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Ace Your Respiratory Examination OSCE - With This Clinical Skills Master Class - Dr Gill 

Dr James Gill
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Respiratory Examination Master Class - Medical School OSCE Revision - Clinical Skills - Dr Gill
This video details each step of the respiratory exam, highlighting why each step is being taken to maximise your clinical skills OSCE revision.
In this video, we demonstrate how to perform a clinical examination of the RESPIRATORY SYSTEM for your medical school Clinical Skills OSCE. As the chest exam is sure a core skill when it comes to examining patients, students should assume that a respiratory assessment is a high-yield station for any clinical exams or clinical assessments.
For a passing grade in your Clinical Skills OSCE, for Respiratory exam follow the approach of:
- Inspection
- Palpation
- Percussion
- Auscultation
We will also address why "ninety-nine" should not be used in tactile vocal resonance
HOWEVER, a respiratory examination OSCE station does not just involve pressing around the chest, this video also demonstrates some of the specialised examination techniques required in examining patients such as checking the apex beat, chest expansion, chest auscultation and percussion as an example.
COUGH, Shortness of breath and general concerns about the chest are common reasons for patients to see a doctor, and in any speciality is probably the most commonly performed patient examination
This video has three other RESPIRATORY system-focused videos associated with it:
• Respiratory Clinical E... - Respiratory Examination Demo
• Master Percussion Tech... - Percussion Technique
• Respiratory Examinatio... - Respiratory Deep dive
• Respiratory System His... - Respiratory Symptoms
• How to do the Respirat... - Respiratory Examination Details
• How To Read A Chest X-... - Chest xray basics
------------
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.
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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15 июн 2024

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Комментарии : 138   
@DolfoLicks
@DolfoLicks Год назад
A couple of videos ago this patient was diagnosed DEAD! Dr. Gill trully is a remarkable professional. 👏👏👏
@amyr2876
@amyr2876 Год назад
I am a professional coder in the United States. I read operative reports and also evaluation & management notes, then I “translate” them into diagnosis and procedure codes to bill the insurance companies. Watching your videos has really helped me understand better what I am reading in my physicians’ documentation. Thank you so much!
@viperboy403
@viperboy403 Год назад
"we're going to take a piece of paper" You know darn well that's not how you say it! I want a refund
@RaindustZX
@RaindustZX Год назад
Putabitofpaper on it!
@chukwunyereiv3
@chukwunyereiv3 Год назад
Hahahaha More like, "puta-pito-paper"
@jabonky
@jabonky Год назад
😂😂😂😂😂😂
@buckfideniimd8546
@buckfideniimd8546 Год назад
Puttabittapaper
@chewygad7899
@chewygad7899 9 месяцев назад
I’m livid myself
@Ibelikemj
@Ibelikemj Год назад
Honey! Come quick, new Dr Gill is on!
@DrJamesGill
@DrJamesGill Год назад
🤣
@josephjordan9650
@josephjordan9650 Год назад
Always a pleasure to see an upload doc, Keep up the good work!
@DrJamesGill
@DrJamesGill Год назад
Thanks, will do!
@loadventureslife5090
@loadventureslife5090 Год назад
Oh snap he has on the vest so u know it's gonna be another banger.
@largehenne5988
@largehenne5988 Год назад
I started vocational training in medical technical lab work a couple months ago, now I'm able to understand much more things watching your videos which makes me happy :) Maybe I'll go to med school after my apprenticeship is complete
@DrJamesGill
@DrJamesGill Год назад
Congratulations! Are you working in the UK?
@largehenne5988
@largehenne5988 Год назад
@@DrJamesGill I'm in germany!
@guesswhat-chickenbutt
@guesswhat-chickenbutt Год назад
I see you're subbed to the Slipknot channel. And to that I say: fuck yes 🤘🤘🤘🤘🤘🤘
@guesswhat-chickenbutt
@guesswhat-chickenbutt Год назад
Dr Gill!! The GOAT!!! Hope the new year is everything you want it to be!! Much love from the states. 💜
@mo793
@mo793 Год назад
Perfect timing! Was planning to practise cardiac & respiratory examination this weekend for my osce , thank you!
@DrJamesGill
@DrJamesGill Год назад
You got this! I need to get the cardiac done on my side as well!
@mo793
@mo793 Год назад
@@DrJamesGill Looking forward to it!
@jimkreider9997
@jimkreider9997 Год назад
I like these videos by Dr. Gill. I try to do the tests on myself. But I go to my GP twice a year and all this is done. Of course he's not as polite as Dr. Gill but spends as much time with me as needed. I love the guy. Wouldn't change for anything.
@guesswhat-chickenbutt
@guesswhat-chickenbutt Год назад
Consider yourself lucky. I myself am lucky also because my double first cousin is my practitioner.
@lizzieandmocha1131
@lizzieandmocha1131 9 месяцев назад
Love these. I'm no doctor or medical practitioner, but I've always had a fascination with medicine and anatomy. I love to learn as much as I can, even if I'd never be able to use these.
@DrJamesGill
@DrJamesGill 9 месяцев назад
Learning is always good 😊
@seekerofknowledge4533
@seekerofknowledge4533 6 месяцев назад
Inspection Pattern of breathing Symmetry Hands: Fine tremors Flapping tremors Nails koilonychia leukonychia splinter hemorrhage Capillaries refill time Fingertips cyanosis Clubbing shamroth window test Nodes osler Heberdon bouchards Palms: Palmer erythema Dupuytren contracture Thenar hypothenar eminence Pulse Rate 15 × 4 rhythm rebounding pulse Temp thermometer in axilla Bp palpatory and then auscultatry method Eyes: Anemia jaundice Tongue: hydration Anemia Central cyanosis on upper surface of tongue Anemia on lower surface of tongue Oral hygiene Chest scar marks Palpation: Ask for pain Tracheal deviation Tracheal tug Tracheal crepitus Cricosternal distance Lymph nodes palpation Apex beat Chest expansion by hands (Below axilla, in middle chest) Measure also chest expansion Percussion: Normal resonant Dull on right sides at 6th ICS due to upper border of liver Above clavicle On medial third of clavicle 2 more sides below ( on both sides) In axilla 2 sites ( on both sites) Auscultation: Normal vesicular breath sounds Check Wheeze strider Crackles Pleural rub Bronchial breath sounds in lungs Post chest: Scar marks Kyphosis Scoliosis Crossing the patients hands on shoulders Same as in ant chest + Vocal resonance Sacral edema Pedal edema Thanks patient
@seang2012
@seang2012 Год назад
Dr Gill, I tried this exam on my dog. He demanded belly rubs and fell asleep on me. You ever have that problem with patients?
@MATSULEIGO
@MATSULEIGO Год назад
Amazing explanation, fellow doctor. Regards from Brazil 🇧🇷
@mermanshahi
@mermanshahi Месяц назад
Stridor is inspiratory and wheeze is expiratory
@michellejohnston9476
@michellejohnston9476 Месяц назад
Well spotted
@ProjectTokyo
@ProjectTokyo Год назад
8:26 "Patient showing signs of drowsiness during examination attempts to stay conscious not succeeding"
@chrisstevens3567
@chrisstevens3567 9 месяцев назад
This man is legitimately a celebrity.
@quinnthadiva
@quinnthadiva Год назад
Thanks to your clinical videos , I Aced my Nursing Exams, Thank you doc!!
@DrJamesGill
@DrJamesGill Год назад
Great job! I'm so pleased to hear that! you must be so proud! where will you be working?
@gemmahamilton2565
@gemmahamilton2565 Год назад
I'm always amazed by your medical knowledge, I honestly don't know how you remember it all! Thank you for these educational videos. Not only does it relax me but I learn so much from them.
@guesswhat-chickenbutt
@guesswhat-chickenbutt Год назад
Ikr. I can barely remember what I did ten minutes ago. 🥴🥴🥴
@tncountryboy06
@tncountryboy06 Год назад
theres a reason doctors go to school for basically a decade lol
@optimistic1996
@optimistic1996 Год назад
Absolutely love listening to your videos on Spotify, is there any possibility of these newer video's being uploaded at some point? Totally understand if it's too much work 🥰
@yelha26
@yelha26 Год назад
Yo veo todos sus videos y ni siquiera soy doctor :D saludos desde México
@d.williams9610
@d.williams9610 11 месяцев назад
Thanks for explaining why to multiply. Dr. ❤
@stickstories2750
@stickstories2750 Год назад
I bet 50% of the people watching have already fallen asleep
@stonehousetales6954
@stonehousetales6954 Год назад
pff. no. i havent fallen asl....asmmmdm....*snores*
@No1SlapFIGHTFan
@No1SlapFIGHTFan Год назад
Here for sleep lol
@acefrmoahu
@acefrmoahu Год назад
Gonna end up watching this video a good 5-10 times this month just to fall asleep.
@dclxvi_89
@dclxvi_89 Год назад
Asmr crew
@DrJamesGill
@DrJamesGill Год назад
Gosh, yes. Just had a look. RU-vid applies them automatically, so I’ve pulled a few of them Thanks for the heads up
@ysaleh911
@ysaleh911 24 дня назад
Your videos are great. Thank you!!!
@abducens92
@abducens92 Год назад
Wonderful video, as always, Dr Gill! Minor correction: at 23:57, wheeze is expiratory and stridor is inspiratory (or actually can be both). Keep up the good work!
@fatimab6064
@fatimab6064 Год назад
Thank you...I got stuck just here.
@niallcardin
@niallcardin Год назад
Thanks, me too!
@matthewmersin2026
@matthewmersin2026 Год назад
A charming British accent is also a requirement for every examination.
@guesswhat-chickenbutt
@guesswhat-chickenbutt Год назад
Indeed.
@herosbreath6715
@herosbreath6715 Год назад
My ONE critique of these videos is that everyone is always healthy. Is there any chance you could get someone on the table that actually has some of the symptoms or presents with some of the signs mentioned?
@DrJamesGill
@DrJamesGill Год назад
No easily as that is a huge confidentiality issue
@herosbreath6715
@herosbreath6715 Год назад
@@DrJamesGill Ahh. Yeah, I suppose that’s an issue.
@TaterChip91
@TaterChip91 Год назад
I want to see a doctor that completes all the tests and at the end is like "you have a week left to live"
@dscarmo
@dscarmo Год назад
There are some pretend ASMR videos doing that on youtube but none are performed by an actual medical doctor and serious, as far as I know
@akilghosh
@akilghosh Год назад
Ah yes unhealthy specimen. I can volunteer for that, in a condition not to wake me up in case I doze off.
@ryanschultz9413
@ryanschultz9413 Год назад
I for one would love to see more A-Z NHS videos
@user-xq1mv8fw6z
@user-xq1mv8fw6z 4 месяца назад
💗💗 deeply appreciates the effort u put into these vids… thanks a ton
@DrJamesGill
@DrJamesGill 4 месяца назад
So nice of you
@wangcoffee
@wangcoffee Год назад
Waiting with some popcorn! Thanks for the vid :)
@davidjones421
@davidjones421 3 месяца назад
Thank you for your videos, they really are very helpful. By the way 10 minutes in, you said 10 deciliters per ml... But 1 deciliter is a 100 ml...
@YourFreeBeats
@YourFreeBeats Год назад
This was a very relaxing video.
@anathinkangana2982
@anathinkangana2982 Год назад
bless your heart Dr🙏
@learicist
@learicist Год назад
Dopest vest collection in the game
@guesswhat-chickenbutt
@guesswhat-chickenbutt Год назад
Tha illest
@Wakeywines
@Wakeywines Год назад
just saw this reccoemend on my feed, turns out we share the same last name! which I think is so cool! subscribed
@DrJamesGill
@DrJamesGill Год назад
Welcome! Hopefully you find it useful here 😊
@califlop
@califlop Год назад
You're a real life doctor bashir! Thank you
@carissamatipwiri1272
@carissamatipwiri1272 Год назад
This was so much helpful!!! Please do a video on every system (major systems rather)😅
@DrJamesGill
@DrJamesGill Год назад
That's the plan! We’re doing cardio next
@paolarebeco
@paolarebeco Год назад
Seria genial subtítulos en español..gracias!!!
@eznf98
@eznf98 Год назад
Watching this by work while taking a break. I almost fell asleep
@JohnnyTightIips
@JohnnyTightIips Год назад
13:20 Looks like "Lumps and Bumps" is back on the menu, boys!
@guesswhat-chickenbutt
@guesswhat-chickenbutt Год назад
Whew. Thank Geebus!
@t.r.h.1433
@t.r.h.1433 Год назад
2nd January 2000 ! A brand new millenium baby 💚
@BarefootCaveman
@BarefootCaveman Год назад
All of the internal systems!! One million systems need to be checked
@sheepdog03
@sheepdog03 8 месяцев назад
Great video! Dr Gill, or anyone who knows, how do you adapt percussion techniques to overweight patients and, in particular, patients with obesity? Or is the sound transmission the same?
@DrJamesGill
@DrJamesGill 8 месяцев назад
Unfortunately you can’t really. The test becomes less sensitive
@TaterChip91
@TaterChip91 Год назад
Hey Doc, when your "putapitapa" video came out and you became easily top 3 most popular ASMR Gods....was that your intention? Like, where you aware of your growing popularity? Or did you find out after the fact?
@floridafirstpodcast4740
@floridafirstpodcast4740 Год назад
"RES-PEER-AH-TREE"
@RemberingWoody
@RemberingWoody Год назад
12 out of 10
@dclxvi_89
@dclxvi_89 Год назад
Oh wow. I see some grey in the beard. I always thought Dr. Gill was super young, like early 30s, late 20s in his earlier videos. 😅
@DrJamesGill
@DrJamesGill Год назад
It’s my covid stress work grey!
@dclxvi_89
@dclxvi_89 Год назад
@@DrJamesGill ah, man. That's tough for a 27 yr old.
@MrZomg17
@MrZomg17 10 месяцев назад
I feel My English as an American is terrible after listening to Dr. Gill
@louishenderson3835
@louishenderson3835 Месяц назад
God the NHS in scotland really needs to up their game, when I get checked I am lucky if they even whip out the stethoscope!
@rdonshatalov
@rdonshatalov Год назад
I love Intro Inline font too
@guesswhat-chickenbutt
@guesswhat-chickenbutt Год назад
Oof. Your pfp hasn't aged well.
@rdonshatalov
@rdonshatalov Год назад
what a shame... maybe u should try getting a job?
@annalie.love27
@annalie.love27 Год назад
30min isnt enough still haha..getting addicted
@davyyyy1782
@davyyyy1782 Год назад
Eu estou no trabalho assistindo isso, começou bater o sono mas nao posso deitar 😡
@wheelmanstan
@wheelmanstan Год назад
I wonder if there is a way you can make a video about something called the Bystander Effect (the theory that states that individuals are less likely to offer help to a victim when there are other people present). Maybe you can explain the tell-tell signs that show someone is actually in need of medical assistance.
@SquirrellyOtter
@SquirrellyOtter Год назад
"I'm a bear of very little brain" *"Hello, I'm Tigger" intensifies*
@matthewmckee3762
@matthewmckee3762 Год назад
At the beginning of the video, I legit thought there was a split screen, and something was going to come up on the other side. Nope, just the wall.
@oliverkey1435
@oliverkey1435 Год назад
I’m just some random bloke interested in chemistry who’s here because this sounds nice
@hugheszie
@hugheszie Год назад
9:27 whaaaatssssauuuuppppp - Budweiser
@Brickktopp
@Brickktopp Год назад
When that boy had his hands out he looked like he had bn taken hostage boy george style 🤣🤣
@MaggieMay135
@MaggieMay135 Год назад
This might be a stretch BUT since you just got married, can we get a video with you and your wife to hear your love story 💗
@christineblake7909
@christineblake7909 2 месяца назад
Could you share the link for that aneroid please
@testing3265
@testing3265 9 месяцев назад
Hi Dr Gill, I have osces coming up; can you kindly clarify why we 1) percuss the clavicles 2) check for heaves in a resp exam. Thank you kindly!
@DrJamesGill
@DrJamesGill 9 месяцев назад
I) percussion over the clavicle allows you to assess the apices of the lung Ii) Pulmonary hypertension can result in increase work of the heart, leading to RIGHT ventricular hypertrophy and possibly failure
@DrJamesGill
@DrJamesGill 9 месяцев назад
Good luck, and any other questions, stick them in the comments and I’ll try to get back ASAP
@matematicaluan
@matematicaluan 8 месяцев назад
very good unnintentuonal asmr bonus learn some about medical procedures
@jdbolynhoward8557
@jdbolynhoward8557 Год назад
Love for you to do s suspected diabetese examination and even a diabetese check in general my gp was shouting at my l.d teenage daughter mentioning bad things willl happen to her if she does not take metaformin which incidently gave her symptoms of so would love to see an examination of a suspected case of to see what my gp should of done
@guesswhat-chickenbutt
@guesswhat-chickenbutt Год назад
Hey. I don't know why it seems like doctors are prescribing metformin to those that don't need it. I would get a second opinion before making your daughter take that medication anymore. Doctors get financial kickbacks to prescribe unneeded meds. Good luck to you and your family.
@guesswhat-chickenbutt
@guesswhat-chickenbutt Год назад
My aunt had them prescribed years ago and for what, who knows. She is literally the healthiest person I know. She's 100 pounds soaking wet with little to no body fat. And when she does occasionally put on a pound or two, usually ten at the most, it all goes below the waist which is the healthier body fat.
@UndercoveerAngel
@UndercoveerAngel 7 месяцев назад
great video! but i was under the impression that stridor is inspiratory and a wheeze expiratory?
@DrJamesGill
@DrJamesGill 7 месяцев назад
It is. Stridor large airway narrowing causing inspiratory noise Due I missspeak?
@peskyseagull
@peskyseagull Год назад
You don't advocate for auscultating suprasternally?
@ditaylor1000
@ditaylor1000 Год назад
Have you ever checked someone and found something disturbing like a tumor or something they didn’t know about?
@DrJamesGill
@DrJamesGill Год назад
Yes
@Nezc
@Nezc Год назад
Wasn't this guy pronounced dead in a previous episode?
@TheCorrectAdam
@TheCorrectAdam 7 месяцев назад
14:44 good
@richtsai6708
@richtsai6708 27 дней назад
i thought wheeze is expiratory and stridor is inspiratory
@DrJamesGill
@DrJamesGill 26 дней назад
It is. I made an error
@SimmeringPotpourri
@SimmeringPotpourri 2 месяца назад
Doctor: It's it Ok that I examine you? I will need to touch you. Patent: No Doctor: Super. Please see my receptionist and she will take your payment. Doctor: Please send in the patient who went to a doctor but isn't interested in being examined.
@Daytonian17
@Daytonian17 9 месяцев назад
Putapitapaper on it!!!
@3DGvisuals
@3DGvisuals Год назад
"Ninety nine" is used in lots of other instructional videos 😳
@DrJamesGill
@DrJamesGill Год назад
But unfortunately that is an error. “Ninety nine” should not be used It’s a misunderstanding of the original research
@keithlivingstone2525
@keithlivingstone2525 Год назад
The first ‘patient’ born in this Century?....😂
@aewowww
@aewowww 11 месяцев назад
Specifically your hear…. your lungs
@aewowww
@aewowww 11 месяцев назад
0:42
@Ottoniel-rb1jm
@Ottoniel-rb1jm Месяц назад
Que hace Trevor ahí🤨
@ADjustinG2013
@ADjustinG2013 Год назад
Is the honeymoon over already?
@mikefitzgerald1013
@mikefitzgerald1013 Год назад
O
@shahmirkhan5411
@shahmirkhan5411 Год назад
PLEASE CAN YOU TALK LOUDER DR. HEARING YOUR VOICE IS MORE DIFFICULT THEN THE TOPICS YOU COVER IN YOUR VIDEOS.
@azu_9025
@azu_9025 8 месяцев назад
P po po
@t0raneko
@t0raneko Год назад
For god's sake give him a pillow! He looks so uncomfortable!
@guesswhat-chickenbutt
@guesswhat-chickenbutt Год назад
Just noticed. And you're right. Lol
@KZK2333350
@KZK2333350 Год назад
on to their left, lol 18:28
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