How to Perform A Thyroid Exam - Clinical Skills - Dr Gill

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Thyroid Medical Examination - Thyroid OSCE Station - Medicine Explained - Clinical Skills - Dr Gill
This Thyroid Exam Deep Dive looks at the details of how to establish the thyroid status of a patient, whilst highlighting what is being checked for during special tests and examination findings
We’re going to focus on WHAT we’re doing during the exam, HOW we’re doing it, and crucially WHY you need to #putabitofpaper on the patient's hands!
In this video, we demonstrate how to perform a clinical examination of the thyroid for your medical school Clinical Skills OSCE. Endocrine examinations are quite common for medical finals
For a passing grade in your Clinical Skills OSCE, in a Thyroid exam follow the approach of:
- Inspection
- Palpation
- Percussion
- Auscultation
- Other tests
This video has two other thyroid assessment videos associated with it:
• Thyroid Clinical Exam ... - Thyroid Assessment Demo
• Thyroid Assessment - M... - Thyroid Examination Deep Dive
Some people may experience an ASMR effect from this video
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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.
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.
#DrGill #thyroid #clinicalskills
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 - Preparing for the Thyroid Examination
01:47 - Hand Examination for Thyroid Symptoms
04:00 - Checking Pulse and Blood Pressure
05:56 - Facial Examination for Thyroid Indicators
07:01 - Eye Movement and Symptoms of Hyperthyroidism
09:07 - Assessing the Thyroid Gland and Neck Examination
13:16 - Reflex Tests and Physical Examination
15:15 - Closing Thoughts and Next Steps

Опубликовано:

15 июн 2024

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Комментарии : 341

@mariap3617 2 года назад

Putapitopaper feels like an old friend you haven't seen in years when social media didn't exist yet

@DrJamesGill 2 года назад

🤣🤣 honestly, I have no idea why people notice it. In my head I have so many verbal quirks, that isn’t one!

@mariap3617 2 года назад

@@DrJamesGill it's all part of the legend of unintentional asmr, embrace it!

@deodivvi862 2 года назад

I miss the "any double vision" family though, just one of them this time

@Berengier817 2 года назад

@@DrJamesGill I never heard someone refer to a piece of paper as pit of paper. American here. So I think it's the way you say it quickly without enunciation. If I said "put a piece of paper" there would be more enunciation in "piece of paper" than "pit of paper" That's my interpretation of why everyone loves it.

@KSakamoto 2 года назад

@@Berengier817 he’s saying “bit of paper,” people are saying “pit” as kind of a cutesy way of phonetically spelling what it sounds like.

@thegirlwiththatface 2 года назад

I’m convinced Dr Gill is the Bob Ross of medicine

@Extaco 2 года назад

True! 😅

@TheGreenDee 2 года назад

Definitely!

@raiynen 2 года назад

and right over here we have a happy little spleen

@thoughtsurferzone5012 2 года назад

I was thinking a new Dr. Who.

@simondb99 2 года назад

Happy little examinations.

@MrHardGod 2 года назад

I'm no expert in medicine but i always liked when doctors explained me what they were doing, not in a technical way but just so we can understand what they were searching for, you doc are a perfect example of this, i believe it's a good thing, just like when I'm taking my car to the mechanic, i really don't understand what they did to the car but at least they try to get some sort of basic knowledge to the basic client

@katelund4152 2 года назад

This is actually such an informative video. Came for the asmr, stayed for the info.

@benwing19877 2 года назад

“Abby Tutt, 7th December 1996” I feel like that sentence is branded onto my brain and I announce it out loud every time I see her in a video. True star if the show

@fabriziopomponi5394 2 года назад

Video really starts at 1:13

@thrasius8856 2 года назад

Word to the wise: Remember Pearl Harbor!

@kiely4561 2 года назад

Just don’t accidentally say it to your GP if they ask that question, you may get a strange look

@albertofernandez6062 2 года назад

I cant believe today i was able to listen a new putabitopaper. I feel like today is Christmas Day. Thanks Doc

@rageagainstthebath 2 года назад

I absolutely admire this new format of explaining what is going on during the examination. Thank you again!

@DrJamesGill 2 года назад

It seems to be working well 😊

@rageagainstthebath 2 года назад

@@DrJamesGill Indeed it is way more interesting when the audience knows what is going on!

@tressacaperton8051 2 года назад

Abby always has the most infectious smile! Good to see her and the doctor again!

@IgnoranceIsNotCute 2 года назад

I feel like I'm half way to my Md watching Dr Gill's detailed and relaxing videos

@spencerbrice5483 2 года назад

“I’m the bearer of a very small brain so I like to work in straight lines” 😂 don’t we all doc

@rangerjaython8227 2 года назад

i thought i had misheard him when he first said that! it definitely got me to giggle

@starfishgurl1984 2 года назад

As someone with anxiety from sensory issues I totally appreciate this video 1,000%! I need to be aware of when/where and how deep I’ll be touched by others because although I have a high pain tolerance I’m also very sensitive to certain types of touches so I love that you warn her that you’re about to touch her from behind, great job!

@TheseBitchesWantNikes 2 года назад

I love that you're still out here dispensing medical facts. You've become something of an ASMR legend.

@seang2012 2 года назад

I thought I was literally loosing my mind before they diagnosed my thyroid wasn't working. raging panic attack/anxiety, weight gain, not sleeping, etc. Synthroid is a hell of a drug!

@EughhBrothereughh 2 года назад

Sounds super scary , thank god at least you were diagnosed. In my country doctors would tell you it's menopause

@genericwhitemale5616 2 года назад

@@EughhBrothereughh Russia?

@the_vuke 2 года назад

it took me almost a decade to be diagnosed with Hashimoto's disease. My thyroid has been through the ringer.

@monorailsystem 2 года назад

Abby is in immaculate condition he never finds a single thing wrong

@IronDragon1337 2 года назад

Mint condition

@matthewgilster4035 2 года назад

Wonderfully well done in depth exam

@DrJamesGill 2 года назад

👍 hopefully it helps people understand what is going on 😊

@snorgonofborkkad Год назад

The bumblebee socks are FIRE.

@user-xt6fh3fr8y 2 года назад

abby, your shirt is delightful! dr. gill, this is my favorite format for these videos by far. i wonder if you’ll ever do one with an SP that is trained to “have” certain symptoms that will indicate some diagnosis? i do realize that’s not possible with more “visible” signs and symptoms, but it would be an interesting exercise to “test” the viewers’ knowledge as you go about the exam.

@gregsmith4817 2 года назад

Saw the piece of paper on the examination table and knew what was coming 🤣

@starbw1 2 года назад

i will never EVER get tired of watching dr full content

@simplychaotic1029 2 года назад

I love this way of explaining the examination. The why and how in the same video with a demonstration. Brilliant!

@erethjallsen8819 2 года назад

100 thousand Doctor Gill! Congrats, thanks for being such a fantastic educator!

@elguille878 2 года назад

Abby is my favorite patient. Great partner of doctor Gill.

@rouzegb917 2 года назад

Fantastic duo is back! Thanks for these didactic and relaxing videos.

@DrJamesGill 2 года назад

Hope they help 😊

@jamesfearn7757 2 года назад

Worked with this young lass when she was a second year? med student at the George Eliot Nuneaton a few years ago. Hope she's doing well

@DrJamesGill 2 года назад

Honestly she has done so well. She’ll be an exceptionally good doctor

@MedbeeMedic 2 года назад

No Way !! Hello again ! Small world !

@vicklemiss 2 года назад

Abbie’s shirt is really very wonderful 😍

@charjabugman1336 2 года назад

The Return of the Jedi of Thyroid Exams

@paulosborne6517 2 года назад

If you notice any 'Lid Lag', it is customary to apologise for your 'sandwich breath'.

@undertaker11ism 2 года назад

Chevrolete, zebra, honesty

@kiarona. 2 года назад

@@undertaker11ism the stopwatch, the TV, and this particular book

@thatabu 2 года назад

Set the hands at ten past eleven

@undertaker11ism 2 года назад

@@thatabu Fight fight fight fight fight

@patrickansell4533 2 года назад

@@undertaker11ism the doctor patient are supposed to get red in the face

@davidrhysroberts3641 2 года назад

Putabit of papers back. Woop woop 🥳

@michaelhagler7381 2 года назад

Been watching these looking for unintentional ASMR, but I have to say I have learned quite a bit along the way.

@ML-jk4dg 2 года назад

The good 3:43 Putapitopaper, but what about Loose and Floppy 14:15 ❤️

@Asummersdaydreamer14 2 года назад

Calm and informative video; thanks, you two!

@deancox8634 2 года назад

Why am I happier with Dr. Gill and Abby in my you tube world? don't know and don't care. Just am.

@gabrielesimionato1210 2 года назад

14:20 many years ago, in 1998 or so, we were hanging out in a pub and we started talking about this reflex. Each one wanted to try on his own, so we ordered like fifteen glass bottles of coke, which we drank in a gulp. When the waitress returned at our table she found fifteen people quietly hitting their knees with empty bottles. We explained why, and she joined.

@MATSULEIGO 2 года назад

Well, u all could order 1 bottle and take turns

@eznf98 2 года назад

@@MATSULEIGO where is fun with that

@seanmahoney7722 2 года назад

I love fictional stories.

@KingGoose117 День назад

The thoroughness of this is wonderful…if only American doctors could pick up the hint

@1984margolcia 2 года назад

Feel proud to be a part of this family 🤗

@nickmitchell5150 2 года назад

Brilliant stuff, all in one take too!

@DrJamesGill 2 года назад

🤣🤣🤣 I wish

@sweettea4192 2 года назад

@@DrJamesGill I imagine there was a lot of giggling here. She has a cute shy smile that suggests a bit of giggling from just having a good time and like you mentioned a bit of anxiety. Fantastic video as always the both of you.

@davidchristian4417 2 года назад

Love watching Dr Gill.

@stacyedelprete5477 2 года назад

I have hypothyroidism, but my doctor has only ever checked my TSH so all of this examination was fascinating.

@wildcat9090 2 года назад

Yes! Putapitopaper! I saw the paper sitting there but had doubts he’d do a callback to the old video. I shouldn’t have doubted.

@bomjur 2 года назад

The most useful asmr on RU-vid as always) I'm very interested in medicine, as someone who is not related to it can be. And it's kinda sad that my level of English do not allow me to easily understand all the content of the video, so I might both relax and learn simultaneously. I'm definitely can relax to these videos and hope I can have some bits of useful information while doing so) p.s. a bit of paper returned!

@BubaShrilanki 2 года назад

Man like James Gill. Pure relaxation in your voice, man was fuming until I listened to it. I’m a big fan, keep doing these videos it stops me from having Psychotic Episodes

@mryan1114 Год назад

Looks like you're killing it as always.

@marcocasalbore 2 года назад

Godlike quality, as always.

@orlanskimer 2 года назад

Good luck on your exams, Abby!

@latinocreamking9125 2 года назад

Thank you Dr. Gill, you put me at ease when going to my regular medical checkups.

@DrJamesGill 2 года назад

That’s very positive to hear. Is there any other ways we can help?

@sensudubs4421 Год назад

It always makes me more comfortable to know what the doctor is doing to me. I'd love to have this person as my doctor.

@alejandrocastillo5771 Год назад

Thank you for the great video, Dr. Gill. Who would of thought that my best professor is across the pond and my class is at home. Very grateful to your knowledge, explanation, demeanor, and hard work. I've become a better RN for it 👍 grateful from Texas.

@DrJamesGill Год назад

👍

@dewanhassan7320 28 дней назад

Crazy how this is an actual medical informative video. But I'm always here for the ASMR. 😅

@TheOriginalMaudlin 2 года назад

This is very timely for me since I'll be going for a CT scan of my chest on Thursday since a cyst was discovered near my thyroid during an unrelated MRI scan of my spine

@neptunepirate1981 2 года назад

Thyroid disease is common in my family. Have an unrelated appointment next week but I’m going to ask some more questions about a goiter that was found. All because I watched this video!

@darrentomlinson4191 2 года назад

Spiffing job sir , bravo , very well done video , be having a pleasant day now 😀

@silviosil436 2 года назад

Putapitofpaper and and Abby smiles mischievously. I think she knows exactly why 🤗🤗❤️😀😘😎

@MedbeeMedic 2 года назад

I genuinely have to bite the inside of my lip because I will laugh

@silviosil436 2 года назад

@@MedbeeMedic 🤗🤗❤️

@kiely4561 2 года назад

She knows what up lol

@omicsonic 2 года назад

Gill and Tutt 12: Thyroid Rage Against The Machine

@mallekadalov7276 2 года назад

So good to see abbey and doctor Gil 🥰

@davidromero1884 2 года назад

Brilliant video and explanation!

@finssonicclash8564 2 года назад

James “ the voice “ Gill

@darrentomlinson4191 2 года назад

Much appreciation for Abbie as well as Dr Gill for these vids , good luck for the future 😊

@Alibrahimelaf 19 дней назад

Well demonstrated thank you

@TrialsFox 2 года назад

Revising for my final year isce atm. It is in a months and I’m panicking but your videos are really good and helpful. Very clear and you explain why you’re doing each part of the examination. Thank you so much

@eveninglyric687 Год назад

idk if you've done your tests yet but if so I hope it went well ♡ if not best of luck and good vibes babe

@sketchlehem 2 года назад

Legendary duo!

@jp5125 2 года назад

He said the thing!

@MedbeeMedic 2 года назад

I like this idea about swapping places 👀👀👀

@DrJamesGill 2 года назад

You are busy… with finals for like… ever now

@MedbeeMedic 2 года назад

If abbie passes her finals bonus episode 👀 😅

@nickmitchell5150 2 года назад

Or Derek? 🤔

@DrJamesGill 2 года назад

We’ll certainly do something !

@gabrielesimionato1210 2 года назад

That would be fun 😊

@blackbeardbarkbark 2 года назад

10/10. Great stuff

@jacktailorpatirzon6306 2 года назад

Exelen video,ya los extrañabamos

@brandyyolidio4213 2 года назад

Incredibly relaxing, helped me sleep, thanks Doc 😴😴

@kittybala7951 2 года назад

Excellent video. Interesting

@josemerino7894 2 года назад

Dr gills,The Jay z of doctors🙌🔥💯🙏💪

@Zanyotaku 2 года назад

Clicked for curiosity and got info and asmr, your soft voice is perfect to relax to and what you’re saying and showing is interesting. Congrats on your possibly unexpected fandom sir if the asmr is unintentional 🤣

@DrJamesGill 2 года назад

If you benefited, learned something, and perhaps understand a little more about your own body, I’m over the moon!

@talmorean6573 2 года назад

Congrats on 100k

@raising.my.miraclesandrea5578 2 года назад

Hope you're feeling better Abby.

@Lucas.Oliveira98 2 года назад

Would It be so nice If you bring an pharmacist friend to talk about some cool stuff about the drugs used on the treatment of the conditions you talk about in your videos. Keep doing this amazing work 👊

@Fraser142 2 года назад

i know these videos arent for medical use(real life situations) but i keep it in mind just incase awesome channel and digestible information keep these going!

@craigsykes6199 2 года назад

Welcome Back Abby!

@poet279 2 года назад

The trilogy is complete.

@UCONN_HUSKIES 2 года назад

Best volunteer and doctor 😂❤

@pedrobispo7878 2 года назад

Good Video, Congratulations ! 🇧🇷

@kiwipics Год назад

Well, Dr. Gill I need to book you for a thyroid examination, as I haven't had one as thorough as you did in this video.

@michaelw2263 2 года назад

I guess EMT school wasn't enough cuz here I am binge watching all of these medical videos from Dr. Gill

@Draedaja Год назад

I cannot tell you how many times I've watched this video already (don't ask why), but I JUST noticed that Abbie magically puts on shoes and a different pair of socks there for a few seconds ;D

@DrJamesGill Год назад

🤫

@Cypppp 2 года назад

More jokes this time... I like the laid back Dr. G! Great and informative (and funny) video!

@Abaddonscodpiece785 2 года назад

Superb.

@juliaesposito7359 4 месяца назад

Thank you

@williamhagood 2 года назад

Yes. 👏 Bravo!

@arwua 2 года назад

ASMR is like exploding with this one

@XX-gy7ue Год назад

excellent

@ED-yz6jn 2 года назад

Littlebitofpaper is back !!!

@kellyinawheeliebin9096 Год назад

I love Abby's shirt!!

@nickmitchell5150 2 года назад

Also, wishing Abbie every success, wear the bee socks, you'll bee 😎 reet!

@MedbeeMedic 2 года назад

Thank youuuu !!!

@babarilyas6296 7 месяцев назад

Must check for proximal myopathy too.

@daviddunn4922 Год назад

I have Graves and still found this very informative

@DrJamesGill Год назад

glad it was helpful, hopefully your symptoms are well controlled?

@daviddunn4922 Год назад

@@DrJamesGill on and off with plenty of blood test and a course of propranolol and carbimazole . Will see if I need further treatment after a 12 month period . Did lose a lot of weight very quickly and had heart palpitations and sweats

@Dr..90 Год назад

Exellent explaint and practice thank you

@DrJamesGill Год назад

👍👍 Any other areas you’d like us to cover?

@carmenhomer1965 Год назад

Enjoyed the episode

@DrJamesGill Год назад

👍

@dukerando4836 2 года назад

End of a trilogy

@DrJamesGill 2 года назад

Seems fair

@donkeyman3763 2 года назад

Ayyyy he hit 100k fair play lad

@timpenner3452 Год назад

Happy birthday Abby!

@mattcarter78 2 года назад

The DGCU returns!

@chuckoneill2023 2 года назад

So, the late Marty Feldman's famous "pop eye'd" look was due to hyper thyroid issues? Is that sort of thing treatable with modern therapies?

@penguinkaiser 2 года назад

By this point I don’t think you need to confirm Abby’s name and date of birth, you must have it fresh in your memory

@MallorieMooney Год назад

Number one, as an aspiring PA, I love your videos. They're really going to help me out in the future. Number two, I've been concerned about my thyroid and when I went to the doctor, she wasn't nearly as thorough as this. That's concerning, I kinda want a second opinion now.

@DrJamesGill Год назад

Did they do any bloods? That would be an effective second

@MallorieMooney Год назад

@@DrJamesGill yes they did do some blood work

@Ahmett2000 Год назад

As Dr Gill pointed out you get the diagnosis from thyroid function tests/history. You'd be hard pressed to find a doctor that examined for every rare extra thyroid sign

@carolinagilniebla4705 2 года назад

I was diagnosed with hyperthyroidism almost 3 years ago and I’ve been in treatment since then. This medical exam is what my doctor does in my periodic check ups, I wasn’t sure what she was checking in my hands but now I know 🤓 The only part of the exam my doctor does not check is the part of the tongue. This video is very informative, I had almost all of the symptoms mentioned for hyperthyroidism, we found out about it because I got tired real quick with just some steps, my vision used to numb black and started to have tachycardia, at first I went to a cardiologist think I had heart issues and he diagnosed me with hyperthyroidism. While in treatment I had just one eyeball with back inflammation, it was really tough because my face looked really asymmetrical, I went trough a 10 week treatment and got a little chubby but then I lost the weight. I’ve been weighting 36-38 kg since I was 15 and I got to 40 kgs for the first time last year with almost 2 years in treatment and I’m 25 years old now. I’m not a doctor but I really enjoy these videos as they help me to understand a lot of exams and get to know what symptoms can show through these conditions. Thank you!!

@DrJamesGill 2 года назад

I’m really glad you’ve had good care! Where were you looked after?

@carolinagilniebla4705 2 года назад

@@DrJamesGill Thank you so much, I’m from México, I was treated here by a really good cardiologist Dr Luis Eng, and he sent me with an also really good endocrinologist Dr Verna Mendez. Since I was a teen I went through a lot of medical appointments for years because of my very low weight and they used to tell me it was hereditary because of my parents weight until I was 23 and was properly diagnosed. My thyroid was really inflamed and sometimes it hurt. I started taking 4 and 1/2 pills of 10mg thiamazole daily, now I take 1/2 of 5mg 1 day and 1 day not, and my thyroid is not swollen anymore, I’m gaining weight, I don’t have heart/pressure issues anymore, and I sleep really well now, I have a little of double vision, I take a daily pill of selenium (my doctor says it’ll help) but my double vision was worse so I think I’m getting better 😎👍🏻