Neurological Examination - Power, Reflexes, Sensation, and Coordination - Dr Gill

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  • čas přidán 1. 06. 2024
  • Neurological Examination - Power, Reflexes, Sensation and Coordination - Dr Gill - Clinical Skills Deep Dive looks at the detail of the neuro examination, specifically with regard to the underlying neurological medicine looking at power, reflexes, sensation and coordination
    This video, involves a detailed break down of our previous Dr GIll neurological examination - which can be found here
    • Upper Limb Neurologica...
    For a passing grade in your Clinical Skills OSCE, for neurological exam follow the approach of:
    - Appearance
    - Tone
    - Power
    - Reflexes
    - Sensation
    - Coordination
    This part one video will deal with Appearance and Tone, whilst discussing causes of upper and lower motor neurone lesions, including Parkinson's disease and Bell's Palsy
    #clinicalskills #Neurologicalexamination #DrGill
    ------ Credits
    Neuro references
    Neurones - By BruceBlaus - Own work, CC BY 3.0, commons.wikimedia.org/w/index...
    Umn0- By Rcchang16 - Own work, CC BY-SA 4.0, commons.wikimedia.org/w/index...
    Stroke - By James Heilman, MD - Own work, CC BY-SA 3.0, commons.wikimedia.org/w/index...
    MS - By BruceBlaus - Own work, CC BY-SA 4.0, commons.wikimedia.org/w/index...
    Parkinsons - By Albert Londe (1858-1917) - ihm.nlm.nih.gov/luna/servlet/d..., Public Domain, commons.wikimedia.org/w/index...
    Diabetes - By Mikael Häggström - See above. All used images are in public domain., Public Domain, commons.wikimedia.org/w/index...
    Wasting -
    By OpenStax - cnx.org/contents/FPtK1zmh@8.2..., CC BY 4.0, commons.wikimedia.org/w/index...
    Today Clip - / @today
    Danish - By Leon Brocard - originally posted to Flickr as IXS_3616, CC BY 2.0, commons.wikimedia.org/w/index...
    MJF - scrubs
    DEFINITIONS - PDF (79K)
    You can now consult via video or in person with Dr Gill at Dr Finlay’s Private Practice - www.drfinlays.co.uk/services/...

Komentáře • 114

  • @jayanguiano13
    @jayanguiano13 Před 3 lety +200

    wow...Doctor Gill is turning into Doctor Who

    • @DrJamesGill
      @DrJamesGill  Před 3 lety +80

      🤣🤣🤣 well I think I’m more at risk of becoming a wookie at this rate. Counting down the hours until barber is open

    • @LoganDC100
      @LoganDC100 Před 3 lety +4

      @@DrJamesGill Dude! Speaking as a bald guy who started losing his hair in his teens, your complaining about having TOO MUCH hair? My apologies, but I find myself definitively unmoved by your "crisis." LOL!!!

    • @LordDeathwing17
      @LordDeathwing17 Před rokem +1

      You say that like it’s a bad thing

  • @bigsponk7849
    @bigsponk7849 Před 3 lety +112

    I’m gonna be honest, doctor. I love the look of your hair.

    • @brunomarques8956
      @brunomarques8956 Před 3 lety +3

      He rly is on the fleek

    • @alaustin
      @alaustin Před 3 lety

      @@brunomarques8956 I haven’t seen anyone use ‘on fleek’ for about 5 years 🤦‍♂️

    • @bigsponk7849
      @bigsponk7849 Před 3 lety

      @@alaustin it’s making a comeback like jeans and vinyl records lol

    • @mekmekare
      @mekmekare Před 3 lety

      Sad thing he said he would get a cut on April 29th. I had also complimented on the hair and got that terrible news.

  • @mooney228
    @mooney228 Před 3 lety +190

    I'm in a strange territory where learning these medical topics, among others, is endlessly fascinating despite having no intention to convert to medicine

    • @DrJamesGill
      @DrJamesGill  Před 3 lety +76

      I don’t think that’s odd. There are lots of things I enjoy learning, but I’m not about to change careers. Variety is the spice of life 😊

    • @snorgonofborkkad
      @snorgonofborkkad Před 3 lety +5

      It’s not strange. It’s called taking an interest in things. It’s super normal and quiet beneficial. Keep it up!

    • @LoganDC100
      @LoganDC100 Před 3 lety +4

      @@DrJamesGill (Same here, by the way. I'm a lawyer who originally wanted to be an astrophysicist.) Question? I assume that the volunteers helping you out with these videos are medical students and, not surprisingly, relatively young and healthy. Have you ever run across an actual problem during these demonstration exams, and how did you handle it if you did? I'm fairly certain that, if you had, you'd have flipped instantly from being their professor to being their doctor, and we rightfully would never have seen the video. (Which, by the way, I wouldn't want to see. I'm just wondering if that's ever happened.)

    • @DrJamesGill
      @DrJamesGill  Před 3 lety +3

      Every year we do ask a few students to pop along and get some tests done by their gp

    • @LoganDC100
      @LoganDC100 Před 3 lety +1

      @@DrJamesGill Understood, and I'm glad to hear it. Thanks.

  • @runescaperyans
    @runescaperyans Před 3 lety +53

    The dynamic duo returns!

    • @DrJamesGill
      @DrJamesGill  Před 3 lety +9

      Well continues, as this has been filmed, but didn’t get finished in time

  • @headshiphero
    @headshiphero Před 2 lety +2

    If I ever end up in hospital with "a lot of unfortunate problems" then I sure hope someone as reassuring as Dr Gill is the one explaining them to me!

  • @susieenglish302
    @susieenglish302 Před 3 lety +36

    Lockdown hair is amazing

    • @DrJamesGill
      @DrJamesGill  Před 3 lety +18

      It’s rapidly becoming a sentient species

  • @jaywalford2365
    @jaywalford2365 Před 3 lety +42

    I know this is for medical purposes but this is the perfect time to see this video as i’m falling to sleep 😂😂 love it!

    • @DrJamesGill
      @DrJamesGill  Před 3 lety +12

      I really could get a complex here thinking all my students tomorrow will fall asleep lol!

  • @pointsequalspremium8379
    @pointsequalspremium8379 Před 3 lety +20

    As a 38yo, I find as I get older the more I respect the power of the mind. Mind over matter wise words indeed (as my mum always tells me)!

    • @DrJamesGill
      @DrJamesGill  Před 3 lety +6

      We touched on optical illusions last week at uni. The brain is amazing (and frightening)

    • @jadav1987
      @jadav1987 Před 3 lety +1

      @@DrJamesGill agreed! Spent a year pulling myself out of an OCD driven depression hell a few years back. It taught me the awesome power of the mind for good and ill. Funnily enough I found videos like these helped, relaxing, soothing and despite my lack of knowledge, very informative! Keep up the excellent work and videos Doctor, I still watch them. 👍

    • @DrJamesGill
      @DrJamesGill  Před 3 lety

      Thank you for sharing that. I appreciate it’s a big thing to say, but will hopefully give others hope 😊

  • @jorgecardoso5863
    @jorgecardoso5863 Před 3 lety +23

    James Kelly sends his regards

    • @DrJamesGill
      @DrJamesGill  Před 3 lety +7

      Always welcome

    • @coletrain329
      @coletrain329 Před 3 lety +2

      “Now if we did that right, the doctor and the patient are supposed to get red in the face, but I suspect only I got red in the face this time.” -Dr. James “Sandwich Breath” Kelly, 1998

  • @ermack91
    @ermack91 Před 3 lety +6

    I feel like some classes should be like this, in a video, it's so much interesting, entertaining and you can pause, rewind if you didn't get something and get going on your own pace. Thanks for your videos !! It's awesome to learn new things in such a good way and relaxing for asmr purposes, greetings from Chile !!

    • @DrJamesGill
      @DrJamesGill  Před 3 lety +1

      Thank you. That’s great feedback. I try to ensure I’m covering all the needed parts 😊

  • @theblackcockatoo4799
    @theblackcockatoo4799 Před 3 lety +15

    Dr Gill your engagement when it come to explanations of medical subjects is superb, please keep it up, if i ever have the chance to go back to medical school i know who to go to.

    • @DrJamesGill
      @DrJamesGill  Před 3 lety +5

      I know I can be a touch rambling at times, but I always learnt well with the stories of medicine

  • @marlongasparotto5867
    @marlongasparotto5867 Před 3 lety +5

    I really want to listen and take everything in, but that soothing voice always sends me to....

    • @DrJamesGill
      @DrJamesGill  Před 3 lety +3

      I think my students just prefer to sleep when I’m wandering off topic 🤣

  • @atlasbutnotthetitan393
    @atlasbutnotthetitan393 Před 3 lety +7

    This is a very interesting video, the changing camera angles is cool and really well done!
    I also really love your hair, it looks so flloofy

  • @nicolehatcher2054
    @nicolehatcher2054 Před 3 lety

    I’m a RN on a neuro unit, so I love coming to your channel to learn new things! Such a great video and i love your hair by the way☺️!

  • @leacoddington7892
    @leacoddington7892 Před 3 lety +1

    This is next level content. I'm learning and relaxed and turned on, all at the same time.

  • @jennwilliams2945
    @jennwilliams2945 Před 3 lety +3

    I love watching these videos cos I seem to take in the knowledge and it then shocks people when they find out I know more than the “average” person😂 love your videos DR.Gill

  • @tressacaperton8051
    @tressacaperton8051 Před 3 lety +4

    I love that I am learning while also finally relaxing after a long day. Thank you Dr. Gill!

  • @Angus_14
    @Angus_14 Před 3 lety +1

    Gilly boy you've done it again.

  • @PatrickOTreat
    @PatrickOTreat Před 3 lety +4

    “...trying to oppose them with similar muscle groups to ensure it’s a fair test“. I knew it was wrong when my dr stood on my hand and called me a weak little boy when I couldn’t raise my thumb.

  • @mekmekare
    @mekmekare Před 3 lety

    All of that is so informative and lovely at the same time. It even got me thinking what power is. And reminded me of a Helloween song. Thanks again, Doc. Hugs from Brazil, Kelly.

  • @bankzymankzy3931
    @bankzymankzy3931 Před 3 lety

    There’s something about you that i REALLY love

  • @mach5jeep
    @mach5jeep Před 3 lety +6

    Whenever I meet someone with eyeglasses and a British accent I just assume they are a wizard.

  • @ALBUMOF2008
    @ALBUMOF2008 Před 3 lety +5

    I find these videos very interesting even though I know absolutely nothing about medicine 👌🏻

  • @gogglespisano24
    @gogglespisano24 Před 3 lety

    Dr. Gill, becoming a serious hearthrob!

  • @texastackycal7979
    @texastackycal7979 Před 3 lety

    Best Asmr videos !! Hands down !!

  • @user-lr2ez4ny2z
    @user-lr2ez4ny2z Před 3 lety +3

    Favorite video so far

    • @DrJamesGill
      @DrJamesGill  Před 3 lety

      What makes you say that. I’m hoping to try to improve things from an educational stand point,

  • @frankparent463
    @frankparent463 Před 3 lety +4

    3:22, Dr Gill, that lil move though!

  • @MorgynEmberYT
    @MorgynEmberYT Před 3 lety +1

    Great videos as always Doc!

  • @diongilbert759
    @diongilbert759 Před 3 lety

    So good 👏

  • @lix4626
    @lix4626 Před 3 lety +1

    I'm no health professional but your explanation makes sence even for someone like me. Bravo!

  • @schoey0
    @schoey0 Před 3 lety +3

    Fantastic Video, clear, concise and very well presented! I'm a Specialist Paramedic recently employed in Primary Care and learning so much from you Doc! Many thanks!!
    Ps: I don't suppose you're planning a video on the common blood tests used in GP Clinics, indications, when and why to order them and how to interpret? Thanks again.

    • @DrJamesGill
      @DrJamesGill  Před 3 lety +1

      Maybe once the exams are done 😊 investigations are certainly something that I think would be useful

  • @brunomarques8956
    @brunomarques8956 Před 3 lety

    Doctor Gill, with all the respect, u always dress and look hella fine

  • @JuanLopez-xq7ox
    @JuanLopez-xq7ox Před 3 lety +2

    No le entiendo pero veo sus videos porque me relaja su voz jaja

  • @panzerscoutempire27
    @panzerscoutempire27 Před 3 lety +7

    Ah yes, a new video^^
    Glad to see it now

  • @Sean-xi2gn
    @Sean-xi2gn Před 3 lety

    Dr Gill uploads again..bliss

    • @DrJamesGill
      @DrJamesGill  Před 3 lety

      I’m glad this one is finished truth be told 😊

    • @Sean-xi2gn
      @Sean-xi2gn Před 3 lety

      @@DrJamesGill trust me, so am I and a lot of others too

  • @kingp00pz47
    @kingp00pz47 Před 3 lety +2

    Very good video 👍

  • @kahiza241
    @kahiza241 Před 3 lety

    Yeiiii!! New video 👏👏
    Greetings from Latin America Doctor.. 😉

  • @MitchParker2012
    @MitchParker2012 Před 3 lety

    The unintentional ASMR king, folks

  • @joao10m
    @joao10m Před 3 lety

    man, i got worried about you "watch cannal" in your left arm... are you ok? nice video, as always.

  • @RunawayNomad17
    @RunawayNomad17 Před 3 lety +1

    Dr James Gill to play Milo if Atlantis ever gets a live action.

  • @LeKnightStudios13419
    @LeKnightStudios13419 Před 2 lety

    So Doc, r u a lecturer at the Medical School? Or r u a full time Doctor?

  • @bettercallphil1629
    @bettercallphil1629 Před 3 lety +2

    From
    '' any double vision? '' to
    '' any double barber? ''
    is a short step.

  • @ibrahimmuhammad2441
    @ibrahimmuhammad2441 Před 3 lety

    I need to understand this because its driving me crazy. At the start of examinations when you ask patients to hold their hands out, and later to put together their fingers in a heart shape, What is it youre looking for? What is it thats meant to stand out? This questions been driving me crazy

    • @DrJamesGill
      @DrJamesGill  Před 3 lety +1

      This video may help 😊
      Abdominal Examination Explained - Clinical Skills Deep Dive - Medical School Revision - Dr Gill
      czcams.com/video/pEKWIMBpKRs/video.html

  • @chrisduckz
    @chrisduckz Před 3 lety

    Just checking - do I need some sort of qualification to be a doctor or can I just tell people I’ve watched your videos many many times?

    • @DrJamesGill
      @DrJamesGill  Před 3 lety

      This is really only first year level, so not quite 😉

  • @yoyomodiji
    @yoyomodiji Před 3 lety

    Dr, I must commend ,you are looking handsome in new look..

  • @jjreed5357
    @jjreed5357 Před 3 lety

    How often do you see errors in tests like coordination or reflexes??

    • @DrJamesGill
      @DrJamesGill  Před 3 lety

      VERY frequently. But normally in a way that is inconsequential

  • @semchance6856
    @semchance6856 Před 3 lety

    Dr gill se parece com Miriam Leitão

  • @lightonsnow1
    @lightonsnow1 Před 3 lety +1

    How would the MRC rate Superman’s power?

    • @DrJamesGill
      @DrJamesGill  Před 3 lety +2

      Grade A. Definitely- which is impressive on a numerical scale

  • @beepityboopity
    @beepityboopity Před 3 lety +5

    Lockdown hair is only proving that you’re the Bob Ross of medicine

  • @omicsonic
    @omicsonic Před 3 lety +2

    Gill and Tutt strike again! (redux)

  • @silviosil436
    @silviosil436 Před 3 lety +3

    Take off your glasses, put on a brightly colored scarf and we have a wonderful reincarnation of the fourth doctor.
    Did I see something big bluish in the background?
    By the way, I really enjoy your videos. so calm and serene.

    • @DrJamesGill
      @DrJamesGill  Před 3 lety +1

      "You may be a doctor. But I am *The* Doctor. The definite article, you might say!"

  • @ramingo9534
    @ramingo9534 Před 3 lety

    1:13 an unintentional pause in an unintentional ASMR video

  • @nunoferreira2998
    @nunoferreira2998 Před 3 lety +3

    That glorious hair of yours 😍😂

    • @DrJamesGill
      @DrJamesGill  Před 3 lety +2

      Lock down hair is a not a choice lol!

  • @LeKnightStudios13419
    @LeKnightStudios13419 Před 2 lety

    I think there were some editing bumps in this lol

  • @josee7599
    @josee7599 Před 3 lety

    This is unintentional asmr?

  • @BarefootCaveman
    @BarefootCaveman Před 3 lety

    Purposeful unintentional asmr? Naw. Does it work? Sure does

  • @lauramullan8830
    @lauramullan8830 Před 3 lety

    That "Hello!" at the start was so loud and boisterous I thought you were going to do an impression of someone else. It took a moment before it sounded like you again 😅

    • @DrJamesGill
      @DrJamesGill  Před 3 lety

      Hmm. Maybe that boy was boosted accidentally in the edit. Sorry!

  • @lpgrulez
    @lpgrulez Před 3 lety +2

    Importance of a voice when ur in a lecture right here hahaha

    • @DrJamesGill
      @DrJamesGill  Před 3 lety

      ?

    • @lpgrulez
      @lpgrulez Před 3 lety

      @@DrJamesGill I meant to say I love your voice that I watched this video all the way through :D

  • @Tyrantus4
    @Tyrantus4 Před 2 lety

    Are my motor neurones causing me to have a hard time making a hard fist when I first wake up?

  • @ThatRandomGuy30
    @ThatRandomGuy30 Před 3 lety +1

    Why
    Is
    Your
    Voice
    Soother
    Than
    Jesus Christ? Dr gill is god.