5:45, Sir you mentioned that the 4th cranial nerve the trochlear innervates the superior oblique which moves the eye up and outwards, instead it's supposed to move it down and outwards.
@@kafayatokunuga2730 Superior oblique does perform internal rotation (or intorsion), which is just rotating the eye along the axis of the pupil without changing its position. Superior oblique changes the position of the pupil by depressing (down) and abducting (out) the eye.
Superior oblique tertiary function is to abduct. But it is tested in adducted position downward. So its primarily an intorter, depression, and abductor (but tested in adduction)
FANTASTIC video (from a relaxing standpoint). I do not work in medicine (instead I work in IT) so you get guys like me who simply want to watch a “relaxing” doctor examination. Everyone is a little different, but the idea is “what relaxes you?” For me. Some people like soft-spoken, female nurses/doctors. For me, I find older, male, extremely experienced, soft-spoken doctors relaxing. This doctor is great example.
Itna patience kahan sey late ho sir ji aap? Neurological examination karne k liye jitna patient ko cooperative hona padhta hai utna he examiner ko bhi patience rakhna padhta hai🥹🙏 sir ji aap dhanya ho❤
May I ask about the point at 5:49 that sounds contradicting the knowledge written in Anatomy textbook which states that superior oblique muscle functions as moving the eyeball laterally and downwards?
On 5:45 the narrator states that de oblique superior enables the eye to look up and out, which i find misleading and the image on the video shows the correct movement that controls this muscle (inferomedial gaze)
Did the narrator make a mistake by saying superior oblique allowing the eye to look 'up and out'? I thought it's suppose to depress and abduct the eye?
Thanks for a comprehensive video. Id like to point a few mistakes for better learning Tongue deviates to same side of lesion in 12th nerve palsy SO has tertiary function of abduction, but should be tested in depressed and adducted position. Spinal percussion should also be done fir bony tenderness and spine examination for deformities like kyphus, Gibbus or socliosis. There was a lot of contact while testing for joint position. You just have to slightly touch the tip of the great toe and explain them thoroughly, what it means moving up and down. While eliciting reflexes it is important to expose the muscle and tendon that is contracting, so it appreciates reflex of grade 1. Superficial reflexes like abdominal cremastric need to be checked too. Thankyou sir for the comprehensive and informative video. Really appreciate your efforts. ❤
My nephew is 10 year old diagnosed with TB meningitis and she is in coma for 1 month. Her pupil is fixed dilated ..and her GCS is fluctuating from 3 to 5 is the highest...im wondering if she still alive or brain dead ???:( please help me..thanks
Ok I'm about to get brain surgery for my Left Temporal Lobe epilepsy and I think I have a pretty ok Dr. But this Doctor is absolutely amazing. I live in America in Colorado and I don't know what health care is like in the rest of the world but I can tell you that here it has gone down the gutter. Sure you can get in with most doctors pretty quickly but most of those doctors won't even spend more that 5 minutes of their precious time with on you or even put their hands on you anymore. It makes me so upset that when I have a complaint of a lump in my breast that feels hard as a rock or maybe stomach pain or a sore throat and for none of these things I will not have my stomach palpitated, no urine taken, no gown put on me so they can feel this lump on my breast to see whether or not they would like to refer me out to get a mammogram to check for breast cancer. Nope no hands 5 min policy is the new new and you diagnosed with it's either your probably just stressed, depressed or overweight n YOUR the one who needs to figure that out for yourself. So we will see each other again at your follow up in 5 to 10years oh wait no, no we won't cause I'll probably be dead from one of the things you had refused to take seriously n just give another 5 min of your time. It's just soooo frustrating these days. But I'm so glad there are still some AMAZING DOCTORS out there still practicing. He did the most thorough exam I have EVER seen. I wish he lived near me because I would make him my Neurologist IMMEDIATELY! Thank you for your AMAZING service Doctor 👍😀👍
Im having a neurological assessment in hospital by a clinical psychologist, will this just be mental health questions or will it involve physical aspects? Thank you, very informative video :)
Hi Jaide, hope you are well. If it hasn’t happened already, the neurological assessment with a Clinical Psychologist should be one regarding mental health as opposed to a physical examination which is performed by doctors.
Thank you so much this helped me alot for my exams.. Much thanks from south Africa 🇿🇦
I forgot the sentence he was told to remember and I’m supposed to be the doctor 😂😂😂
😂😂😂
😂😂
east somethıng
I studied this video for my exam .....i got really good marks....thnku so much ❤️
Patient: *farts
Doctor: thank you
😂
That’s brilliant.
That patient is so cooperative and so sweet 😊
These pts don't exist in real life
@@Shamsul_hI swear😖
@@Shamsul_h😂😂
Extremely good examination stating each one and its purpose.
Rice bag
5:45, Sir you mentioned that the 4th cranial nerve the trochlear innervates the superior oblique which moves the eye up and outwards, instead it's supposed to move it down and outwards.
Down and inwards, no?
@@kafayatokunuga2730 Superior oblique does perform internal rotation (or intorsion), which is just rotating the eye along the axis of the pupil without changing its position. Superior oblique changes the position of the pupil by depressing (down) and abducting (out) the eye.
Superior oblique tertiary function is to abduct. But it is tested in adducted position downward.
So its primarily an intorter, depression, and abductor (but tested in adduction)
i guess i would have failed that expressive dysphasia test as i couldn't seem to remember what those things on the combs are called!
thank you. this has been really really help to me in my exams and in my practice
FANTASTIC video (from a relaxing standpoint). I do not work in medicine (instead I work in IT) so you get guys like me who simply want to watch a “relaxing” doctor examination. Everyone is a little different, but the idea is “what relaxes you?” For me. Some people like soft-spoken, female nurses/doctors.
For me, I find older, male, extremely experienced, soft-spoken doctors relaxing. This doctor is great example.
Itna patience kahan sey late ho sir ji aap? Neurological examination karne k liye jitna patient ko cooperative hona padhta hai utna he examiner ko bhi patience rakhna padhta hai🥹🙏 sir ji aap dhanya ho❤
i am most grateful
Going for my OSCE today , I hope it works for me 😍🙏🏾
May I ask about the point at 5:49 that sounds contradicting the knowledge written in Anatomy textbook which states that superior oblique muscle functions as moving the eyeball laterally and downwards?
Yes it was a mistake
Very detailed and helpful
Thanks for noting what the tests are on the screen!!
8:33 Christ alive, he couldn't have hit it harder than that. almost made me jump outta bed.
Indeed. Even the patient in the adjacent room, who was thought to be deaf, later reported having heard that.
Ah, something to laugh about in my dark times. :v
@@cleocarter Glad to spread some laughs :)
@@cleocarter hope you’re doing better
@@4flakvo965 Aww, thank you. A little better.
On 5:45 the narrator states that de oblique superior enables the eye to look up and out, which i find misleading and the image on the video shows the correct movement that controls this muscle (inferomedial gaze)
Did the narrator make a mistake by saying superior oblique allowing the eye to look 'up and out'? I thought it's suppose to depress and abduct the eye?
Yes, it was a mistake
Yes, it moves the eye down and out and intorts it
Very use full thank you 🥰
Thanks for your helping 💕
Thanks for a comprehensive video. Id like to point a few mistakes for better learning
Tongue deviates to same side of lesion in 12th nerve palsy
SO has tertiary function of abduction, but should be tested in depressed and adducted position.
Spinal percussion should also be done fir bony tenderness and spine examination for deformities like kyphus, Gibbus or socliosis.
There was a lot of contact while testing for joint position. You just have to slightly touch the tip of the great toe and explain them thoroughly, what it means moving up and down.
While eliciting reflexes it is important to expose the muscle and tendon that is contracting, so it appreciates reflex of grade 1.
Superficial reflexes like abdominal cremastric need to be checked too.
Thankyou sir for the comprehensive and informative video. Really appreciate your efforts. ❤
Brilliant, just cut out the sound on 12:22, unless its part of the neurological assessement. Brilliant!
That's part of it. No need to censore things that can happen.
I thought it was just the examiner struggling to move the patients legs
My first time to be here after reading Gifted Hands by Ben Carson this is so nice greeting team
Awesome presentation, thanks for sharing.
12:20
Great explanation thank you
💀💀💀💀💀💀💀💀💀💀
5:49 *The superior oblique muscle movement is towards out and down ward.....correction
Thanks for the video. Both of you. Really helpful..
great video, thanks a lot from Egypt
So great this is excellent
This is beneficial for me, Thank you for preparing us to improve Neurology knowledge 😊
Waoh!!! Exactly what I needed to learn
Correction: superior oblique for down and out movement 5:50
the patient has median sternotomy scar and a scar in medial aspect of his right leg. this means he has had CABG
en.m.wikipedia.org/wiki/Ren%C3%A9_Favaloro
Lest we forget
Are we ignoring the large leg injury for a reason?
It is a scar on the site of vein harvest for CABG. If you pay attention the patient also has a scar on his chest.
Perfect💯 vide
Very helpful and informative video
Thanks, I enjoyed this
My nephew is 10 year old diagnosed with TB meningitis and she is in coma for 1 month. Her pupil is fixed dilated ..and her GCS is fluctuating from 3 to 5 is the highest...im wondering if she still alive or brain dead ???:( please help me..thanks
question does this check peripheral and centreal ?
Excellent examination
Ok I'm about to get brain surgery for my Left Temporal Lobe epilepsy and I think I have a pretty ok Dr. But this Doctor is absolutely amazing. I live in America in Colorado and I don't know what health care is like in the rest of the world but I can tell you that here it has gone down the gutter. Sure you can get in with most doctors pretty quickly but most of those doctors won't even spend more that 5 minutes of their precious time with on you or even put their hands on you anymore. It makes me so upset that when I have a complaint of a lump in my breast that feels hard as a rock or maybe stomach pain or a sore throat and for none of these things I will not have my stomach palpitated, no urine taken, no gown put on me so they can feel this lump on my breast to see whether or not they would like to refer me out to get a mammogram to check for breast cancer. Nope no hands 5 min policy is the new new and you diagnosed with it's either your probably just stressed, depressed or overweight n YOUR the one who needs to figure that out for yourself. So we will see each other again at your follow up in 5 to 10years oh wait no, no we won't cause I'll probably be dead from one of the things you had refused to take seriously n just give another 5 min of your time.
It's just soooo frustrating these days. But I'm so glad there are still some AMAZING DOCTORS out there still practicing. He did the most thorough exam I have EVER seen. I wish he lived near me because I would make him my Neurologist IMMEDIATELY!
Thank you for your AMAZING service Doctor 👍😀👍
Great video
Just amazing !
Wonderfully, really helped.
Thanks!
69k views... Nice
You an Office fan?
167k
Wtf are you doing here? 😳
Brilliant , thanks
Thank you dr you help me a lot
Brilliant!
Superior oblique muscle ???
Gosh this is sooo bates. Tysm!
At like 12 mins in he farts when pushing the doctors hand into the table and I’m DYING laughing
Everyone farts 💨
@@lisarixon7680no shit
😂😂😂
😂😂😊
😂😂😂💔😄
Chevrolet, zebra and honesty
Thank you!
Very helpful
The Donald Trump line just great😀
Good video
Thank you
Upgoing babinski on the left!
Veryy helpfull
There are so many abnormal findings in this presentation starting from gait disturbance to hyper reflexia at left knee
Thank youu🌺
I learned about neurological assessment
I don't remember the address
So interesting.
Right Saphenous gone for the CABG (chest scar) and appendectomy RLQ scar. Needs diet also!
had me checked again . impressive vision
Was gonna comment this
Very nice
Thanks ❤
well done
Im having a neurological assessment in hospital by a clinical psychologist, will this just be mental health questions or will it involve physical aspects? Thank you, very informative video :)
Hi Jaide, hope you are well.
If it hasn’t happened already, the neurological assessment with a Clinical Psychologist should be one regarding mental health as opposed to a physical examination which is performed by doctors.
Great
Lovely
Iam also studied as it is same thank you
12:21 :P :P :P :P
The patient is well and apparently cooperative
good over all
12:22
Thank you doc❤
nice one
would be asmr worthy w/o all the commentary
Exactly man. I hate commentary. But obviously this man isn’t making vids for ASMR rather than educational
ASMR!
big time
No words🔥
Helpfull
Nice EX
None of this happened to me today what the heck is this??
Dont forget to give patient a treat evertime they do good 🍬
❤❤❤❤
Sir plz put if you performed video on Stroke patients ,, cranial nerve examination in them and shoulder examination
Mitchell Rue
Seems the patient had a CABG
Jazak ALLAH
From Pakistan
Why gritting teeth or clenching hands
💕💕
You forgot to mention that when examining the eyes you should apologize for your sandwich breath.
💛💛💛👍
Have anyone paid attention that the patient is wearing a Rolex?
Wait? Isn't the patient the guy who is allergic to bananas?
8:15
Maybe I have a memory problem… I couldn’t remember the phrase 😂
Your patient has had a CABG and appendectomy!