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Digital Rectal Examination (DRE) - Clinical Skills - Dr Gill 

Dr James Gill
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Digital Rectal Examination (DRE) - Clinical Skills - Dr Gill
The Rectal Examination or digital rectal exam (DRE) is a vitally important clinical skill - as part of abdominal, neurological and GUM clinical examinations
Often at Medical School, the rectal exam is a very difficult clinical skill to teach practically as a result it is often left to academic study. As a result, it is a medical examination which students are often quite anxious about when asked to perform on the wards - both due to their original exposure, but also lack of revision opportunities
Limbs and Things, have a range of products which enable the simulated practice of intimate examinations - such as the rectal examination - although it is worthwhile highlighting the that digital rectal exam (DRE) is often incorrectly termed "a PR" where PR stands for per rectum - literally meaning "by rectum" and thus should be recognised as an administration approach, not a medical examination
This video reviews the anal, rectal and prostate exam, as well as reviewing potential pathologies of the prostate.
#RectalExamination #ClinicalSkills #DrJamesGill
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 - Overview of Examination and Patient Consent
01:15 - Importance of a Chaperone
02:08 - Preparing for the Examination
03:37 - Patient Positioning
04:05 - Checking for Anomalies
04:32 - Performing the Examination
05:55 - Visualising the Examination
06:35 - Post-Examination Procedure and Patient Care
07:15 - Closing Remarks

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20 июн 2024

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Комментарии : 238   
@luizvictor1417
@luizvictor1417 Месяц назад
because of this video that I remembered that you make informational videos for health professionals and I'm the weird one that watches cranial nerve exams to sleep... with that said, you do an amazing job at both :)
@TheOneMatt91
@TheOneMatt91 Месяц назад
Same Hahaha
@debido2u
@debido2u Месяц назад
Seriously! I think it’s his voice. He has a beautiful voice. I haven’t yet figured it out. But by what has been said. I do believe soothing would not be far off ✌🏻🫶🏻
@pigmanpower1628
@pigmanpower1628 Месяц назад
im happy you didn't shy away from making this informative video
@DrJamesGill
@DrJamesGill Месяц назад
I try - we teach the student’s to include or offer a DRE and these sorts of trainers are rhetorical best way for them to learn
@robotlegs
@robotlegs Месяц назад
Extremely brave to leave the comments on. And so far pretty tame...
@timnoko3588
@timnoko3588 Месяц назад
Looks like the "Men of culture" aren't interested in this. I wonder why?
@mudgie0205
@mudgie0205 Месяц назад
@@timnoko3588gheyyyy
@nateniemi
@nateniemi Месяц назад
Usually, his comment section is full of pleasant; grateful people. His approach to things would probably make people not want to leave lewd or rude comments anyway. Dr. James Gill; the king of calmly describing medical exams and conditions in a caring manner. This king is also great at describing what they look for when doing exams and explaining medical terminology. People seem to respect him greatly.
@gachamansama3703
@gachamansama3703 Месяц назад
​@@timnoko3588 cause is ghey
@TheAlumic
@TheAlumic Месяц назад
Well. That’s not a video i was expecting.
@Honestly_take_the_hint
@Honestly_take_the_hint Месяц назад
Not expecting but appreciate all the same as we learn all things medical
@TheAlumic
@TheAlumic Месяц назад
@@Honestly_take_the_hint Yes of course!
@UCONN_HUSKIES
@UCONN_HUSKIES Месяц назад
This is very important to us men.
@kareemali1742
@kareemali1742 Месяц назад
Dr gill didn’t have any volunteers for this video
@lucaalberici7610
@lucaalberici7610 Месяц назад
But it is the one we need.
@EmmaT27
@EmmaT27 Месяц назад
It's not the most fun examination to have, but it could be life-saving, so it's extremely important!
@tommac21
@tommac21 Месяц назад
It's the most unnecessary exam. No frigging way !!
@FruitiestSushi
@FruitiestSushi Месяц назад
@@tommac21better hope you don’t get prostate cancer then
@lienbijs1205
@lienbijs1205 Месяц назад
​@@FruitiestSushiOr rectal cancer.
@user-cv2xz9od7h
@user-cv2xz9od7h Месяц назад
Oke
@user-cv2xz9od7h
@user-cv2xz9od7h Месяц назад
​@@tommac21dok tor
@PosaPunto
@PosaPunto Месяц назад
I'm not a men or a doctor, idk why I'm here. I just saw a Dr. Gill video drop and automatically clicked.
@jdos5643
@jdos5643 Месяц назад
Ok but don’t woman get this too?
@PosaPunto
@PosaPunto Месяц назад
@@jdos5643 Umm no. Women don't have a prostate 😂
@atIXO.
@atIXO. 8 дней назад
@@jdos5643 Women do not have prostates
@PJ-qx5yt
@PJ-qx5yt 3 дня назад
@@jdos5643 usually only recreationally
@WHOKAY25
@WHOKAY25 Месяц назад
Real credit to the modellers of Limbs and Things!
@DrJamesGill
@DrJamesGill Месяц назад
Oh they make fantastic learning tools!!
@Honestly_take_the_hint
@Honestly_take_the_hint Месяц назад
@@DrJamesGillmay I ask where the best medical mannequins are from ? I’m currently learning administration of PRN medications, in particular suppositories and training aids would greatly improve understanding. Sadly my provider unfortunately doesn’t posses such training aids
@librepenseur2934
@librepenseur2934 Месяц назад
this video is also very important for the patients: knowing what to expect, and reminding them how professional this gesture is.
@tommac21
@tommac21 Месяц назад
Well as a 58 year old male. I still expect and will keep my pants buckled
@wolfmoon5720
@wolfmoon5720 Месяц назад
I’ve had a few of these, I usually decline a chaperone when it’s my usual doctor but I’ve since realised how the chaperone is reassuring and important for the doctor as well so next time I would probably agree for his sake as well!
@wolfmoon5720
@wolfmoon5720 Месяц назад
I’m personally not bothered but you do also have to consider that for many patients who find the courage to talk about problems that require such an examination, the thought of more people witnessing it than what they felt is “necessary” can put them off wanting a chaperone. I think the doctor shouldn’t offer then say no I won’t do the exam if you say no. Because then it can feel like you weren’t actually giving them a choice for no chaperone and obviously the more control people have in delicate (and for some people actually traumatic) situations the more secure they will feel. I think it’s more sensible to say that for the doctors and patients protection a chaperone should be there and then let the patient make their choice whether or not to proceed with the examination with all the info on what the choices actually are!
@user-sm7jp4km4d
@user-sm7jp4km4d Месяц назад
@@wolfmoon5720Agree. I don't personally have anyone in my life that would not make this more uncomfortable for me, but I can suck up my feelings for 5-10 seconds of discomfort and the chance to catch and treat cancer
@The-Wandering_Cynic
@The-Wandering_Cynic Месяц назад
First thumbnail I see in the morning, incredible
@elliotbaker5416
@elliotbaker5416 Месяц назад
I’m no doctor, but I think this patient may have more pressing issues at the moment.
@DrJamesGill
@DrJamesGill Месяц назад
😂😂
@chuckoneill2023
@chuckoneill2023 Месяц назад
Thanks for approaching this subject with such emphasis on patient dignity. Coming from a computer background, not medical, I expected rather a different kind of "digital".
@tommac21
@tommac21 Месяц назад
There is no need for this !! I'm 58 and no way in hell !!
@ianmcklatchie4390
@ianmcklatchie4390 Месяц назад
Hey, Doc...some bum's just crashed on your couch!
@DrJamesGill
@DrJamesGill Месяц назад
You sir win the internet today!
@matthewfurlani8647
@matthewfurlani8647 Месяц назад
boo 😠
@I666U
@I666U Месяц назад
good video and great information, much thanks Dr. G.
@MrPecksniff
@MrPecksniff Месяц назад
He didn’t forget about DRE
@AL-jo2vp
@AL-jo2vp Месяц назад
This video was informative as to what the doctors were doing specifically when I had this last year prior to a sigmoidoscopy. Not a pleasant experience but better than not getting checked and giving cancer chance to spread. Also, in this instance, as well as the sigmoidoscopy, I was told more than once that I could back out at any point - which was important, particularly as I disclosed mental health issues related to childhood trauma in this area. Patient autonomy feels especially important in exams like these (all clear on the cancer front thankfully and it was weirdly interesting watching the sigmoidoscopy on a big screen!)
@borge2014
@borge2014 Месяц назад
A masterclass of a video. Thank you!
@teddownum7428
@teddownum7428 Месяц назад
If the good Dr Gill can make *this* procedure sound soothing (which he has), he can make *any* procedure sound soothing.
@palomathereptilian
@palomathereptilian Месяц назад
I know I already spoke about this in another video about the DRE, but thank you so much for making this video Dr! As someone who lost my grandpa to prostate cancer 9 years ago (and I still miss him every single day), every opportunity of spreading awareness about prevention exams is extremely important... Please don't feel shy or embarrassed to get a DRE, a PSA blood check or even a pelvic CT stan/MRI, those exams can save your life! Please take care of yourselves and your loved ones 💙
@zk9823
@zk9823 Месяц назад
Extremely informative video. Thank you Dr Gill.
@misswilde3054
@misswilde3054 Месяц назад
Very interesting! I'm not a doctor, but i feel like i have learned important stuff!
@JumpingMagikarp
@JumpingMagikarp Месяц назад
I have no idea why this video was suggested to me, but great work regardless. Very respectfully done and I'm glad the comments are tame.
@jdos5643
@jdos5643 Месяц назад
Maybe you are of age where you need to consider doctor visits? Perhaps that’s why you are getting this?
@dark2k10
@dark2k10 Месяц назад
I’ve already dreaded the thought that someday I’ll need to have this done
@user-jz9ll7td8y
@user-jz9ll7td8y Месяц назад
I don’t know why I’m here, but I love that you talk about having manners and trying to make it as dignified as possible. Also that prosthetic is hilarious 😂
@lamecasuelas2
@lamecasuelas2 Месяц назад
This Is very informativa for the general públic. I didn't know that we needed this. Thanks again Dr.!
@gael-L
@gael-L Месяц назад
Thanks for butting into the subject!
@outsidebk1848
@outsidebk1848 Месяц назад
I’ve had so much anxiety about getting this exam someday and this video helped a lot. Thanks dr gill! Legend
@twobins2060
@twobins2060 Месяц назад
I've had quite a few and it's nothing to worry about. If you can, get a female doctor to do it. They have thinner fingers, are more gentle and more sympathetic. Due to the shortage of male GPS, the female doctors do these all the time. A female doctor did mine 8 years ago and I was diagnosed with prostate cancer. I'm on active surveillance with an mri each year. I had initially gone to see the gp about a sore foot but I told her it had been over a decade since my last dre and she offered me one there and then. She offered a chaperone but I declined and within minutes it was all done and dusted.
@outsidebk1848
@outsidebk1848 Месяц назад
@@twobins2060 thanks much for sharing and happy to hear it was caught and being surveilled
@truman1158
@truman1158 Месяц назад
“Where should I put my pants, Dr?” “Over on the chair next to mine.” Wrong answer!
@user-vb8iq1bs2v
@user-vb8iq1bs2v Месяц назад
😂 I lolled
@agentdreyer2
@agentdreyer2 Месяц назад
I bet Dr Gill’s pleased this one’s now in the rear view mirror!
@skylerbryant2172
@skylerbryant2172 Месяц назад
Excellent video, Dr. Gill. Informative videos like these are vital and extremely helpful for us students preparing for upcoming exams. Although it may be unpleasant type of examination, you executed it very well with the highest profesionalism. Thank you for all you do.
@shanetaylor3814
@shanetaylor3814 Месяц назад
Thank you for this informative presentation. I have had a couple as an adult. I still remember as a young child having one, petty sure mum was not in the room that I can remember. I have no memory of why I needed this. I was between 4 and 10 years old. It still bothers me today. Was this an untoward exam. I will never know. This was some 40 to 45 years ago.
@ZacharyReese
@ZacharyReese Месяц назад
This is insane. The music in the intro makes it so surreal. This is the best video on RU-vid.
@cenifh
@cenifh Месяц назад
This guy 's a legend!
@greggoreo6738
@greggoreo6738 Месяц назад
Thank you. For your insights.
@sortbum
@sortbum Месяц назад
Well, at least we don’t have to worry about sandwich breath with this one.
@user-do9op6wk8d
@user-do9op6wk8d Месяц назад
That intro was wild
@-Chunk
@-Chunk Месяц назад
The British Dr. DRE 👌🏻
@kohinarec6580
@kohinarec6580 Месяц назад
I've had my share of recurring prostatitis and urinary incontinence etc. This exam os unpleasant but very necessary.
@TenkoBerry
@TenkoBerry Месяц назад
This was quite Interesting but I couldn’t help but laugh at first but Keep Up The Great Work Dr Gills👌
@tchaiamnajdust
@tchaiamnajdust Месяц назад
I always tell my doctor to take his time and do a thorough examination. And, always insist on having at least four other people there in the room....It won't be a party otherwise...
@starfishgurl1984
@starfishgurl1984 12 дней назад
I always love thorough explanations of what you do and why so this was very informative and helps me understand the necessity. As someone with anxiety and sensory processing disorder it’s very calming to know how things are done because knowing what to expect can help me prepare ahead of time and calm me down but also allow me to prepare the practitioner for any involuntary reactions my body might have in response as a result of my sensory processing disorder to help protect them too. Well done!
@tbip2001
@tbip2001 Месяц назад
So you know of any companies that allow the rental of these mannequins especially prostate simulators?
@PineapplePizzaBiS
@PineapplePizzaBiS Месяц назад
I'm definitely hitting unknown portions of my bucket list with this one.
@jdos5643
@jdos5643 Месяц назад
It’s on your bucket list you just didn’t know that.
@londri9967
@londri9967 Месяц назад
That finger went in deeper than I thought
@JulioMam
@JulioMam Месяц назад
😅😅😅😅😅
@charliefunboy5210
@charliefunboy5210 Месяц назад
That’s what she/he said…
@jdos5643
@jdos5643 Месяц назад
Sorry to break it to you but some doctors might have thick sausage fingers. Just a heads up for you when it’s your time.
@charliefunboy5210
@charliefunboy5210 Месяц назад
@@jdos5643 The bigger the better... the male g-spot loves it!!
@asheyoung5976
@asheyoung5976 Месяц назад
Waiting for the "men of culture" guys to post on this one 😉
@walpurgisnight7
@walpurgisnight7 Месяц назад
If you aren't comfortable with someone checking you in this way, it's important to monitor yourself. Stay safe and healthy. ❤
@matt8043
@matt8043 Месяц назад
Where uh can I uh get one of those models? Asking for a friend
@Caltash
@Caltash Месяц назад
I love how you stress the importance of consent in the patient understanding the procedure. I wish more doctors are like that. I have to ask though, what's with the apron? Are you expecting splashback?
@gf328
@gf328 Месяц назад
Was looking for ASMR... Stumbled upon ARSE
@darthvegan69
@darthvegan69 Месяц назад
This is easily my favourite type of exam!
@yessir-kk8oy
@yessir-kk8oy Месяц назад
Why was this recommended to me 😨😭
@KineticRhythm21
@KineticRhythm21 Месяц назад
When is David coming back as a patient in a video, we haven’t seen him in ages.
@Belasaurius
@Belasaurius Месяц назад
I've had enough of these, I could probably demonstrate it
@GK222_
@GK222_ Месяц назад
Interesting
@AndroidSon
@AndroidSon Месяц назад
The impressiin to be for life!
@JackButcher-tm3hz
@JackButcher-tm3hz Месяц назад
Hey James, even though it’s not about this exam hahah did you ever watch the Adam Kay this is going to hurt series and if so what did you think of the series?
@Wafaloo
@Wafaloo Месяц назад
Couldn’t find any volunteers for this video?
@canadiankid42
@canadiankid42 Месяц назад
Welp. I'm here for the show
@yagarida
@yagarida Месяц назад
Tell patient to inhale, then exhale As they exhale, Insert finger. Don’t move finger. Ask patient to inhale again. Once I shake allow finger to go back up a little. Ask patient to focus on breathing while you examine.
@Paberu85
@Paberu85 Месяц назад
oh, oh no, that's not my regular asmr with Dr. Gill
@Mcfreddo
@Mcfreddo Месяц назад
I didn't know that the prostate had that two distinct lobes of. And also, the doc can wipe one's bottom- that's better, because he/she can see.
@OpinionatedChicken59
@OpinionatedChicken59 Месяц назад
We all made the right decision clicking on this video.
@acceptableinformation
@acceptableinformation Месяц назад
informative
@chadsmith1200
@chadsmith1200 Месяц назад
What's the general consensus on the age men should get this done? Every year starting at 50? 55?
@DrJamesGill
@DrJamesGill Месяц назад
If they get symptoms. It’s not a screening tool. So a 20 yr old may need the exam, or a 70 y/o
@chadsmith1200
@chadsmith1200 Месяц назад
@@DrJamesGill I understand. Thank you for replying.
@tigergreg8
@tigergreg8 Месяц назад
I’d never even get this exam if I had to bring someone along for it. Guess I’d just die from whatever.
@jamesmetzger1678
@jamesmetzger1678 Месяц назад
Oh my word what a thumbnail to appear at the top of my feed! 🙈
@yoyosha3384
@yoyosha3384 Месяц назад
Sounds like a good time to me
@vexingwinstones2644
@vexingwinstones2644 Месяц назад
Twisted both ankles running to the comments
@heyitsdeniz
@heyitsdeniz Месяц назад
Well.. here we all are!
@mango2538
@mango2538 Месяц назад
I'm sure the comments section will be mature and respectful...
@jdos5643
@jdos5643 Месяц назад
This is not the planet jokes.
@johnathanleonardo912
@johnathanleonardo912 Месяц назад
Even tho it may look uncomfortable it is very important because cancers/disease's can occur there just as well as other places
@victoradriandicamillo9671
@victoradriandicamillo9671 Месяц назад
well...open wide!!!
@Backwoodstails
@Backwoodstails Месяц назад
The algorithm has spoken
@tommac21
@tommac21 Месяц назад
Yeah I think not !! Exit only.
@b.jr.7816
@b.jr.7816 Месяц назад
somewhere in the world goatse is watching this going “just a couple digits? hold my beer”
@Ellio1862
@Ellio1862 Месяц назад
The one time when you don't ask for a second opinion 👉 😳
@ThatCho
@ThatCho Месяц назад
Usually, your videos help me to fall asleep, but this one gave me anxiety. LOL
@charliejones4590
@charliejones4590 Месяц назад
👍🏻
@zandrishepherd5073
@zandrishepherd5073 Месяц назад
I don't know what's wrong with me but I kept expecting him to lick the finger afterwards. I'm assuming that's frowned upon though.
@jrl1664
@jrl1664 Месяц назад
tanto tiempo y no han sacado otra forma?
@wendyannemiller
@wendyannemiller Месяц назад
It cracks me up how he says it's important to make the male so comfortable because for us women were just in and out lmao😅
@DrJamesGill
@DrJamesGill Месяц назад
It’s important that everyone feels comfortable in a consultation. It’s important to highlight that men are typically more hesitant to proceed with the exam, perhaps as men tend to engage less with their health than women ?
@danfrakes7346
@danfrakes7346 Месяц назад
I thought this was dr Dre’s new album imagine my surprise
@user-vb8iq1bs2v
@user-vb8iq1bs2v Месяц назад
😂Which hell brought me to this video in the middle of the night... Well, if so, let me learn a bit out of it😂
@cbergen33
@cbergen33 18 дней назад
I wonder what else he does to that when the office is closed.
@wheredoigo1420
@wheredoigo1420 Месяц назад
You forgot to do CPR
@user-oo2og4yn9e
@user-oo2og4yn9e Месяц назад
Do doctors do a analog exam along with a digital exam?😊
@20shourya
@20shourya Месяц назад
would that involve the tongue?
@fadeskywards1245
@fadeskywards1245 Месяц назад
What is a chaperone, in this case?
@yutatutukyta7190
@yutatutukyta7190 Месяц назад
Ahahahahah cool video
@lobachevscki
@lobachevscki Месяц назад
Im a mature adult.
@2aminitials
@2aminitials Месяц назад
Dr Gill should've putabitoftoiletpaper to troll the audience.
@ensabahnur3104
@ensabahnur3104 Месяц назад
Huh...gloves... I have seen an apron... that's new to me
@KnightsAndDarths
@KnightsAndDarths Месяц назад
Ruptured hemorrhoids could shoot blood all over the doctor.
@mach5jeep
@mach5jeep Месяц назад
No live model? SMH
@ericowensnyc
@ericowensnyc Месяц назад
5 seconds????! the first time I got a rectal exam 15 yrs ago it was over 10 minutes. I thought something was wrong. 😳😳😳
@kaviyaneskandari2316
@kaviyaneskandari2316 Месяц назад
Dr performs DRE Dr. DRE
@Enoch-Root
@Enoch-Root Месяц назад
Would definitely want my wife in the room for that one. I'm sure she'd find it all highly amusing, but way too uncomfortable a situation to be there alone with a male doctor, and being alone with a female doctor presents other concerns.
@UCONN_HUSKIES
@UCONN_HUSKIES Месяц назад
No what if I like it 😂
@ingni123456
@ingni123456 Месяц назад
You can probably do it to yourself if you enjoy it.
@UCONN_HUSKIES
@UCONN_HUSKIES Месяц назад
​@@ingni123456😂
@KoalaBeer.
@KoalaBeer. Месяц назад
Last time doc did that to me, I lite up a cigarette outside.
@georgepierson4920
@georgepierson4920 Месяц назад
5:30 Wiggle, wiggle, wiggle, wiggle, wiggle. 😆
@db7610
@db7610 Месяц назад
Theres alot of stigma for the males about this. Personally i could not imagine going to my gp for this.
@Tigerfan31200
@Tigerfan31200 Месяц назад
Sometimes I wonder how this appeared in my recommended…
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