it has been really useful to have watched such fantastic teaching over time, and at least had some awareness of what her neurologist was looking out for whilst examining my partner. Thank you!
I’m sorry to hear that. Hopefully they will be able to give some good news about the type
@@DrJamesGill thank you, thankfully it's been caught quite early on (only early twenties!) and is relapsing-remitting, so we're hopeful that treatments can negate any future relapses. Just awaiting the next appointment to discuss and decide upon said treatments!
I’m not a doctor or anything, but I always finds these video very interesting - Excellent 😊
Learning is always good ! 👍
I love when these videos have open comment sections! I cannot tell you how many times I have fallen to sleep listening to this one.
Dr Gill, I'm in love with you! Your charisma, gentleness, and the most calming voice of all are out-of-this-world!
Dr Gill once again teaching us all and I’ve never been more intrigued until now
Now every time I get a runny nose I'll be convinced it's CSF because I'm weird like that
Without having seen it yet, brilliant video as always
Edit: And indeed it was, thank you Dr. Gill!
Fyi Josh - you can edit by tapping the 3 dots.
You can even edit this way *after* you have sent it -
no time limit that I have experienced …
@@snowyowl6892 There actually is a time limit. I don't know what it is for sure, but it's a good number of years, around 5 or 6 I think. In the past I've found comments that I made say 12 years ago, and when I try and edit it it doesn't let me.
@@Travis-guy-247 thanks for the info …
Btw … in numerology, the name Travis is 44. This is huge. This 3D space we inhabit has two master numbers attributed to it.
(11 & 22… k & v)
33 is more “evolved” … and 44, even more so.
“Travis” has an embedded “22” (v)
Do you know numerology ?
If not -check it out
your DOB is even more indicative …
🤗
Always makes my day when a new vid from the doc comes out. Happy monday everybody ❤
Very professional, educational, and very calming. A medical professional should always be calming and friendly towards his/her patients.
Great video! Excellent delve. Great job with editing and visuals. Also, love the vest! Very slick. 🖤
Slowly getting better with the edit !
Dr Gill, you are such an exceptional educator
Thank you! I am on placement in the stroke unit and this is very useful!
top work as always doc. you do your field justice with your passion, like so many of your fellow colleagues around the UK and the world.
And yes, also this time it was very good to follow what you were explaining. And because the way of talking about handling and points to look for it's, even for someone with little Englisch background, a great video to watch. And no, not to long.
The man, The Legend! Hope you never stop uploading these videos.
I’m actually thinking of changing some of my working week when the baby arrives, which might mean more
Cranial nerve examination AND it is featuring Megan?
yaaaaasssssss 😍
loe how informativev these deep dives are its so great knowing the why and not just the routine
Could you do an examination/explanation for myasthenia gravis. My father had this and not a lot of Doctors knew or understood what it is. It is a question that is always asked at our local hospital because of my dad.
One of the best parts of this video is just how fun the both of you seem to have at examples such as “spin around your chair for a while”. It’s contagious smiling, really lmao
Incredible work. Wonderfully explained and executed! I've learned a lot!
Glad it was helpful!
You’re always immaculately dressed Dr Gil, I’m surprised you haven’t made a guest appearance on the Gentleman’s Gazette channel.
hahaha - whilst I'm not sure I'd agree, I'm not familiar with that channel
dr gill you are the gift that keeps on giving to us. never stop making videos especially these educational videos 😁😁
I always want this kind of video from you. Showing and explain why. Thank you ❤❤❤
Amazingly in-depth! Great video 🙏🏻
If it’s been useful, I’d be grateful if you would consider sharing it 😊
And thanks to the lovely lady acting as the patient. Super interesting video!
This is very interesting, i am fascinated by clinical examinations, especially the ones from your channel
I love how informative your videos are.
Thank you. I always needed to know WHY before I could understand things. - still do
I love it when in this videos something funny happens and both the doctor and the patient break out of character for a second and have a giggle
Love the title, the hand stops banging heads- such a simple reason when you think about it
Some parts of clinical skills are lovely simplicity 😊
Thank you for this Doctor House
Maybe you are happy to hear that I have reached 2 years of being clean from opiates today!
Maybe you remember that I told you about my addiction under one of your older videos!
Hi Kazuhira
I remember is well. As I’m sure do many other people who saw and responded to the original comments
2 years is such a huge achievement! You should be so proud
What has worked for you? Any suggestions you’d give to others in a similar place?
@@DrJamesGill Fight through the bad days, embrace the good ones. And don't set your goals to high. What really works for me, is not to think in huge terms like forever, never or always. I wake up in the morning with the mindset, that I will stay clean for the day and at the end of the day be proud of what you have achieved. And this is what I do for every new day.
@@kazuhiramiller1996 cold sweats and restless leg syndrome is terrible, asmr always helped me to try and sleep
congratulations, stay strong
Dr Gill is like my fav Indian place… I just can’t stop coming back for the GOAT
This will actually help me handle bodily injury claims at work.
This is fantastic!
My favourite deep dive yet good job dr gill
Hi Dr. Gill, thank you for, as always, a fabulous video. You make the best "deep dive" videos, and have the best examination techniques. Just a question- would you test the gag reflex and taste during the glossopharyngeal nerve exam?
Not routinely no - in as OSCE you’d offer it. But we’ve asked if that patient has an issue with taste, and no issues swallowing
Don’t forget the examination is the confirm our suspicions from the history. So we’d know if we needed to test gag reflex - and as it is an unpleasant test, we don’t routinely
@@DrJamesGill fantastic. Thanks for clarifying! (Osces tomorrow) thank you so much for your amazing videos!
An interesting presentation, as always. I couldn't stop myself from laughing when he asked the patient to make faces. I would hate that part of the exam; I'd be too self-conscious. Then again, I'd have problems with many parts of the exam. I dislike being touched. Fortunately, I've never had and cannot believe that I'd never need to take this type of test.
It's all very well performing these neurological tests and establishing abnormalities but I would imagine treatment options are somewhat limited.
Not really. It depends on the problem, for example a pituitary tumour will cause loss of the visual fields, whip it out, and in many causes will resolve once pressure is removed
thanks for the amazing video!
The Doctor has a new companion! The lovely Megan 🎉
Very helpful information, thanks for sharing.
Great video Dr Gill...if someone has nerve damage that causes lose of smell, do those nerves ever regenerate?
Her eyes are bloody amazing 🤗
Thank you Dr.Gill. I would be very interested in continuing these BP series.Also what now is considered a normal blood pressure? Thank you
This is brill for my osces thankyou so much 👍
Amazing ,looking inside someone's eye with your own eye
So that's what happened to my grandfather. He lost his sense of smell after a car crash.
I’m sorry to hear that. I hope he was ok otherwise?
As someone just watching with no real medical drive I find these quite meditative. If you did a few LONGER videos, pending need of course, I would be greateful.
@Dr James Gill, can Eye Floaters be seen with this test?
Dr Gill 🤩
Big ups to Dr. Gill
👍
Great Work!!!
I always learn something from your videos, Doc. Thank you for making these!
Asmr king I love these videos. I learn something and I fall asleep
Been watching your videos for years now. I don't really know what to say..except thanks.
Hi Doc, is there any chance you can help us to understand a typical blood/lipid panel result. Never know how to read those things.
have wondered about those colour plates - the ishi haras are really cool. but i know there are a lot of others ones doctors have used through the years - are those ones now standard use by medical professionals? great video
Pretty much. Ophthalmology clinics will have even more Specialized bits though
I went to a neurologist for facial issues and they did not even do 10% of what you tested. So many doctors are rip offs & and it is so hard to find someone like Dr Gill.
It’s possible they focused on the specific issue. And to be fair, I don’t know many medics who routinely carry three different tuning forks in their bag!! I’m just a bit odd like that!
Dr Gill: *asks a question*
Patient: *answers the question*
Dr Gill: SUPER
Excellent video as always. I enjoy these on different levels, I like the asmr aspect but as a first aider I’ve found I’ve picked up a multitude of things I’ve picked up along the way to help me
Great video! My problem with hearing is a result of auditory processing disorder so it’s my brain that has the trouble processing and interpreting the sounds in a timely manner, especially in noisy environments, because I hear everything and don’t filter out background noise so my hearing is actually too good almost if that makes sense, lol. So even though I have trouble processing speech I usually pass tests like these with flying colors, fascinating stuff!
I like how he address that someone can fake the reactions and all. Some thing others dont mention much. Things Ive thought about when being tested.
It’s less that patients fake things, but more that patients want to try and help, and can lead to false positive positives
@@DrJamesGill Right. Ive done that. As I got older I learned to just give a first to mind honest reactions. Trying to be helpful I can see leading to confusion for the doctor.
You are good man james
Haven't been to the docs since 1998, don't even know if they realise I'm still alive but when I go I hope he/she is like you mate.
You’ll still be active on their system 😊
Absolutely loved it! Thank you so much doctor. ❤
Neurologic field defects respect the vertical meridian dont they? For instance a chiasmal compressive lesion will cause a bitemporal defect that will first be detected by checking the visual field on either side of the vertical , and will be missed by checking way out in the periphery. Similarly with an early hemianopia , the first defect will be noted by checking the visual fields next to the vertical meridian .
Sparing of the temporal crescent also complicates visual field testing, the way you do it. Also, small hemianopic defects caused by small infarcts in the ooccipital lobe will be missed if you test the visual fields the way you do. Therefore visual field testing should begin by checking on either side of the vertical meridian. rather than testing far out in the periphery.
That is very interesting. I’ll take this back for discussion with regard to when we review the approach to clinical skills
Is there an age limit on training to become a doctor? I've always wondered if you get mature students on your courses.
There's something so interesting and calming about James 😌💓
I have a deviated septum and my nostrils are rarely both patent . It also affects my sinuses and makes my face feel heavy.
She has the cutest smile ever! ☺️
As a reaction will the opposite eye not recieving light dialate as well?
It should do, this is the consensual reflex. We are the opposite in things like a relative afferent pupillary defect
Huh, I always thought thay wiggling the finger was INTENTIONALLY to draw the pacients gaze once said finger entered the pacients peripheral vison.
Learn sometjing new every day, especially around Dr. Gill.
What a living legend
CZcams needs a superlike button.
Nah, this is just wonderful in all aspects.
During the eye exam, am I hearing him correctly when he says that he's s looking for copper wires, is that short hand for a condition or is he joking that she may be a robot?
Copper wiring is a visual change seen to vessels in the eye associated with hypertension
The arterioles appear yellowy/orange instead of the normal red
If they become blocked, then turn white - which we refer to as “silver wiring”
About "nasal patency", what would the physician do in the case of the patient having nasal cycling (like I do)? Would you be splitting the test only testing each individual nostril as it becomes patent and then collectively assess given the information from both nostril tests?