Peripheral Vascular Examination - Clinical Skills - Dr Gill

2024 ж. 13 Мам.
575 890 Рет қаралды

Examination of Peripheral Vascular System - Clinical Skills OSCE Revision - Dr Gill
In this video, we demonstrate the peripheral vascular examination - a less common examination, but still vitally important, particularly amongst the older population
Starting with the examination of the hands looking for clinical signs of vascular compromise, we then check the pulses of the major arteries of the upper body - the radial, brachial and carotid arteries, before moving down to assess for an abdominal aortic aneurysm.
At this point, I feel it's a practical step to check the femoral pulses before doing the overview of the legs.
After visually assessing we must examine the major vascular areas of leg.- namely the popliteal pulses, before wrapping up around the ankle with the posterior tibial and dorsalis pedis pulses
For completeness, the cardiovascular examination is demonstrated here
• The Cardiac Examinatio...
#PeripheralVascular #ClinicalSkills #DrGill
You can now consult via video or in person with Dr Gill at Dr Finlay’s Private Practice - www.drfinlays.co.uk/services/...

Пікірлер
  • Here for the ASMR. Stay for the medical information. In addition, the shot from the carotid artery with the reflection of Dr. G in the stethoscope was a nice piece of artistic flair. 👌

    @tehflip@tehflip Жыл бұрын
    • I really didn’t see that. I’ll take a look

      @DrJamesGill@DrJamesGill Жыл бұрын
    • Súper ASMR.

      @florenciabricco7876@florenciabricco7876 Жыл бұрын
    • yeah at 5:23

      @coreyblackadder8367@coreyblackadder8367 Жыл бұрын
  • Thanks Dr Gill. Very happy you’re still making videos after all these years and the quality just keeps getting better

    @hand587@hand587 Жыл бұрын
    • More to come!

      @DrJamesGill@DrJamesGill Жыл бұрын
    • the hits just keep on rolling. Gill is the Beatles of educational/ASMR videos

      @philliesruleurschool@philliesruleurschool Жыл бұрын
  • She went from socks to wearing shoes in a blink of an eye. Doctor and magician.

    @blannibal3610@blannibal3610 Жыл бұрын
    • 🪄

      @DrJamesGill@DrJamesGill Жыл бұрын
    • Or a continuity error.

      @randiekay4994@randiekay4994 Жыл бұрын
    • Given the two options I’ll prefer to claim to be a magician

      @DrJamesGill@DrJamesGill Жыл бұрын
    • The waistcoat isn't just because he's well-dressed.

      @sasukesarutobi3862@sasukesarutobi3862 Жыл бұрын
    • Then back to socks again. That's hilarious

      @tomabbott5815@tomabbott581511 ай бұрын
  • I wish every doctor I visited was as informative as Dr. Gill.

    @CradleInTheCrater@CradleInTheCrater Жыл бұрын
  • For the incredible Dr Gill I must say thank you for these videos im Not learning to be a Dr but I do find these videos very informative

    @unleashthecarnage5813@unleashthecarnage5813 Жыл бұрын
  • Who would have thought this channel would be as big as it is.

    @williamwinder5011@williamwinder5011 Жыл бұрын
    • I remain eternally surprised

      @DrJamesGill@DrJamesGill Жыл бұрын
  • The videos when your checking a patient are the best.Informative and very relaxing at the same time.

    @user-uk7pp8ic7u@user-uk7pp8ic7u Жыл бұрын
  • Since I just came from a vascular surgeon, this video is very relevant to me!

    @richardpruger4772@richardpruger4772 Жыл бұрын
    • Good luck!

      @DrJamesGill@DrJamesGill Жыл бұрын
    • Me too and i am scheduled to have surgery soon.

      @cleocatra9324@cleocatra9324 Жыл бұрын
  • Thanks for posting all these years Doc. I thank you as a med student for the medical info and I thank you as ASMR fan.

    @polly1472@polly1472 Жыл бұрын
    • You are welcome. Where are you studying? Are there any topics we can help with?

      @DrJamesGill@DrJamesGill Жыл бұрын
    • @@DrJamesGill Thanks for your reply! I live in Brazil! This is my 2nd year in med school!

      @polly1472@polly1472 Жыл бұрын
  • Crazy I’ve been watching these videos for literal years. Keep up the great work Dr. Gill!

    @trevorsmith2736@trevorsmith2736 Жыл бұрын
  • I found your videos looking for cranial nerve ASMR a couple years ago. I still watch you’re videos because they and you are relaxing, but I also like feeling like I’m learning something along the way.

    @lunajayde_xx@lunajayde_xx Жыл бұрын
  • Very informative even for a non student,thanks for the video Dr Gill,a hug from Brazil

    @Xerebaz@Xerebaz Жыл бұрын
    • Glad it was helpful!

      @DrJamesGill@DrJamesGill Жыл бұрын
  • Informative and entertaining as usual Dr. Gill.

    @williamwinder3466@williamwinder3466 Жыл бұрын
    • 👍

      @DrJamesGill@DrJamesGill Жыл бұрын
  • I went here to learn english, medecine and ASMR. 3 in 1 videos. Thank you Dr Gill !

    @The_Albatorette@The_Albatorette11 ай бұрын
  • Dr Gil never fails,,much love to you brother 🙏🏼💪💯🔥

    @josemerino7894@josemerino7894 Жыл бұрын
  • Love how her shoes magicaly appeared on her feet during the exam 🤣😂🤣😂 1:47

    @graemehall9537@graemehall9537 Жыл бұрын
    • What the. Lol

      @joeyderdsantana3494@joeyderdsantana3494 Жыл бұрын
    • They kept appearing and disappearing throughout the video. Glad I’m not the only one who noticed that

      @Flipvan@Flipvan Жыл бұрын
    • Came here to comment that 😂

      @fetseroony@fetseroony Жыл бұрын
  • The close-up of the Purel is a nice touch.

    @duellingdescartes7950@duellingdescartes7950 Жыл бұрын
  • Love these videos because as an anxiety sufferer it’s so calming to understand the why’s behind the things you do and the reasons they matter and as someone with sensory issues I also appreciate your open communication about touch so that people aren’t caught off guard by it because things like that help me a lot! Great magician skills too with the disappearing and reappearing shoes 😂, love it!

    @starfishgurl1984@starfishgurl1984 Жыл бұрын
  • It is important to get consent from a patient if you going to touch near a sensitive area especially when palpating for a femoral pulse . I learned this from my first EMT instructor and stressed this to my EMT students .

    @derrickw5204@derrickw520411 ай бұрын
    • I would stress, it’s important to get consent for anything with a patient

      @DrJamesGill@DrJamesGill11 ай бұрын
  • Who would of thought 15 years ago my favorite show would be Dr Gill in 2023.

    @loadventureslife5090@loadventureslife5090 Жыл бұрын
  • So glad that i find you before my exam

    @han-lf5nx@han-lf5nx Жыл бұрын
    • When do you have the exam? We have a playlist on looking at the science behind the exams

      @DrJamesGill@DrJamesGill Жыл бұрын
  • Put a pit of paper

    @nenuanenenuane6645@nenuanenenuane6645 Жыл бұрын
    • Not this one

      @DrJamesGill@DrJamesGill Жыл бұрын
  • Aah yes, the Bob Ross of medical exams

    @playerb3672@playerb3672 Жыл бұрын
  • Thank you Dr Gill !

    @runs6237@runs6237 Жыл бұрын
  • Is there any chance of these being uploaded to Spotify? I listen to them all so often! Thank you so much!

    @optimistic1996@optimistic1996 Жыл бұрын
  • Your voice is perfect for ASMR, love your vids! I'm learning a lot too

    @heymimi2557@heymimi2557 Жыл бұрын
  • Hi Dr. Gill, I had a recommendation for a video or series of videos (which you have likely planned to make already. Admittedly I’ve been caught up in coursework to have kept up to date fully with your channel) regarding the doctor patient relationship. We have standardized patient encounters for breaking bad news to patients, difficult/angry patients, and the motivational interview. I think seeing these videos from your perspective would be tremendously helpful for other medical students.

    @NickzAndMikz@NickzAndMikz Жыл бұрын
    • I think there is an area to look at doing MEC consultations initially - so making every contact count

      @DrJamesGill@DrJamesGill Жыл бұрын
  • Who turned off the- ooh, you're done. Great video as always, thank you very much! And perfect timing as well :)

    @Draedaja@Draedaja Жыл бұрын
    • Glad you enjoyed it! Hope it was useful

      @DrJamesGill@DrJamesGill Жыл бұрын
  • Lovely video as always. Super high quality!

    @soyunbonus@soyunbonus Жыл бұрын
    • Glad you think so!

      @DrJamesGill@DrJamesGill Жыл бұрын
  • Well done, Dr Gill. Happy New​ Year.

    @chrish8903@chrish8903 Жыл бұрын
  • I could listen to this guys voice for hours😍

    @WAFC_CH@WAFC_CH Жыл бұрын
  • I love your videos Dr James, regards from Mexico

    @ivantorres6146@ivantorres6146 Жыл бұрын
    • 👍

      @DrJamesGill@DrJamesGill Жыл бұрын
  • Soothing

    @vois@vois8 ай бұрын
  • More of these types of videos please.

    @chadsmith1200@chadsmith1200 Жыл бұрын
  • Esta muy bien el examen periférico, ahora veamos el perianal.

    @Alejandro35GN@Alejandro35GN Жыл бұрын
  • Shout out to the magic shoes at 1:48 and 3:11!

    @lordsnooks2804@lordsnooks2804 Жыл бұрын
  • As always, excellent and very instructive video👍

    @slynikiclh9040@slynikiclh9040 Жыл бұрын
    • Hope it was helpful

      @DrJamesGill@DrJamesGill Жыл бұрын
  • Gotta respect the doctor drip

    @erosaphrodite@erosaphrodite Жыл бұрын
  • Great green eyes.

    @thoughtsurferzone5012@thoughtsurferzone50127 ай бұрын
  • Esse médico fala tão calmo q parece vídeo de asmr eu assisto os vídeo pra dormi kk amo

    @thornados4887@thornados48878 ай бұрын
    • Mano eu tbm kkkkkkkkkkk

      @alafe.@alafe.2 ай бұрын
  • Professional 👍💤

    @missilemiata7593@missilemiata7593 Жыл бұрын
  • Am I remembering correctly that the scar on Megan’s L knee is an old hockey injury? 🤔

    @keithlivingstone2525@keithlivingstone2525 Жыл бұрын
  • Is there any way to make a video explaining syncope? and the best way to deal with it? I really enjoy your videos!!!! they are very informative :)

    @kianagraham7529@kianagraham7529 Жыл бұрын
    • We could certainly look at that - it doesn’t need a student, so perhaps a medicine explained video The question is always “what is CAUSING the syncope.” As it is a symptom

      @DrJamesGill@DrJamesGill Жыл бұрын
  • Loved the video, actually would like to hear issues you could find during examination. I have some problems like, deep pulsating feeling on left side of abdomen, my big toe has turned purpleish and sometimes goes back to normal. Also when I lidt my left arm, it gets weak and I feel tingling. Sometimes my veins on my hands bulge up to the point it hurts and they get very hot, when I out my hands up in the air, the blood goes down and creates a relief. Had this since an accident after broken collar bone. Which doctor should I go to? Primaru care didnt take me seriously

    @rebeka145@rebeka14510 ай бұрын
  • I have noticed this Med Student? has become more comfortable on camera, compared to her first video appearance, must be helpful with the demonstrations knowing they are not as tense as their first time on camera

    @dnkykng3369@dnkykng3369 Жыл бұрын
  • The patient has been diagnosed with a mild case of intermitent shoes. Treatment is very simple and effective, fortunately!

    @DolfoLicks@DolfoLicks Жыл бұрын
  • Love these videos, but like many here I guess none of us are even slightly medically trained, would it be possible to explain why these checks are required and the likely issues a patient may face if say the pulse on either arm were not in sync?

    @ebola1974@ebola1974 Жыл бұрын
    • That will come in the deep dive that we’ll record soon A lot of the explanations are on the “medicine explained” playlist

      @DrJamesGill@DrJamesGill Жыл бұрын
  • Hi Dr Gill, non medical student here. Is there actually a reason why you might detect a different or abnormal pulse in the abdomen or lower extremities compred with the neck or upper body and what would that mean? Presumably it wouldn't be a good thing? Love your channel and content.

    @DevRSVR@DevRSVR Жыл бұрын
    • Yes. You are looking for different things, but as a big example. The abdominal pulse you are looking for a medical problem called an abdominal aortic aneurysm We will be doing a deep dive on this exam later Check out the medicine explained playlist, it has all of our current deep dives

      @DrJamesGill@DrJamesGill Жыл бұрын
  • Excellent video as always. The only flaw, Abby not there anymore 😔

    @Macsimus75@Macsimus75 Жыл бұрын
  • My apologies. I forgot to put a bit of pay-pah on your hands. If I may... That's better. 🤓

    @philfmiller@philfmiller10 ай бұрын
  • I wonder how bad something would have to be to be caught by the initial visual examination. ie. the neck around halfway through the vid

    @learicist@learicist Жыл бұрын
  • Dr. Gill. Are these routines happen like this on a daily bases in the UK? In America, and Japan. Doctors usually just kinda look at you, and say. Well everything is normal, without even checking my blood pressure the way I see UK doctor do. It seems like the UK health care system is more advanced at checking for problems or complaints from a patient than in America and Japan. What are your thoughts, Dr. Gill?

    @pb879@pb879 Жыл бұрын
    • It’s more that we still rely on the basics rather than ordering scans. It also might be related to the teaching I had a Warwick, where I was told “Be proud of your clinical skills and be able to work even when the power cuts”

      @DrJamesGill@DrJamesGill Жыл бұрын
    • @@DrJamesGill I don't believe clinical skills are applied. Information America and Japan seek as.drug seekers

      @pb879@pb879 Жыл бұрын
    • @@DrJamesGill Your skills will be the most useful when the inevitable apocalypse hits XD

      @antusgabor@antusgabor Жыл бұрын
    • @@DrJamesGill that's great, I wish I had access to that kind of doctors

      @noeliarocio4367@noeliarocio4367 Жыл бұрын
  • generally curious how the body size of the patient affect these tests (being adipositas)? I guess it is harder to 'feel' the important stuff with my belly haha Also does the heart beat sound changes with the body size of person? e.g. lower frequency, quieter? thx in advance!

    @uhranus2969@uhranus2969 Жыл бұрын
    • Good question

      @Farsightful@Farsightful Жыл бұрын
  • We are medical furniture and device supplier in China,I am very glad to study some medical knowledge.

    @Voladormedical@Voladormedical5 ай бұрын
  • Intro Inline is a great font indeed

    @rdonshatalov@rdonshatalov Жыл бұрын
  • Shoes magically appear and disappear in this one XD

    @Bathrezz1@Bathrezz1 Жыл бұрын
  • Continuity director needs sacking lol. One minute she’s got shoes on during the bp test next minute she’s not then whoa back on again. Lol.

    @d521315a@d521315a Жыл бұрын
    • Yup. I could actually do with someone helping for the filming, I’d likely get more done!

      @DrJamesGill@DrJamesGill Жыл бұрын
  • I had never noticed before, but you have your name engraved on your stethoscope, that's so cool !

    @oryon6502@oryon6502 Жыл бұрын
    • In one video Dr Gill said it was a gift from his parents IIRC, after he lost his old one.

      @rageagainstthebath@rageagainstthebath Жыл бұрын
    • You can order them that way from the shop

      @m.syamil_KR4PU@m.syamil_KR4PU Жыл бұрын
    • Yes that is correct. My medical school one disappeared in my second job in ITU after graduating 😐

      @DrJamesGill@DrJamesGill Жыл бұрын
  • Is there any significance to the number of fingers used when taking a pulse? Sometimes two are used, sometimes more.

    @matthewmckee3762@matthewmckee3762 Жыл бұрын
    • Not really.

      @DrJamesGill@DrJamesGill Жыл бұрын
  • I thought I was going crazy. She had socks on, then shoes on, then socks on again. Had to make sure I wasn’t seeing things. Never thought I’d be gas lit like that 🤣

    @zouzou_u@zouzou_u Жыл бұрын
    • Yup. Slight editorial issue

      @DrJamesGill@DrJamesGill Жыл бұрын
  • Until 3:00 she had her shoes, suddenly her shoes dissapear

    @lecanist_GS@lecanist_GS8 ай бұрын
  • I can’t see any double vision?

    @deonblaster2546@deonblaster2546 Жыл бұрын
  • 2:10 Blood pressure check "...we're going to do first without the blood pressure cuff." That's some cutting-edge medicine right there. Dr. Gill is just that bloody AWESOME!!! 😃👍

    @christophermusso@christophermusso Жыл бұрын
  • Think I need one of these, my feet are always cold.

    @Wod-c@Wod-c Жыл бұрын
  • How did i get here?

    @chuckles6482@chuckles6482 Жыл бұрын
  • Dr Gill, what can u tell me about kidney stones with a composition of calcium oxylate?

    @kathiepohner5902@kathiepohner5902 Жыл бұрын
    • Ouch. I bet that is uncomfortable They are the most common type of stones. Occasionally they can resolve A urologist is normally involved with the care even if not their removal Diet is a huge factor, there is an older, but good paper here www.ncbi.nlm.nih.gov/pmc/articles/PMC1455427/

      @DrJamesGill@DrJamesGill Жыл бұрын
    • Thank you Dr Gill

      @kathiepohner5902@kathiepohner5902 Жыл бұрын
  • Can you do a video on the Achilles tendon. Did something to mine playing basketball. 🦶 👢

    @MaxPowerVideos@MaxPowerVideos Жыл бұрын
    • It’s on the list. Just need to get there

      @DrJamesGill@DrJamesGill Жыл бұрын
    • @@DrJamesGill Awesome!!! Love the videos and time and effort you put into them. Congrats on getting married.

      @MaxPowerVideos@MaxPowerVideos Жыл бұрын
  • I notice the faint tan lines from a time piece, as a horology enthusiast and a long time fan I'd love to know why you choose to film without it and also what Dr Gills daily watch might be.

    @incognito9532@incognito9532 Жыл бұрын
    • We should be bare below the elbows in the clinical setting - certainly in the hospitals As for watch, I’m currently using a Garmin Fenix 😊

      @DrJamesGill@DrJamesGill Жыл бұрын
  • those eyes 😍😍😍

    @jaroslavvyskok8488@jaroslavvyskok8488 Жыл бұрын
  • Sometimes when my hands or feet get cold the fingers and toes can go completely white and I lose most of the sensation and feeling in them...they feel like lifeless little bricks! This only started happening after I had gastric bypass surgery and lost around 180lbs in 18 months. Would the weight loss be the cause of it? Its driving me nuts at the minute because the weather is cold here and when I go walking the top half of my feet are so numb it is starting to affect my balance when I try to walk fast.

    @seyara1@seyara1 Жыл бұрын
    • You need to speak to your GP

      @DrJamesGill@DrJamesGill Жыл бұрын
    • Yeah you should ask your doctor, but I will say you do get a lot colder after such significant weight loss. It may help to move around more or wear warm socks or slippers etc. if that’s the problem

      @nondescriptbeing5944@nondescriptbeing5944 Жыл бұрын
    • Not a Dr but between personal experience and general knowledge, but as I understand people who undergo gastric bypass can often suffer from nutrient deficiency due to decreased absorption. Since we build blood through the transformation of food, could certainly see how that could affect blood supply/flow. Believe there are recommendations for those with this surgery to optimize their nutrition so might want to look into that and ask a Dr.

      @radar5464@radar546411 ай бұрын
  • When you lift the leg & say you are looking for changes, what changes are you looking for? When you hold any limb in the air the veins go into hiding.

    @TenableVegan@TenableVegan Жыл бұрын
    • It’s called Buergers test - if the foot / leg goes pale it indicates distal ischaemia - which is then confirmed later getting the patient to sit up and see if the skin goes red

      @DrJamesGill@DrJamesGill Жыл бұрын
  • This guy literally has a stethoscope with his own name ingraved in it 😂😂 doctor's flexing in the lunchroom be like

    @Snowball_Earth@Snowball_Earth Жыл бұрын
  • So I noticed during this you also checked temperature of extremities? Is it an issue if say the hands or feet or legs or something is an extreme temp change from the rest of the body?

    @tavitafish@tavitafish Жыл бұрын
    • It’s that poor circulation may result in a colder limb, perhaps seen more clearly when comparing to the other limb

      @DrJamesGill@DrJamesGill Жыл бұрын
  • Wish my bp was that good

    @TheJamesrw10@TheJamesrw10 Жыл бұрын
  • I've always wondered, why do it once without the stethoscope and then with? I've never had that done here in the US.

    @deemcdaniel9150@deemcdaniel9150 Жыл бұрын
    • I think we covered that in the cardiac deep dive - I know it’s in that or one of the blood pressure videos It’s about ensuring the measurement is accurate

      @DrJamesGill@DrJamesGill Жыл бұрын
    • Cardiac Examination Deep Dive - Clinical Skills Explained - Dr Gill kzhead.info/sun/l9yOeNRwbH9unok/bejne.html

      @DrJamesGill@DrJamesGill Жыл бұрын
    • Thank you so much for answering. I haven't seen that one yet!

      @deemcdaniel9150@deemcdaniel9150 Жыл бұрын
    • You are checking for the Auscultatory gap after which you add 30mmHg to it and pump the cuff to the reading so you don't miss the accurate systolic reading

      @tolukhatea@tolukhateaАй бұрын
  • The legendary Abbie Tutt MD has been followed by the beautiful Megan Struthers. Love those unusual bright turquoise eyes! 😍💘

    @nathanfugate8210@nathanfugate82103 ай бұрын
  • In previous videos when you demonstrate your examinations you explain what you are doing, why and what to look for... in this one you are examining without any detail as to why and what exactly you are looking for. Is this because this is used as a teaching aid and you play to students and reply and pause to ask them questions on each part of the examination?

    @bazajames8196@bazajames8196 Жыл бұрын
    • Yes the videos are two fold. We do the demonstration, and then we do the deep dive (I’m working on the deep dive for Romberg’s atm, the deep dive for this week be a little longer )

      @DrJamesGill@DrJamesGill Жыл бұрын
  • Wait how the hell did she get her shoes on when she had socks on whilst dr gill was examining her

    @liambegley6410@liambegley6410 Жыл бұрын
  • Megan Struthers is the new Abbie Tutt

    @anthonymcneil1542@anthonymcneil1542 Жыл бұрын
  • Is having pulse in the abdomen normal?

    @RafaelW8@RafaelW8 Жыл бұрын
    • Yes. But having an expansile pulse is not

      @DrJamesGill@DrJamesGill Жыл бұрын
  • Have you ever found any issues while conducting these examinations ?

    @GreenC0rdial@GreenC0rdial Жыл бұрын
  • Looks like a fine specimen.

    @r.h.0101@r.h.0101 Жыл бұрын
  • Genuinely curious as to whether this is your natural voice or if you happen to embellish or alter it Dr Gill. In addition what are your thoughts on ASMR? In my opinion it appears to be evolutionary leftovers from humans long distant ape relatives, as social grooming was certainly a factor there and relaxation and feelings of bliss or euphoria are visible when these things are observed in nature with great apes and monkeys today.

    @Rambit@Rambit6 ай бұрын
  • Detroit in the building...

    @antoinehunter3776@antoinehunter3776 Жыл бұрын
  • Cripes, even stethoscopes are digital now? My Doctor's still on analogue.

    @pumpkinknight5732@pumpkinknight5732 Жыл бұрын
  • If you turn on Subtitles ...when the Lady states her name the Subtitles say " Making Struggles"....poor Lady

    @MrZomg17@MrZomg178 ай бұрын
  • 1:48 shoes randomly appear 3:09 shoes randomly disappear again 😂

    @strayxxiii7601@strayxxiii7601 Жыл бұрын
    • Magic 🪄

      @DrJamesGill@DrJamesGill Жыл бұрын
  • Team Green

    @matthampton8692@matthampton8692 Жыл бұрын
  • Her eyes are beautiful

    @johnathanleonardo912@johnathanleonardo912 Жыл бұрын
  • In the stomach, I thought you auscultate first before palpating?

    @aml7758@aml7758 Жыл бұрын
    • That would be listening for bowel sounds, which is not what is being listened for here Have a look at the abdominal exam deep dive, and we discuss that very point about auscultation of the bowel - when to do it, and what the clinical effect of the timing is

      @DrJamesGill@DrJamesGill Жыл бұрын
    • kzhead.info/sun/o6mEh62FeaKBhas/bejne.html here is the deep dive video

      @DrJamesGill@DrJamesGill Жыл бұрын
    • @@DrJamesGill I understand, but after you palpating the stomach, the bowel sound would interfere and make the listening of the pulse much more difficult. I always teach my students, for the stomach, always auscultate it first, whatever you want to hear

      @aml7758@aml7758 Жыл бұрын
    • When I looked at the research on it, there were a few papers looking at when auscultation is performed, the general conclusion was it actually had an insignificant impact on auscultation findings, and no impact on clinical pathology detection (although I think that is partially as the bowel sounds are an incredibly weak clinical sign - there are some shocking research numbers where consultants were finding up 50% difference between clinical suspicion from bedside vs on imaging) - but I’ll admit, I was looking from the perspective of palpation affecting bowels sounds rather than being how it would affect presence of bruits

      @DrJamesGill@DrJamesGill Жыл бұрын
    • @@DrJamesGill I agree, in most patients, the bowel interferes insignificantly, but there're some patients, especially elderly, the GIT of which can react in an unpredictable way to palpation; some of my patients could not lie still after palpation. Anyway, you're doing a great job and there's nothing wrong with the video. Thank you for your work

      @aml7758@aml7758 Жыл бұрын
  • Am I THE ONLY ONE WHO TRY FEELING PULSE AROUND MY GROIN??😅😅😅

    @josemerino7894@josemerino7894 Жыл бұрын
  • Got my hopes up for a bit of paper when her hands were out

    @holnrew@holnrew Жыл бұрын
  • She has beautifull green eyes

    @gijsv8419@gijsv8419 Жыл бұрын
  • I drop my thumbs up before beginning the video, particularly if the mighty mighty Meghan is featured. 😀

    @Caltash@Caltash Жыл бұрын
  • In love again

    @Cornelius71176@Cornelius71176 Жыл бұрын
  • His voice is lulling. That's probably the way it's meant to be)

    @me_d.i.@me_d.i. Жыл бұрын
  • Chevrolet, Zebra and Honesty

    @180nrd@180nrd Жыл бұрын
  • For some stupid reason I thought I would try a clinical health degree despite my absolute, phobic disgust of veins. I noped out of there quick smart. I couldn't even take a radial pulse on the test dummies without cringing. I have no idea what I was thinking.

    @CaptBrightside89@CaptBrightside89 Жыл бұрын
  • Congratulations Doctor you were recently married?

    @UCONN_HUSKIES@UCONN_HUSKIES Жыл бұрын
    • 👍

      @DrJamesGill@DrJamesGill Жыл бұрын
    • He may still be.

      @georgepierson4920@georgepierson4920 Жыл бұрын
    • @@georgepierson4920😂😂

      @learicist@learicist Жыл бұрын
  • Can anybody say they have had all these tests done in a 10m NHS consultation. I'd say the majority is no. Even if you do go in complaing of Syncope issue's.

    @Dookie69uk@Dookie69uk8 ай бұрын
    • To be fair, peripheral vascular disease wouldn’t be my first thought with syncope

      @DrJamesGill@DrJamesGill8 ай бұрын
    • @@DrJamesGill That's a good point now thinking about it. Forgive me I'm just a 2nd year med school student and Syncope popped into my head. We all have to learn. Appreciate your videos they are very helpful to me often. Have a great day.

      @Dookie69uk@Dookie69uk8 ай бұрын
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