Lower Limb Neurological Examination - Clinical Skills - Dr Gill

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  • čas přidán 14. 05. 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

Komentáře • 275

  • @waffleox
    @waffleox Před měsícem +1722

    The magicly appearing and disappearing socks

    • @DrJamesGill
      @DrJamesGill  Před měsícem +533

      Shhhhhhhh

    • @matthewrayner11
      @matthewrayner11 Před měsícem +46

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

    • @grf15
      @grf15 Před měsícem +14

      You beat me to it!

    • @gabrielesimionato1210
      @gabrielesimionato1210 Před měsícem +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 Před měsícem +17

      I only have the disappearing variety 😂

  • @malteschaper3782
    @malteschaper3782 Před měsícem +605

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

  • @jonahblock
    @jonahblock Před měsícem +543

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

    • @LadyMephistopheles
      @LadyMephistopheles Před měsícem +95

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

    • @NewCandyCane
      @NewCandyCane Před měsícem +7

      A very pleasant side effect ​@@LadyMephistopheles

    • @bartparet
      @bartparet Před měsícem +17

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

    • @k1ng0fqu33n5
      @k1ng0fqu33n5 Před měsícem +18

      @@bartparet Indeed. Unintentional ASMR is the best.

  • @roland969
    @roland969 Před měsícem +197

    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 Před měsícem +3

      He is a real doctor.

    • @AbeLuvsTheatres
      @AbeLuvsTheatres Před 19 dny +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 Před měsícem +256

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

    • @Omni315
      @Omni315 Před 29 dny +1

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

    • @turtlesallthewaydown8831
      @turtlesallthewaydown8831 Před 15 dny

      The truth is out there!

  • @teddownum7428
    @teddownum7428 Před měsícem +57

    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 Před měsícem +94

    "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 Před měsícem +12

      Seems a little harsh, doesn’t it?

    • @pumpkinknight5732
      @pumpkinknight5732 Před měsícem +13

      @@smo0ve209 Science is a demanding mistress.

    • @yousra4770
      @yousra4770 Před měsícem

      You're funny ​@@pumpkinknight5732

  • @ProperSauce
    @ProperSauce Před měsícem +61

    Megan demonstrating being an excellent patient!

  • @Caltash
    @Caltash Před měsícem +31

    Yay our Dynamic Duo!

  • @I666U
    @I666U Před měsícem +9

    Thanks Dr. G, always the best.

  • @christian7061
    @christian7061 Před měsícem +1

    Amazing work from both of you

  • @kylegross9923
    @kylegross9923 Před měsícem +47

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

  • @jjar2561
    @jjar2561 Před měsícem +14

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

  • @ViceroyIcarus
    @ViceroyIcarus Před měsícem +1

    Big help! Thank you!!!

  • @brianinc9294
    @brianinc9294 Před měsícem +5

    Super Doctor, Super Patient.

  • @timmysamecphd
    @timmysamecphd Před měsícem +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?

  • @siriusphantom
    @siriusphantom Před měsícem +23

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

  • @michellesupper1303
    @michellesupper1303 Před 10 dny +2

    :-) the sock discontinuity is absolutely charming

  • @samir5118
    @samir5118 Před měsícem +3

    I enjoyed watching thanks dokter

  • @Ricodon2121
    @Ricodon2121 Před 13 dny

    Very professional examination

  • @RockyTopSplash
    @RockyTopSplash Před 11 dny

    The purell placement is always spot on!!

  • @TenkoBerry
    @TenkoBerry Před měsícem +1

    This be Good Keep It Up Doctor 👍

  • @drivassful
    @drivassful Před dnem

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

  • @zoefofo7769
    @zoefofo7769 Před 26 dny

    Very relaxing

  • @gtafans93
    @gtafans93 Před měsícem +3

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

  • @ladynotron8304
    @ladynotron8304 Před 16 dny +2

    This is one of dan shnider's favorite video

  • @thatleeburton
    @thatleeburton Před měsícem +14

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

  • @uhejnjd
    @uhejnjd Před 24 dny

    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.

  • @StephEGroff
    @StephEGroff Před měsícem +1

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

  • @andyk9414
    @andyk9414 Před měsícem +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 Před měsícem +2

      Check if your legs are the same length afterwards.

    • @andyk9414
      @andyk9414 Před měsícem

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

    • @ericpiacenti9610
      @ericpiacenti9610 Před měsícem +3

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

  • @JulyFourth1776
    @JulyFourth1776 Před měsícem +4

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

    • @DrJamesGill
      @DrJamesGill  Před měsícem +2

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

  • @MEATHOOKMANOR
    @MEATHOOKMANOR Před měsícem +1

    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.

  • @guilhermenunes4275
    @guilhermenunes4275 Před měsícem +1

    She's more gorgeous every video ❤

  • @TheTattedGinger
    @TheTattedGinger Před měsícem

    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.

  • @markmccallum475
    @markmccallum475 Před měsícem +12

    This Roadhouse remake is different to what I expected.

  • @Wintersky136
    @Wintersky136 Před měsícem

    Megan superenjoyed that one 😂😅

  • @HighlandsLuke
    @HighlandsLuke Před měsícem

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

  • @nnhk0056
    @nnhk0056 Před měsícem +4

    I enjoyed this field sobriety test

    • @omartorres5626
      @omartorres5626 Před 25 dny

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

  • @palimpalim.411
    @palimpalim.411 Před měsícem +16

    magic socks✨

  • @rankinspurff3431
    @rankinspurff3431 Před 9 dny +1

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

  • @benjaamin
    @benjaamin Před 24 dny +3

    Nice to see Quentin Tarantino was directing this one 🤠

  • @phils1018
    @phils1018 Před měsícem

    Gill!!!!!❤

  • @rodneyboulton6410
    @rodneyboulton6410 Před měsícem +3

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

    • @ericwalstrand3512
      @ericwalstrand3512 Před měsícem +1

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

  • @ars4455
    @ars4455 Před měsícem +11

    Megan is my fav

  • @misunderstoodcomedian947
    @misunderstoodcomedian947 Před měsícem +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

  • @derrickw5204
    @derrickw5204 Před měsícem +7

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

  • @tinysnapz6499
    @tinysnapz6499 Před 23 dny

    This new better call Saul episode is great

  • @starfishgurl1984
    @starfishgurl1984 Před měsícem

    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 😂😂😂.

  • @rebelmc33
    @rebelmc33 Před měsícem +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?

  • @vjr4763
    @vjr4763 Před měsícem +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!

  • @ProperSauce
    @ProperSauce Před měsícem +2

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

  • @shadey7277
    @shadey7277 Před měsícem +5

    I am adamant the socks thing was on purpose 😂

  • @MoefoeAhole-gy9vd
    @MoefoeAhole-gy9vd Před 14 dny

    I AGREE 😉 FANTASTIC!!

  • @benjaminthishandleistaken
    @benjaminthishandleistaken Před měsícem +2

    This video completely socks!

  • @vince9292
    @vince9292 Před měsícem +5

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

    • @DrJamesGill
      @DrJamesGill  Před měsícem +7

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

  • @dmkoz1665
    @dmkoz1665 Před měsícem +3

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

  • @aj_aka_alan
    @aj_aka_alan Před měsícem +4

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

  • @ilgazkeskin869
    @ilgazkeskin869 Před 3 dny +1

    Perfect video for Quentin Tarantino…

  • @samc784
    @samc784 Před měsícem +1

    Love the sock trick

  • @r.h.0101
    @r.h.0101 Před měsícem

    yup

  • @ShinigamiAUS
    @ShinigamiAUS Před měsícem +1

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

  • @bennisbranch6976
    @bennisbranch6976 Před měsícem +4

    Dr. Gill! What brand are your glasses?

  • @hazelnicholson
    @hazelnicholson Před měsícem +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  Před měsícem

      True, forgot to record the fresh on this time

  • @EuanBCFC
    @EuanBCFC Před měsícem +7

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

    • @lolololollo5377
      @lolololollo5377 Před měsícem +2

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

    • @chrisrearick6120
      @chrisrearick6120 Před měsícem

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

  • @luked5001
    @luked5001 Před měsícem

    Post instructional compliment final boss

  • @maetalica
    @maetalica Před měsícem +16

    Schrödinger's socks!

  • @johnbeans2000
    @johnbeans2000 Před 25 dny +1

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

  • @yidarmy123
    @yidarmy123 Před měsícem

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

  • @eriquinhogameplays6876

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

  • @standol
    @standol Před měsícem

    Do Megan Strugles ?

  • @iliutacristian8322
    @iliutacristian8322 Před měsícem +2

    The socks are a paid actor!

  • @davefeeley1
    @davefeeley1 Před měsícem +2

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

  • @hugheszie
    @hugheszie Před měsícem +1

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

  • @andreycalvogomez4024
    @andreycalvogomez4024 Před 2 dny

    God bless you and World nos cuidan y protegen de todo mal amen a los q amamos el mundo entero por mas añitos aqui en la tierra y algun dia por la eternidad con los que amamos el mundo entero bendiciones 😍❤️amen

  • @Gooner333333333
    @Gooner333333333 Před měsícem

    What sports does she do?

  • @boskabiker
    @boskabiker Před měsícem +7

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

  • @andrewmcdonald481
    @andrewmcdonald481 Před měsícem +8

    No sandwich breath

  • @chadsmith1200
    @chadsmith1200 Před měsícem

    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 Před měsícem +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 Před měsícem +2

      Dr James Kelly

    • @chadsmith1200
      @chadsmith1200 Před měsícem

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

  • @mattiaspersson3846
    @mattiaspersson3846 Před měsícem +8

    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.

  • @gabrielesimionato1210
    @gabrielesimionato1210 Před měsícem +5

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

  • @Vibemaker68
    @Vibemaker68 Před měsícem

    Luckily at 4:45 the space time continuum is restored

  • @amandajay9058
    @amandajay9058 Před měsícem +1

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

  • @leee3760
    @leee3760 Před měsícem +1

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

  • @dobryisamolet
    @dobryisamolet Před 13 dny

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

  • @user-wv1ww6ii6s
    @user-wv1ww6ii6s Před měsícem +1

    Some say the socks are still airborne

  • @k-asmr4248
    @k-asmr4248 Před měsícem

    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.

  • @canadiankid42
    @canadiankid42 Před 28 dny

    "No it's not ok, Dr Gill"

  • @ML-jk4dg
    @ML-jk4dg Před měsícem +1

    -Are your socks magical? 🤓
    *Socks disappear*
    -Fantastic 🤓
    *Socks appear*
    -Super! 🤓

  • @datboibobby7637
    @datboibobby7637 Před měsícem +1

    “Yep. Yep. Yep. Yep”

  • @connorcosgrove2240
    @connorcosgrove2240 Před měsícem +1

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

    • @DrJamesGill
      @DrJamesGill  Před měsícem

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

  • @IvanSantosMalpica
    @IvanSantosMalpica Před 23 dny +1

    5:42, man, that hurts 🤣

  • @bgg5090
    @bgg5090 Před měsícem +1

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

  • @joribremer5260
    @joribremer5260 Před měsícem

    Yerr a wizard James 😂

  • @erikmaster3
    @erikmaster3 Před 28 dny +3

    What’s up with the socks

  • @Gmc833
    @Gmc833 Před měsícem +1

    “Just going toputabitofpaper on your feet”

  • @Aguseze39
    @Aguseze39 Před měsícem +4

    You are very handsome Doc!!

  • @gabrielesimionato1210
    @gabrielesimionato1210 Před měsícem +1

    Aka legs

  • @khayyamkhan7794
    @khayyamkhan7794 Před měsícem +1

    I wish I had those socks

  • @The_Omegaman
    @The_Omegaman Před měsícem

    Plot twist: this is a psychological test for the viewers with the socks

  • @D1MITRI
    @D1MITRI Před měsícem

    FOR FREE?!?!