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Abdominal Examination Master Class - Medical School OSCE Revision - Clinical Skills - Dr Gill 

Dr James Gill
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Abdominal Examination Master Class - Medical School OSCE Revision - Clinical Skills - Dr Gill
This video details each step of the abdominal exam, highlighting why each step is being taking to maximised your clinical skills OSCE revision.
In this video, we demonstrate how to perform a clinical examination of the ABDOMINAL SYSTEM for your medical school Clinical Skills OSCE. As the gastrointestinal exam is sure a core skill when it comes to examining patients, students should assume that an abdominal assessment is a high yield station for any clinical exams or clinical assessments.
For a passing grade in your Clinical Skills OSCE, for Abdominal exam follow the approach of:
- Inspection
- Palpation
- Percussion
- Auscultation
We will also address why in the UK the auscultation is placed higher on the examination approach
HOWEVER, an abdominal examination OSCE station does not just involve pressing around the stomach, this video also demonstrates some of the specialised examination techniques required in examining patients such as shifting dullness for ascites, and checking the size of the liver which may be seen to be enlarged in cirrhosis as an example.
Diarrhoea, pain and general concerns about the abdomen are a common reason for patients to see a doctor, and in any speciality is probably the most commonly performed patient examination
This video has three other abdominal system-focused videos associated with it:
• Abdominal Clinical Exa... - Abdo Demo
• Male Genital Examinati... - Male Genital Exam
• Rectal Examination and... - How to perform a DRE
------------
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.
#clinicalskills #drgill #abdomen
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.
Kayser-Fleischer ring - Herbert L. Fred, MD, Hendrik A. van Dijk - commons.wikimedia.org/wiki/Fi...
Map - commons.wikimedia.org/wiki/Fi...
Ascites - James Heilman, MD - Own work
Angular stomatitis - en.wikipedia.org/wiki/Angular...
Cold Sore - en.wikipedia.org/wiki/Herpes_...
B12 - www.health.harvard.edu/stayin...
Glottis - en.wikipedia.org/wiki/Glossit...
Gynaecomastia - en.wikipedia.org/wiki/Gynecom...
Spleen - en.wikipedia.org/wiki/Spleen
#clinicalskills #abdominalexamination #DrGill
You can now consult via video or in person with Dr Gill at Dr Finlay’s Private Practice - www.drfinlays.co.uk/services/...

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24 июн 2024

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Комментарии : 120   
@richars65
@richars65 Год назад
As a primary care mental health provider, I really appreciate your emphasis on getting affirmative consent for hands-on examination. I work with military veterans and very often these semi-intrusive exams can be overwhelming and reason enough to avoid being seen altogether. Giving a person a chance to say no if they’re not comfortable makes a really big difference. It’s so important for your students and residents (and frankly your colleagues) to see good doctoring is about much more than remembering anatomy and following procedure and algorithms.
@DrJamesGill
@DrJamesGill Год назад
It’s also incredibly effective at building trust, which then flows over into the management plan
@SchleimKeim77
@SchleimKeim77 Год назад
As a patient: Last time I was examined, the doctor didn't even tell me what he was actually examining. Telling me beforehand definitely would've made me feel more comfortable.
@bofa83
@bofa83 Год назад
It seems to be a British dr thing. My question is, what if they say no? What do you do then?
@learicist
@learicist Год назад
@@bofa83 good call.
@cleocatra9324
@cleocatra9324 Год назад
@@bofa83 you talk to them and ask how / what you can do to make them comfortable and what they are ok with. COMMUNICATE!
@ML-jk4dg
@ML-jk4dg Год назад
I came for the ASMR to sleep Stayed awake for the info Now I can relax with open eyes The balance ⚖️
@DrJamesGill
@DrJamesGill Год назад
Any learning is good 😊
@rzsp420
@rzsp420 6 месяцев назад
I came for Asmr too and I completely agree with what you said
@starfishgurl1984
@starfishgurl1984 Год назад
As someone with sensory processing disorder whose body overreacts to certain types of touch as a result I really appreciate the emphasis on making the patient aware of you touching them from behind! When I know I’m going to be touched from behind I’m less likely to move/overreact as a result because my brain has the time it needs to tell my body to relax in advance which significantly improves my body’s response to the touch.
@DrJamesGill
@DrJamesGill Год назад
It’s also just polite 😊
@msaditu
@msaditu Год назад
This is one of the best videos you've made. The detailed explanations and the annotations make it extremely informative and helpful. Thank you!
@DrJamesGill
@DrJamesGill Год назад
Thanks. It’s taken three days of editing, so I’m really glad you find it useful If you’d consider sharing it, others might also find it useful 😊
@derrickw5204
@derrickw5204 Год назад
Dr . Gill , as a paramedic in the U.S , I liked this ! However , the assessment guidelines set don't allow us to go into that much detail . The examination of the abdomen on the focused patient assessment is brief . The EMT or paramedic exposes and visualizes the abdomen looking for Deformities , Contusion , Abrasions , Penetrating injury , Burns / Bleeding , Tenderness , Lacerations , and Swelling . Then on palpation of the abdomen in 6 regions ( upper , mid , and lower quadrants ) we feel for associated pain , look for guarding of the abdomen by the patient , rigidity and distention .
@DrJamesGill
@DrJamesGill Год назад
That is interesting, but I suppose you are looking for different things. I for example never need to worry about penetrating abdominal issues - that would VERY much be outside of my job description!! 👍
@thevengeful0143
@thevengeful0143 Год назад
I appreciate that he specified how auscultation is the last step of an exam specifically in the UK vs it being different in other locations. As an RN practicing in the US, our EBP and most facility protocols call for auscultation between inspection and palpation with percussion last. His justification is also sensible, and his detailed yet professional approach is great as I continue to learn and develop my clinical assessment skills as I progress (hopefully) towards becoming a DNP specializing in geriatric primary care.
@DrJamesGill
@DrJamesGill Год назад
I’m happy you found this useful. I think everything we do should be evidence based, even if that means challenging something which has been done before
@KermitFrogMan
@KermitFrogMan Год назад
Another perfect video to rest to, thank you once again Doctor :)
@alejandrocastillo5771
@alejandrocastillo5771 Год назад
Very thorough and well explained with a touch of calmness, perfect teaching environment. As always thank you Dr. Gill for the video. Your videos allow me to replay them in my mind and connect the assessment to their rationale.
@DrJamesGill
@DrJamesGill Год назад
Where in Texas are you studying? Any other areas we can help cover?
@alejandrocastillo5771
@alejandrocastillo5771 Год назад
@@DrJamesGill good morning I live in a bordertown to Mexico called Eagle Pass. I work at a ER where focus assessments are required depending on the issue? Common topics ENT (conjunctivitis, foreign objects, infections) chest pain & abdominal pain ( from MI, pancreatitis, cholicystitis, to epigastric pain like GERD) musculoskeletal (sprains, fractures, and dislocations), respiratory ( COVID, FLU A and RSV), gi ( diverticulitis, n/v/d), and strokes. 👍
@ancaiuliaangelescu9776
@ancaiuliaangelescu9776 Год назад
Brilliant presentation ! One thing I would suggest : as medicine is moving really fast forward I'm always telling my juniors we should consider bedside ultrasound as ''the fifth element '' in the abdominal examination after inspection, palpation, percussion and auscultation.
@DrJamesGill
@DrJamesGill Год назад
I agree ultrasound is going to be massively important, but until there is ubiquity like stethoscopes, I don’t think it will be part of the year 1 clinical skills syllabus. But hopefully one day
@BubblewrapMe
@BubblewrapMe Год назад
My aunt had Wilson’s disease - really good to see you mentioned it, as very few people seem to know about it.
@DrJamesGill
@DrJamesGill Год назад
It’s normally a year 1 disease at med school, we discuss it in the first month, BUT it’s quite rare, so tends not to get a lot of exposure in the rest of the syllabus I hope your mun is ok?
@elizabethgaunt7863
@elizabethgaunt7863 Год назад
Absolutely loved this video. Explaining everything was much more relaxing to me. These are the kinds of “asmr” videos I enjoy watching. Thank you. Very calming. 😊
@DrJamesGill
@DrJamesGill Год назад
I hope you found it useful 😊
@elizabethgaunt7863
@elizabethgaunt7863 Год назад
@@DrJamesGill very useful 😁
@natalieadkins6791
@natalieadkins6791 Год назад
Wow! This made me look deeper into a B12 deficiency because I have those facial features and I will definitely be visiting my doctor now. I also realized my symptoms lately align with this.
@DrJamesGill
@DrJamesGill Год назад
Oh, I hope that you don’t have an issue with B12! It would be useful if you could tell us the outcome please 😊
@yadiazrael1290
@yadiazrael1290 Год назад
Stumbled upon a video a few months ago (not even remotely related to my field of work). Yet, I keep coming back for the great content……. and David. Great video Dr. Gill.
@DrJamesGill
@DrJamesGill Год назад
Thank you for joining us anyway. What is your field?
@yadiazrael1290
@yadiazrael1290 Год назад
Political Analyst in America.
@EgaoKage
@EgaoKage Год назад
I've been examined by many gastroenterologists (in the US). Not once has any of this been done, apart from two or three seemingly arbitrary proddings at my belly.
@MaxxyBee
@MaxxyBee 3 месяца назад
same in canada, but its probably because theyre specialized doctors, theyll always send you to do scans and scopies instead cause theyre the ones doing these things (vs a gp doctor that has to do a diagnostic without these tools)
@Pippa_McConnell
@Pippa_McConnell Год назад
2:45 MVP throw
@demetriusjones8712
@demetriusjones8712 Год назад
Great video
@zakitadala2957
@zakitadala2957 Год назад
WONDERFUL it would be so good to have such explicative videos for each system 👌🏼
@DrJamesGill
@DrJamesGill Год назад
We’ve completed abdo now, we also have cardiac, knee and hip with this level of content. Also a playlist on cranial nerves examination But I think we perhaps need a step by step cranial nerve like this
@tbip2001
@tbip2001 Год назад
Brilliant. Also that sudden excitement in your voice when you saw the jvp react to liver pressure made me laugh
@DrJamesGill
@DrJamesGill Год назад
Sometimes clinical medicine is cool!
@DevRSVR
@DevRSVR Год назад
I’m not a medical student but I enjoy trying to understand all the medical stuff. The whole area of the abdominal palpation looks very nuanced. Is it something that is difficult to get confident at? The sound differences seem not hugely dramatic and seem like they could lead to a misdiagnosis given the fairly broad range of issues possible?
@DrJamesGill
@DrJamesGill Год назад
It’s very much something that comes with time. We teach students on “normal” so that when they come across something abnormal it stands out very obviosuly
@ignotas557
@ignotas557 Год назад
The GOAT 🙌
@bataismail8518
@bataismail8518 Год назад
This is exciting,l love to your channel,l am a first year nursing college. I will be very useful from your channel and your information,Thank you very much doctor💗💗
@DrJamesGill
@DrJamesGill Год назад
Thank you 😊 Are there any areas it would help if we covered?
@gemmahamilton2565
@gemmahamilton2565 Год назад
Such a soothing voice, and love learning new things about the human body 😊 thank you for these videos, they're brilliant
@DrJamesGill
@DrJamesGill Год назад
Thanks. This one took quite a bit of work, but it’s the final part of the abdo series, so worth it. I think I’m going to redo the other masked videos now
@gemmahamilton2565
@gemmahamilton2565 Год назад
@@DrJamesGill it's definitely a video I'll revisit 😊 I look forward to seeing the rest
@Jonathan-gj2fe
@Jonathan-gj2fe Год назад
@@DrJamesGill .... would you add to the list of consideration an in-depth GALS screening tutorial? 😊 The masked version was great 👍 but I feel there's so much more to it.
@jamierife7789
@jamierife7789 Год назад
OK, the eyeballs shot in the thumbnail freaked me out! LOL!
@DrJamesGill
@DrJamesGill Год назад
Eyeball?
@jimkreider9997
@jimkreider9997 Год назад
I really like these videos. You learn from them.
@DrJamesGill
@DrJamesGill Год назад
So pleased you find it useful
@keithlivingstone2525
@keithlivingstone2525 Год назад
Nice to see you again Doctor (and David of course) 😁
@DrJamesGill
@DrJamesGill Год назад
The benefits of having found the internet again!
@DGMouro
@DGMouro Год назад
Hi. Greetings from Argentina! I like your videos. This one is great. So many details.
@DrJamesGill
@DrJamesGill Год назад
👍👍 took a while to film, but glad it’s useful
@wheelmanstan
@wheelmanstan Год назад
Wow, this is extremely informative and helpful. Thanks!
@DrJamesGill
@DrJamesGill Год назад
Glad it was useful😊
@JOEYFMISFIT
@JOEYFMISFIT Год назад
Your vids are always so interesting!! How do you remember all that info!?!?! You have my absolute respect Doc!
@DrJamesGill
@DrJamesGill Год назад
Years of practice and revision. The first year of medical school, doing it the first time is HARD
@Dr..90
@Dr..90 Год назад
Did you know that I never liked MacLeod’s book and when I want to study it I go to RU-vid for understanding because I do not like reading in RU-vid there are many long videos and I was bored and hated studying more, but there was in me the motive of research I wanted to learn but I was unable, thank God that God guided me To you in one of the difficult coincidences, and I began to listen to your theoretical explanation with all the motive of love of learning and benefit, and I became like to study the theoretical book and I like to link your theoretical speech with practical application. There is such an effect in all of RU-vid and I am sure of my words because I spent four years of my life searching and I did not find anything that matches your explanation. Thank you very much. I wish you stability and inner peace
@DrJamesGill
@DrJamesGill Год назад
It’s all about finding the type of learner you are. Many books are written from the perspective of “I want to tell you this” rather than “I want you to learn and know this”
@Dr..90
@Dr..90 Год назад
@@DrJamesGill Thank you so much
@facundogomez4513
@facundogomez4513 Год назад
Greetings from Uruguay!!!
@DrJamesGill
@DrJamesGill Год назад
Welcome 😊
@TenkoBerry
@TenkoBerry Год назад
This is Good 👍
@namdolignano9363
@namdolignano9363 Год назад
Bravissimo dott jamens molto professionale
@DrJamesGill
@DrJamesGill Год назад
👍
@XX-gy7ue
@XX-gy7ue Год назад
EXCELLENT
@DrJamesGill
@DrJamesGill Год назад
👍
@pamw565
@pamw565 Год назад
Dr Gill, Love your videos. Can you tell me more about the Stethoscope you used today? I don’t think I’ve seen one like that before.
@DrJamesGill
@DrJamesGill Год назад
It’s a Littman 3000 so there is an electronic filter in it
@lukepearson8918
@lukepearson8918 11 месяцев назад
Can you do "deep dives" for the other systems?
@eriklunden5218
@eriklunden5218 Год назад
Informative and pleasant to listen to :)
@DrJamesGill
@DrJamesGill Год назад
👍
@lghostlyl5993
@lghostlyl5993 Год назад
Ok there is a question I have is your stomach does have like a pulse (as in it moves up and down) when relax what might that suggest?
@damebeauty3469
@damebeauty3469 Год назад
@Dr James Gill Have you ever considered conducting an in person clinical course (of course paid course,your time needs to be valued lol)for doctors so we could learn from you in person.I know a lot of newly graduated doctors would love this.Please let us know
@DrJamesGill
@DrJamesGill Год назад
It’s a recurring thought, but I don’t really think I’ve anything to offer beyond year 1 & 2 of med school. My knowledge base is very much basic clinical skills
@emilyb5557
@emilyb5557 7 месяцев назад
I think a back to basics before PACES course by you Dr Gill would actually be fantastic!
@rtetal956
@rtetal956 Год назад
How does an abdominal examination vary in terms of patient BMI? How does a patient with a lot of abdominal fat or obesity affect both palpitation and percussion?
@DrJamesGill
@DrJamesGill Год назад
It becomes more difficult that is for certain
@tommoj3768
@tommoj3768 Год назад
After watching this video… I can confirm I am not an alcoholic 😰 I was worried
@DrJamesGill
@DrJamesGill Год назад
This video identified clinical markers of liver disease. What is that makes you feel you are an alcoholic? You don’t have to have liver damage to be an alcoholic
@tommoj3768
@tommoj3768 Год назад
Ohh ok… so I’m an alcoholic… but with good liver I guess 🤷🏻‍♂️
@mgq825
@mgq825 Год назад
Greeaaat
@DrJamesGill
@DrJamesGill Год назад
👍
@mgq825
@mgq825 Год назад
@@DrJamesGill thanks for all your work!
@MyDadsYouTube
@MyDadsYouTube Год назад
25:22 I never seen that before
@TessasDaddy7132
@TessasDaddy7132 Год назад
I agree with the doctor.he’s definitely not pregnant lol 😂
@DrJamesGill
@DrJamesGill Год назад
👍
@ADjustinG2013
@ADjustinG2013 Год назад
Balloting the kidneys sounds like a great way to knock stones loose...
@gabrielesimionato1210
@gabrielesimionato1210 Год назад
2:40 shirt removal was not bad. 6/10
@DrJamesGill
@DrJamesGill Год назад
Hahahaha. Someone really should put up a chart!
@memetpajaziti3434
@memetpajaziti3434 Год назад
Hi doc, I am diagnosed with peptic ulcer but h.pylori negative, can spicy food or stress cause it ?
@alexdenton6586
@alexdenton6586 Год назад
I’ve just discovered I have clubbing What does it means ?? My doctor never made me do that taste before
@Ban-dp4gp
@Ban-dp4gp Год назад
Please we want to see models
@DrJamesGill
@DrJamesGill Год назад
Unfortunately I’ve only been able to use the abdominal model once, as the plastic model is too expensive to buy
@Ban-dp4gp
@Ban-dp4gp Год назад
@@DrJamesGill ya I totally comprehensive totally true but in a same time in osce examination , thoose models use there
@mebarak06
@mebarak06 Год назад
Awe.! Everyone left the chat. 😭😭😭
@DrJamesGill
@DrJamesGill Год назад
It seemed to crash out here.
@leonamotejlkova8328
@leonamotejlkova8328 7 месяцев назад
Tajo... mohl by mi někdo také namasírovat zádíčka? 🤭 a prsíčka😋
@outlawbrandiewales
@outlawbrandiewales Год назад
USA doct. Ck ur labs blood pressure weight ask any problems then ur done.
@DrJamesGill
@DrJamesGill Год назад
They will be getting a lot of additional information when they are looking at a patient too
@bofa83
@bofa83 Год назад
Which is exactly why people hate going to the doctor in the states.
@pacifiquebusiness
@pacifiquebusiness 8 месяцев назад
I study school medical Yale 22:05
@williamwinder3466
@williamwinder3466 Год назад
4:38 Women have more testosterone then estrogen.
@DrJamesGill
@DrJamesGill Год назад
Very true. One of the issues with the classic graph showing female oestrogen and testosterone is the two different scales used on the same graph
@cleocatra9324
@cleocatra9324 Год назад
Im so confused I’ve had 2 clinic drs tell me different things . At least I dont have rabies.
@DrJamesGill
@DrJamesGill Год назад
I’m sorry to hear that. Unfortunately medicine is an art and a science. Often it’s about fitting things to patterns. Hopefully you’ve an answer you can work with 😊
@cleocatra9324
@cleocatra9324 Год назад
@@DrJamesGill thank you sir. As of now they determined my kidney pain swelling is ‘idiopathic” which points to autoimmune disease. I also have erythromelalgia ( a blood vessel disorder). They want to try Humira injection for me. I enjoy your videos you have a calming nature.
@YourNeedxim2456
@YourNeedxim2456 Год назад
At this point anybody can become a doctor lmfao
@DrJamesGill
@DrJamesGill Год назад
I’m actually of the opinion, if you can pass the OSCES, the written papers and the TDOCS then yes Anyone is allowed to sit a driving test. Meet the criteria, pay the fees, sit the test. Bingo
@DrJamesGill
@DrJamesGill Год назад
That said, I can’t imagine how difficult “self taught” medicine would be
@Jake_1988
@Jake_1988 Год назад
How dare you assume his gender!! Damnit I’ve done it too!
@Dermeister009
@Dermeister009 Год назад
" patients being pregnant , not going to be the case here" i dunno man they are trying to tell use in the past few years that men can get pregnant... Don't assume as you will be called a biggot.
@tipoftheiceberg7034
@tipoftheiceberg7034 Год назад
Pretty muscular guy right there. Even his obliques are lookin good
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