Elbow Exam - Orthopaedic OSCE - Clinical Skills - Dr Gill

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  • čas přidán 1. 06. 2024
  • Elbow Exam - Orthopaedic OSCE - Clinical Skills - Dr Gill
    The elbow examination is a core skill - in this video, we demonstrate how to perform an elbow EXAM for an Orthopaedic Clinical Skills OSCE, which should be one of the more accessible examination stations for medical students.
    For a passing grade in your Clinical Skills OSCE, an elbow assessment should follow the LOOK, FEEL, MOVE approach
    Initially looking for erythema, scars, swelling and position
    Palpating the elbow - specifically the olecranon, medial and lateral epicondyles, and radial head for heat, oedema and crepitus
    Finally assess range of movement with flexion and extension at the elbow, before determining for tennis and golfers' elbows
    Watch further orthopaedic examinations for your OSCE revision:
    The Elbow - Deep Dive
    • Video
    The Spine Examination:
    • Spine Examination - Ba...
    The Knee examination
    • Knee Examination - Ho...
    The Hip examination
    • Hip Joint Clinical Exa...
    The GALS examination
    • GALS Screen - Gait, Ar... - Gait, Arms, Legs, Spine - GALS screen
    ------------
    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 viewing this medical examination video may experience an ASMR effect
    #clinicalskills #Elbow #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 Patient Verification
    00:38 - Visual Inspection of Elbows
    01:00 - Palpation for Warmth, Inflammation, and Tenderness
    01:38 - Range of Motion Tests
    02:00 - Testing Radial Head Movement
    02:18 - Strength Testing of Wrist Extensors and Flexors
    02:55 - Conclusion

Komentáře • 219

  • @markmccallum475
    @markmccallum475 Před 2 lety +750

    One day we'll find out who it is that has been asking Dr. Gill to perform all these examinations.

    • @nnhk0056
      @nnhk0056 Před 2 lety +87

      It's us, silly

    • @AdamFunk
      @AdamFunk Před 2 lety +90

      A shadowy figure stroking a white cat, seated behind a vast desk.
      He keeps repeating that the plan is "all coming together" while ringing his hands and cackling occasionally.

    • @synaesthesian
      @synaesthesian Před 2 lety +105

      Hollie Berry.

    • @La_sagne
      @La_sagne Před 2 lety +3

      mister internet

    • @johantenhove7770
      @johantenhove7770 Před 2 lety +40

      Aidan Blunt

  • @andrevieira1402
    @andrevieira1402 Před 2 lety +168

    I can see he puts a lot of *elbow grease* when doing these videos

  • @nightone9720
    @nightone9720 Před 2 lety +26

    Oh my gosh, she is so lucky. She got to listen to his voice in person while he performs his examination. Dr. Gill heals people with his voice alone.

  • @colinwatt00
    @colinwatt00 Před rokem +49

    Dr. Gill, while this video is great as an OSCE exam, I would love a long-format video where you take the time to explain what you are looking and palpating for during each step. For example, why palpate the epicondyle? Is this a location prone tendon or ligament pain? If so, what are the common causes? …that sort of thing.

    • @DrJamesGill
      @DrJamesGill  Před rokem +37

      That is due to be recorded on Thursday 😊

  • @gareth9917
    @gareth9917 Před 2 lety +63

    If Elbows Didn't Bend...
    They would have no point!
    Keep up the good work Dr Gill!
    Would love to see a deep dive of the elbow!

    • @SeruraRenge11
      @SeruraRenge11 Před 2 lety +2

      I mean, they would have a very tiny point still, but that ruins the pun

    • @HFStuart
      @HFStuart Před 2 lety +1

      That's awful...therefore it made me laugh. Keep up the good work!

    • @DrJamesGill
      @DrJamesGill  Před 2 lety +8

      we’ll have a deep dive in a few weeks 😊

  • @XX-gy7ue
    @XX-gy7ue Před 2 lety +16

    how can a voice , and incredible manners , make elbows so interesting , and here it is !

  • @arielduarteramirez2999
    @arielduarteramirez2999 Před 2 lety +86

    Alguien mas siente que estos videos, y la voz del doc, son como un somnífero y un tranquilizante natural??? Amo

    • @panzerscoutempire27
      @panzerscoutempire27 Před 2 lety +7

      Yes
      Dr. gill is also known to be the King of Unintentional ASMR

    • @MrRoqui11
      @MrRoqui11 Před 2 lety

      Si el Doc es uno de los mejores…. Enseña y duerme best of the best ASMR KING

    • @lindar5413
      @lindar5413 Před 2 lety

      Si ,ASMR

    • @Omni315
      @Omni315 Před rokem +2

      That's why we're here

    • @ZestySea
      @ZestySea Před rokem

      Dr Gill can examine my elbows anytime

  • @stu_jam
    @stu_jam Před 2 lety +19

    Dr Gill has eyes of steel. I salute you sir 🫡

  • @MATSULEIGO
    @MATSULEIGO Před 2 lety +2

    Dr. Gill's exams...luv it!

  • @kdguro
    @kdguro Před 2 lety +2

    The legend is back! Ok maybe you never ‘left’. But I’m back…watching your videos! Smooth as ever, Doc!

  • @ethangooding7604
    @ethangooding7604 Před 2 lety +14

    Watching this with Netflix in the background. Had an absolute brain melt and started hearing your voice twice. Look up to see you on The Island with Bear Grylls , I was confused for a good 15 minutes 😂

    • @DrJamesGill
      @DrJamesGill  Před 2 lety +8

      We were shocked when it appeared on Netflix too!

  • @MrRoqui11
    @MrRoqui11 Před 2 lety +15

    Dr Gill always hits the ASMR target 🎯 with his best elBow and marrow technique

  • @rebsxx7871
    @rebsxx7871 Před 2 lety +2

    Dr Gill you’re a legend

  • @dashwerm6181
    @dashwerm6181 Před 2 lety +48

    Are you going to follow up with a deep dive video for the elbow? The knee one was super interesting

    • @DrJamesGill
      @DrJamesGill  Před 2 lety +46

      Yes. I need to do videos on anatomy of the hip and the shoulder too

    • @d1nonlymsthang
      @d1nonlymsthang Před 2 lety +3

      I concur. Every bit of her movements hurt me. It be great to have someone with actual issues be examined. Just a thought, love your channel.

    • @Caltash
      @Caltash Před 2 lety +1

      Megan is a lovely model. Just saying.

  • @tanksoldier
    @tanksoldier Před 2 lety +1

    Best if all, this table remained intact…. Can’t wait for the deep dive.

  • @phole1100
    @phole1100 Před rokem +2

    Your voice is very calming

  • @BangerSoundtracks
    @BangerSoundtracks Před 2 lety +5

    Another super video. Thank you, Dr Gill.

  • @lorezampadeferro8641
    @lorezampadeferro8641 Před 2 lety +19

    Always interesting and informative but the best feeling is the extreme relax those videos give me
    Thank You

  • @greasydad
    @greasydad Před 2 lety +7

    She seems more comfortable on camera good for Megan! Less chaotic but I kinda liked it

  • @MrTamiller07
    @MrTamiller07 Před 2 lety +2

    He’s back! And she’s… here as well!

  • @gasser5001
    @gasser5001 Před rokem

    10/10, will watch again.

  • @antoinehunter3776
    @antoinehunter3776 Před 2 lety +1

    Great video as usual...Detroit in the building!!

  • @antm2296
    @antm2296 Před 2 lety +20

    Great video! Would be good to add a twist onto a future video if you get the newly qualified Dr Abbie to examine you Dr Gill!

  • @starfishgurl1984
    @starfishgurl1984 Před 2 lety +6

    I love watching these videos and seemingly hearing silence in the movements as apposed to the cracking and popping that my body makes during them 😂😂😂, hereditary joint problems are so much fun, lol! Just kidding mine don’t actually crack and pop that badly/loudly thankfully but they’ve done it my entire life that it feels that way in comparison. Great video!

  • @SafoGamer
    @SafoGamer Před 2 lety +1

    Wish this video was longer!

  • @leme3503
    @leme3503 Před rokem +8

    Guys.. why 0:39 replayed most? hm? Come on, fess up!

  • @ronreed0421
    @ronreed0421 Před 2 lety

    best youtuber out there!!

  • @atticstattic
    @atticstattic Před 2 lety +2

    Dr Gill is in charge of this joint....

  • @dbljinc664
    @dbljinc664 Před 2 lety +17

    If this video were 2 minutes longer I would have gone night night. So relaxing

  • @gabrielesimionato1210
    @gabrielesimionato1210 Před 2 lety +3

    Excellent editing!

    • @DrJamesGill
      @DrJamesGill  Před 2 lety +3

      Thanks. Things seem to be getting a little smoother

  • @Taurei_
    @Taurei_ Před rokem

    that voice…just pure asmr

  • @rodrigobarbosa6096
    @rodrigobarbosa6096 Před 2 lety

    Watching from Brazil

  • @samir5118
    @samir5118 Před rokem +1

    Thank you so much

  • @valiolulev47
    @valiolulev47 Před 2 lety +6

    Amazing vid like always :)

  • @davyyyy1782
    @davyyyy1782 Před 2 lety +16

    Hora de assistir videos feitos com intuito de educar como forma de relaxamento

    • @brazilian__guy
      @brazilian__guy Před 2 lety +4

      Sabia que eu não era o único BR

    • @oBabybbyuuuu
      @oBabybbyuuuu Před rokem +1

      A voz desse doutor é muito boa, o cara parece um anjo.

  • @charlie.on.youtube
    @charlie.on.youtube Před rokem +2

    This video made my arms go lovely and floppy.

  • @j5892000
    @j5892000 Před 2 lety

    I wonder if he does these partly for the asmr and psrtly to demonstrate

  • @UCONN_HUSKIES
    @UCONN_HUSKIES Před 2 lety

    Doctor Gill 🤩

  • @mobiltyortho
    @mobiltyortho Před 2 lety

    Nice information

  • @R3dox66
    @R3dox66 Před rokem

    Having seen this video a few times, I just noticed that her right arm (our left) seems lower in all tests than her other arm, except when she rotates her arms out (directly after standing up). Looking at her shoulders, they also don't seem straight. Does she have scoliosis maybe?

  • @a.y.t.a.s.494
    @a.y.t.a.s.494 Před 5 měsíci

    Lovely pair of elbows

  • @partyman255
    @partyman255 Před 2 lety +1

    This is crazy i hurt my elbow few weeks ago I keep saying to myself maybe I should get it checked out as im having alot of problems with it.
    Then bang a video like this pops up.

  • @RustyDockLight
    @RustyDockLight Před rokem

    Would you be able to feel evidence of cubital tunnel syndrome or does that require mri?

  • @ericterrell7486
    @ericterrell7486 Před 2 lety +1

    Great videos.

    • @DrJamesGill
      @DrJamesGill  Před 2 lety +1

      👍 they are building slowly 😊

    • @ericterrell7486
      @ericterrell7486 Před 2 lety

      @@DrJamesGill your content is always first rate. I first came to you from the ASMR community but as a chiropractor who does lots of physical exams I really appreciate your examination videos for their content. Thank you very much

  • @rafaelblares
    @rafaelblares Před 2 lety +3

    yeah...new video !!!

  • @violistanton
    @violistanton Před rokem +3

    I imagine a long line of ppl waiting at dr. Gill's office. 99.9% of them came for ASMR.

  • @johnuhrig6993
    @johnuhrig6993 Před rokem +1

    Cool to see Coldplay’s singer working on a side-gig

  • @andrelucascorreia6307
    @andrelucascorreia6307 Před 2 lety

    So quick!

  • @luked5001
    @luked5001 Před rokem

    Super.

  • @berbababy
    @berbababy Před 2 lety +4

    Lovely pair of Spanish archers! Thank you 🙏

  • @erichschmidt8987
    @erichschmidt8987 Před 2 lety

    Now a word from our sponsors- Purell!

  • @chewygad7899
    @chewygad7899 Před 2 lety +49

    Would actually like to see some of the patients have some of the problems you might expect in such an inspection…Not that I want anybody to have health problems it would just be informative to see what the negative diagnosis would be based on…Also I listen to three men in a boat every night just random chapters. peace be well

    • @carmcam1
      @carmcam1 Před 2 lety +2

      there are few unintentional asmr medical exam that the patient didn't really feel the sharp/blunt test sensation.

    • @DrJamesGill
      @DrJamesGill  Před 2 lety +34

      Unfortunately it’s a bit of a mine field - maybe in the fullness of time, but it would only be from EXPLICIT volunteers and even then, there would likely be an unreasonable level of paperwork

    • @robstewart7109
      @robstewart7109 Před rokem

      @@DrJamesGill Maybe with a bit of coaching and some loose scripting your usual volunteers could roleplay some ailments. Perhaps a soft voice-over describing the possible causes as each symptom is encountered.

  • @andrewgonzales589
    @andrewgonzales589 Před 2 lety +9

    Hey Dr. Gill, what started your interest in the medical field?

    • @DrJamesGill
      @DrJamesGill  Před 2 lety +13

      Always liked biology and didn’t really want to be a bench scientist

  • @lemartin3827
    @lemartin3827 Před rokem +1

    Radialhead would be a great name for a tribute act if any of the Warwick medics are also musically inclined

  • @ChrisCanomi
    @ChrisCanomi Před rokem

    PLEASE,
    One of MOLES examination

  • @jodieclement3816
    @jodieclement3816 Před 2 lety +2

    Hello ☺️ I’ve had my blood results through and my iron, folate and vitamin D levels are low, but also my serum alkaline phosphatase level is 187 u/L? Is this something to be concerned about please? Have to wait until mid next week for a doctors appointment

    • @douglasseem441
      @douglasseem441 Před 2 lety +3

      don't get anxious about it if you are okay just wait to see your doctor normally :D

    • @DrJamesGill
      @DrJamesGill  Před 2 lety +5

      Unfortunately this isn’t really the forum to answer a question like that.
      But I would say, is that i) you know the result, and ii) you’ve an appointment booked in a while to discuss it.
      If there is something I’m worried about, I call the patient same day, or as soon as I can
      So you can be slightly reassured by that 😊

  • @steliosstylianos9362
    @steliosstylianos9362 Před 2 lety +9

    I think you need to do a video that would rival Mr Sandwich breath or Dr hollie Berry 😜😜 (your videos are great by the way😉)

    • @andrewgonzales589
      @andrewgonzales589 Před 2 lety +2

      I know exactly which videos you’re talking about😂😂

    • @Mark-pp7jy
      @Mark-pp7jy Před 2 lety

      It would have to include Dr. Gill saying, "Back, so your legs are dangling"! Oh, and that's (Dr.) Sandwich Breath!

  • @williamstewart3990
    @williamstewart3990 Před 2 lety +5

    How do you decide which skills to film?

    • @DrJamesGill
      @DrJamesGill  Před 2 lety +14

      Largely based on case we’ve seen in clinic and areas my students have needed to work on

  • @ogarolo
    @ogarolo Před 2 lety

    This, the joints series, is more interesting than I anticipated... By the way to my eyes, your new assistant resembles Rose, one of Dr who companions...

  • @donkeydonk127
    @donkeydonk127 Před 2 lety

    Closed captioning brought to you in part by Purell

  • @AshenExiled
    @AshenExiled Před rokem +1

    “Do you have any problems with your elbows?”
    “No I don’t”
    “Then why are you here? Please leave.”

  • @jamestkirk7003
    @jamestkirk7003 Před rokem +3

    Not only is this ASMR Gold but the girl is really pretty.

  • @ToddReuterOutdoors
    @ToddReuterOutdoors Před rokem +1

    My insurance said I’m cleared to get an exam, Dr.Gill. Next Tuesday, 9:30am?

  • @karenmeier1218
    @karenmeier1218 Před 2 lety +15

    I really hope you're getting at least some pennies per view from Purell for consistently featuring their hand sanitizer in your videos.

  • @jamesevans6376
    @jamesevans6376 Před rokem +1

    We all love his videos but it would be ideal if they were over 15 minutes. These are brilliant but too short.

  • @GulfCoastSportsLLC
    @GulfCoastSportsLLC Před 2 lety +1

    Dr. Gill, I’d like for you to check a problem I’m having with my right leg. Doctors here are lazily calling it sciatica, but it’s definitely not. I also wouldn’t mind being recorded for the video.

  • @mitk065
    @mitk065 Před 2 lety +9

    Where is Abby?

    • @DrJamesGill
      @DrJamesGill  Před 2 lety +11

      Finishing up her degree

    • @Caltash
      @Caltash Před 2 lety +5

      She's being a Doctor, too. See her Twitter posts!

  • @KF-cx8bm
    @KF-cx8bm Před 2 lety +1

    I wonder which bones in the body take the longest to heal after injury

    • @DrJamesGill
      @DrJamesGill  Před 2 lety +3

      I can't answer that exactly, but I know the femur will require an extra 2000 calories a day for the first 2-4 weeks for optimum healing

    • @KF-cx8bm
      @KF-cx8bm Před 2 lety

      @@DrJamesGill goodness, wow

    • @amuthealmighty
      @amuthealmighty Před 2 lety +2

      @@DrJamesGill hmm, miracle diet?

    • @DrJamesGill
      @DrJamesGill  Před 2 lety +2

      I’m not sure it’s a recommended approach to weight loss!!

    • @KF-cx8bm
      @KF-cx8bm Před 2 lety

      @@DrJamesGill Indeed, exercise and a balanced diet, not self inflicted bone breakage!🙂

  • @itscrochetday1444
    @itscrochetday1444 Před rokem

    I'm always waiting for someone to say "OUCH!" when he's pressing on something, lol. But no one ever does.

  • @ianmurphy9955
    @ianmurphy9955 Před rokem +1

    Is Megan the 'new Abby' great choice Dr Gill

    • @DrJamesGill
      @DrJamesGill  Před rokem +2

      Not really, but I’ve got three students to help me now which makes life easier 😊

    • @ianmurphy9955
      @ianmurphy9955 Před rokem

      @@DrJamesGill That's good to hear, help not just in front of the camera, behind it too. They'll help improve already really great content

  • @williamwinder5011
    @williamwinder5011 Před 2 lety +5

    To think this all started with putabitofpaper

  • @osamaaakram2773
    @osamaaakram2773 Před 4 měsíci

    To be honest . This doctor have striking resemblance with Dr. House😂😂

  • @Kamylospl
    @Kamylospl Před rokem

    "i will press around your arms if that's okay"
    But what if it's not

  • @springer5602
    @springer5602 Před 2 lety +2

    Some English people have natural asmr talent with their voices. Maybe it's the accent...?

  • @raghav413
    @raghav413 Před 2 lety

    We want Abby !!!

  • @NikoGames394
    @NikoGames394 Před 2 lety

    👏👏👏👏👏👏👏 🙏

  • @TheMASDrummer
    @TheMASDrummer Před 2 lety

    same age as me Meghan.

  • @squattingheads
    @squattingheads Před 2 lety

    Dr Gill has worked out the "algorithm"

  • @SighsInternally
    @SighsInternally Před 2 lety +1

    watching this I had to pet my baby smooth elbows
    that skin raisin goin on got to me

  • @jimjam8179
    @jimjam8179 Před rokem +3

    The peak of the "most replayed" contour on the video timeline betrays the mindset of a certain demographic of viewers. Elbows might not have been the primary consideration at that particular moment within the video.

  • @livealittle1100
    @livealittle1100 Před 2 lety

    No abby?

  • @Nomadic.A
    @Nomadic.A Před 2 lety +5

    Currently have tennis elbow... searching CZcams for how to fix it.

    • @simpedros4766
      @simpedros4766 Před 2 lety +1

      Time . That’s what helped get mine under control but I understand it won’t ever go away fully

    • @DrJamesGill
      @DrJamesGill  Před 2 lety +2

      compression support, and physio, but some people need some extra investigations, like ultrasound

  • @user-rj1qg2if7n
    @user-rj1qg2if7n Před 3 měsíci

    Im insane and this helps me sleep

  • @TheCaptWaffles
    @TheCaptWaffles Před 2 lety +8

    I kinda miss lil Abby 😭

  • @user-ic3xj8qt7b
    @user-ic3xj8qt7b Před 2 lety

    最初のタイトルのエフェクトが、チャンネルガードマンの「登録よろしく」と同じでいらっしゃる

  • @FCKINGNAMES
    @FCKINGNAMES Před rokem +1

    If I would be a doctor I would try to make them do the Macarena dance without them noticing.

  • @SimplyTakuma
    @SimplyTakuma Před 2 lety +5

    00:26 Im am sorry.......
    _Sponsored by Purell_

  • @95mudshovel
    @95mudshovel Před 2 lety

    POV: you didn't tap to the Kimura from a blackbelt. 🤣

  • @ontanis9267
    @ontanis9267 Před rokem

    megan is the new abbie

  • @larsonkalinowski1485
    @larsonkalinowski1485 Před rokem

    She’s double jointed in the elbows

  • @chizzzy2334
    @chizzzy2334 Před 2 lety +1

    Wheres the pit of paper

  • @menottodasilva354
    @menottodasilva354 Před rokem

    Brave men of the Internet, dont look at 0:40. Youre welcome.

  • @SkyFire2112
    @SkyFire2112 Před rokem

    One day he’s actually going to find something wrong with one of these participants, that’s when the real video starts

  • @Rambo4President
    @Rambo4President Před 2 lety

    ahh, a gillbow exam with real clinical gills is what we needed!

    • @davidshort2347
      @davidshort2347 Před 2 lety +1

      I cracked my elbow (can't remember if it was fractured a bit) about 10 years ago and still can't straighten my arm out!

    • @DrJamesGill
      @DrJamesGill  Před 2 lety

      That does suggest something structural happened.
      Was it X-rayed?

    • @davidshort2347
      @davidshort2347 Před 2 lety

      @@DrJamesGill yeah it was, though at the same time I had also broke my ankle in three places! Did get some pyshio to help. I don't get too much bother with it now. Do recall a nurse at the time thinking the massive bruise I had from the wrist to my armpit was part of my tattoo 😂

  • @vanereyes4468
    @vanereyes4468 Před 2 lety +1

    Where is Abby ?!?!

    • @kiarona.
      @kiarona. Před 2 lety +3

      She's been studying for her final exams to finish getting her degree! Soon she'll be a doctor too

    • @DrJamesGill
      @DrJamesGill  Před 2 lety +2

      Just wrapping up her course, passed her exams which is the main thing

  • @juanloprada
    @juanloprada Před rokem

    My beloved Doctor. I need a patient who yells because it hurts. If you examine people in perfect shape I won’t understand the point of those examinations. Get actors!

  • @ProudBostonian
    @ProudBostonian Před 2 lety +3

    WOW she’s BEAUTIFUL!!

  • @jasonbrumbalow771
    @jasonbrumbalow771 Před rokem +2

    0:48 - Her elbow seems to have an elbow…

  • @tylerviloria4699
    @tylerviloria4699 Před rokem

    I normally skip this part…I’ll see myself out

  • @roygato3797
    @roygato3797 Před rokem +3

    Dr. Gill definitely learning from the chiropractic videos on how to choose his 'patients' 🤣

    • @DrJamesGill
      @DrJamesGill  Před rokem +8

      Unfortunately there are not many students who want to get involved with the recordings.
      So I’m not choosing anyone

    • @richardreece7360
      @richardreece7360 Před rokem +5

      You can see why they wouldn't want to be involved. I wonder whether we could have internet licenses for people interacting with sites and if you accumulate too many demerit points (e.g. by making unsolicited personal comments) you're restricted to read only for a month.