Neurological Examination of The Limbs Explained - Appearance and Muscle Tone - Dr Gill
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- เผยแพร่เมื่อ 13 มิ.ย. 2024
- Neurological Examination of The Limbs Explained - Clinical Skills Deep Dive looks at the details of the upper limb neuro examination, highlighting what is being checked for during special tests and examination findings
In this video, we demonstrate how to perform a clinical examination of the Upper Limb neurological system for your medical school Clinical Skills OSCE.
For a passing grade in your Clinical Skills OSCE, for neurological exam follow the approach of:
- Appearance
- Tone
- Power
- Reflexes
- Sensation
- Coordination
This part one video will deal with Appearance and Tone, whilst discussing causes of upper and lower motor neurone lesions, including Parkinson's disease and Bell's Palsy
#clinicalskills #Neurologicalexamination #DrGill
------ Credits
Neuro references
Neurones - By BruceBlaus - Own work, CC BY 3.0, commons.wikimedia.org/w/index...
Umn0- By Rcchang16 - Own work, CC BY-SA 4.0, commons.wikimedia.org/w/index...
Stroke - By James Heilman, MD - Own work, CC BY-SA 3.0, commons.wikimedia.org/w/index...
MS - By BruceBlaus - Own work, CC BY-SA 4.0, commons.wikimedia.org/w/index...
Parkinsons - By Albert Londe (1858-1917) - ihm.nlm.nih.gov/luna/servlet/d..., Public Domain, commons.wikimedia.org/w/index...
Diabetes - By Mikael Häggström - See above. All used images are in public domain., Public Domain, commons.wikimedia.org/w/index...
Wasting -
By OpenStax - cnx.org/contents/FPtK1zmh@8.2..., CC BY 4.0, commons.wikimedia.org/w/index...
Today Clip - / @today
Danish - By Leon Brocard - originally posted to Flickr as IXS_3616, CC BY 2.0, commons.wikimedia.org/w/index...
MJF - scrubs
DEFINITIONS - PDF (79K)
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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I'm not even in medical school, but these videos are really interesting plus they make me super relaxed. Long live asmr 🙌
👍
Yep, I feel the same. Great videos, well presented as well 👏
Hands down! You can putapitapaper on that comment.
this channel is a gold mine. i'm learning as i fall asleep
"Placing a piece of paper." C'mon - give them what they want.
Hahahahahahaha here I was trying to sleep and now I can’t stop giggling 😂😂😂
The asmr community is just a meme party in the comments
Really cool to see that transition from the Tone explanation to the examination.
I’m glad it carried through 😊
Those can only be the arms of famed partners in crime: Tutty & The Gillster
As someone with widespread nerve damage (due to Fluoroquinolone Toxicity Syndrome), this was especially interesting. Thank you Dr. Gill.
Please keep this look: the hair & beard look so good! 👌🏽👌🏽
THEY DON'T. DOCTOR NEEDS A HAIRCUT BADLY!
I like to know that during watching this channel i spend my time in a productive way, gaining informations and learning high level vocabulary in a foreign language
Same. While getting in much needed relaxation - talk about multi-tasking. ;)
This is going to be great
Hopefully. But I think you overestimate my ability to describe athetosis or forehead sparing on CNVII lesions!! 😂
Not even in the medical profession and find these videos great. Good old Dr Gill has a great way of explaining things and it making sense - keep up the good work
My favorite thing about this channel is that half the people here are so because Dr. Gill has such a lovely voice and is a damn good teacher.
Big up on the editing 😊
Thanks. It’s slow, but learning more 😊
@@DrJamesGill what editing software do you use?
FCP
The production value of these videos is sky rocketing. 👍🏻
Thanks. It’s been slow, but getting there 😊
Having to go to a hospital six times a year up till 18yo for examinations, i can practically dream this procedure.
I love his sweet voice and the way he explain everything 😊
Asmr brought me here. Now I think I’m a medical expert because of you!! 😂
The curls are so cute! Another great video. Thank you for knowledge and relaxation!
👍
This is a great and very illustrated Neurological lecture, I really love it! We might have also thought that besides athetosis that gentleman was having something called akathisia, just to englobe some of the movement disorders differential diagnosis. Excellent job Dr.!
👍 plus good point
Thank you so much for making these videos! You explain the topics in a way that makes them easy to understand plus they are quite relaxing!😊
Glad it was helpful!
@@DrJamesGillzaman
Hi Dr. Gill. Another great video as always. My sister was actually diagnosed with Bells Palsy today and it was a scary experience. I appreciate the explanation in this video as no one in the family is a medical professional. It’s comforting to know that she has a good chance to recover. Thanks again.
I saw a patient with it this week. As long as the treatment is started swiftly, most people tend to recover 😊
Your videos have a such a nice combination of clear, concise information and relaxing personality :)
Thank you. I find neuro difficult to get my head around, so I’m glad that it came over clearly
15:30 fan service 🥺💕
Dr. Gil! The Hair! I love it. Thanks for the vids, Doc.
Saludos desde Argentina doctor!
👍
I was listening to fall asleep because his demeanor is so calming, but this is such an interesting topic I couldn’t sleep and kept paying attention!
Dr Gill channeling your inner Bob Ross with your hair 🙌🏻 Love this! Great editing as well 😊
Not internationally, but thanks to covid we all get to look wild and woolly!!
@@DrJamesGill 😂
Thank you Dr. Gill, I'm getting even more interested in human bodies and medicine ❤️ love your channel
biology is fascinating
Look at the lockdown locks! Looking good doc.
Keep it up Dr. G
Looking sharp, Doc!
3:42 am. Abro el video para relajarme y dormir....y termino aprendiendo y súper despierto. No me arrepiento para nada. Thanks, Doc!
I think I’m in love... lmao this man is amazing!!
Incredibly informative and well presented.
Glad you liked it!
thanks.it is very help full video
Almost said it at 15:35......we were so close!!!😩😩😩. Excellent video doc!!! Very informative!!
Acting fast saves lifes thats for sure! My wife one day wakes up in the morning with slurred speech and losing strength in legs in minutes, i took her to the hospital inmediatly, she had Encephalitis. 2 months in coma, 7 months more in hospital. The message of Dr.Gill in this video, extremely important. Minimal sign of one of this things, go hospital with no doubt. My wife is alive and recovering because of acting this fast. Is the main thing in this case.
thank you so.much for the explanation helps a lot
👍
You remind me tons of James Blunt. Great Video!
The fact I’m learning as I watch. Yet I intended to watch just to relax!
Double benefit 😊
Love dr gills videos 😊
Thanks for being part of the community
How do I volunteer to be a patient? Lol. Dr Gills video never fail to hold my attention hostage and educate me!
Another great video Doc!! :)
Thanks 😊
Excellent info about Parkinson’s
PD is a great example for a lot of teaching
En espera jeje...!!!😁
Again amazing vid and good review, 👍.
👍 thanks. I hope it was clear
The pictures really help
👍 (finding copyright allowed images takes a while!)
OK, maybe you don't like it, or professionally you need your hair to be shorter, but your curls look nice, as well as the color of your hair with those different tones... You are the only one who makes listen to a physician talk about upper and lower brain problems in a Sunday afternoon, considering how far I am from the medical care area...
Dr Gill, long time subscriber and fan. I have always wondered, do you know dr. Berry? From the exams on TH-cam.
That looks like it could be the lovely miss Tutt?!
Wow you got that from the thumbnail!? Impressed
I thought the same 😅
ABBY TUTT IS THE REAL MVP 🏆🥇💥
I'm not sleeping, professor. I need the second part !
Well that will be a few days yet
i started watching these videos for ASMR but now that i am in medical school i watch them for the content haha
Great to hear you’ve “joined to the club”
Where are you studying??
Always happy to hear requests and suggestions from students for other areas I can help with in terms of videos 😊
@@DrJamesGill I’m in a US MD school right now. I’m only a first year student however so 3 years to go still. Thank you for all that you do!
Let that hair grow, Doc! It's great! Hugs from Brazil. Thanks for the videos.
Booked the scissors for the 29th of April!
@@DrJamesGill oh, such a disappointment. You look great :D Almost at the point you can tie it.
Have you had long hair before?
No. When I run it goes in my eyes now. Not a fan
@@DrJamesGill hmm, I see. I respectfully recommend bows, bands, and anything that can hold it back so you feel comfortable and keep it long :D Stranger's opinions aside, thanks for being so nice taking the time to reply to us.
Using a buff currently for running 👍
I almost didn't recognize him, he is one of my favorite.
Lol Dr Gil your “mop” is pretty in style!. You’re a pretty lucky chap to have such great hair! pS I got hooked on your channel bc 1) I’m an ASMR Junkie and 2) I do have an ongoing interest in medical things even though my brain is NOT a scientist’s brain.
I’m not sure anyone chooses the lockdown hair style. I’ll be glad to be back to normal lol
I would love it, if my engeneering Profs would put somuch effort in their online courses. Nicely done. thx
I think different people value different things. I’m sure they have vastly more knowledge that I do about these subjects - they are quite superficial
the video is really well cut!
Thanks. This one was hard work!
Feels like forever since the last upload! At least something to look forward to at 19:00! 👍🏻
That’s because this video had been VERY difficult to make
One of the most technical both in terms of medicine and also editing
It’s been split now. I think there MAY be two further 20min videos to complete this Deep Dive
@@DrJamesGill music to my ears! looking forward to it
Please make a video of a complete neurological examination with test memories and math problens, that would be cool
That is the mental state examination rather than the neurological exam
Necesito saber si estudió oratoria o si es talento natural su forma de hablar
Here for my fix of ASMR but I'm actually learning so much as a convenient byproduct, haha!
Teacher..you are amazing. Keep the hair long and keep the beard..looks great on you. Love learning from the 🇺🇸
I loved the video, what camera are you using to have the 4k video?
using a Sony alpha
Nice
Thanks
Really jealous of your hair texture but of course, grass is greener blah blah. Thanks for the video. Love learning new things
So nice of you
You need to be Knighted for your legendary examinations and you are so good you don't need to apologize for your sandwich breath.
🤣
I'll go floppy for you all day long Dr Gill!! 🥰
How can a man be that attractive
I wanna see his lap hogg
Waiting for the goodness.... this is going to be amazing 💛🎈
You are slowly turning into a Hobbit Dr. Gillbo Baggins! 😁
🤣🤣🤣 I hope I’m not going to shrink!!
My man Dr. Gil growing out that hair.
ABBY TUTT IS THE REAL MVP 🏆🥇💥
Id be even more of a MVP if I pull my finger out and get time stamping the videos which I said I would do 😂😂
@@abbietutt4656 omg the legend herself replied to me. Day made ☺️☺️☺️🙌🏼
Could you please make this your next audio book you read? The 100 acre wood stuff of Winnie the Pooh is awesome!
Well interestingly as if Jan 2021,
A.A. Milne, When We Were Very Young and
A. A. Milne’s original Winnie-the-Pooh story “The Wrong Sort of Bees,”
Both became public domaine
@@DrJamesGill Keeping my fingers crossed. My son, who just turned 10, watches some asmr and audio books 👍
Remember when this guy was on that desert island reality show???
I certainly do! 🏝
Are you going to do Crohn’s? I’ve been waiting for it...
Crohn's was adressed in the last A-Z video for the letter C. It wasn't mentionned in the title so you may have missed it 😊
The full crohns video is due this week
I’m confused. Is the leg bone connected to the hip bone.
Sometimes
You rock the pandemic hairstyle, doc!
I need a exam too you
I had a Dr once who didn't even perform fundoscopy after he checked for an relative afferent pupillary defect. Even though he said he normally would. Smh
Did they say why?
I’ll be honest, in normal clinic fundoscopy is often very low yield. It’s better to ask the patient to get retina photography- quick and no doubt then
@@DrJamesGill hey doc, he's referring to this other all-star of asmr, Dr. Michael. I watched both of your videos for sleep for a long time!
th-cam.com/video/N7siHpip8sw/w-d-xo.html
Im a science student yet my dream is to become a expressionist painter, im whatching this so i dont feel bad about my life choices
no reason you can’t do both 😊
Dr. Gill:
Question: When my Dr. tests my reflexes, esp my elbow she grabs my arm and lifts up then tells me to let her take the weight. Shouldn't she first explain what she is going to do, then allow me to let my arm go limp then she can pick it up while I act like my arm is dead? 🤔
Or is there a reason to pick up the arm then tell patient to allow Dr to take the weight.
Patient interaction aside, I don’t think it is likely to significantly affect the reflex 😊
Dr. Gill:
Thanks for answer. And thanks for the heart. 😀
I get distracted by his hair. I think it’s very beautiful. Kbye
That hair is boss
What is your field of Medicine? General Practitioner? Neurologist? Gastrointestinal?
GP. A little bit about everything, not a lot about anything 😊
Have you ever found any actual problem with a volunteer during filming any video?
We often send one or two medical students to their GP in a year to “just get things checked”
Vest & tie again,at last!!
I’m tired of wearing scrubs!
'pain in the neck'...#docjokes
The hair has never looked better! Don't you dare. 😉
Estaria bueno si fuera traducido al español super bueno su canal
I get pretty “violent” hypnogogic jerks. My partner usually moves away after a while when I’m “big spoon”, because I keep waking him up. 🤣 And not to mention the “I’m falling!” wake up shocks. 😜
if i ever make a 4th video game for rpg maker needs to have Dr Gill voice over a character :)
Naaah that’s not a mop! I love the hairdo, just saying!
Was James on the island with bear Grylls?
Yes 😊
@@DrJamesGill Just finished the series on Netflix. You were brilliant. How did the bottle of lilt taste really? ☺️
Honestly, you could find out.
You are allowed bread, unsalted butter and water for two weeks, then have any of your favourite high calorie, refined sugar foods - it will taste EPIC
I swear your on the island by bear Grylls
I was 😊
Who’s the only other person waiting here at 2 am tho
Jimmy mc gill
Hi, appreciate these videos and am learning a lot but the frequent sharp head turns away or towards the camera (There seems like there are two cameras?) are extremely jarring & distracting.
Unfortunately a full, and flat 30-45 min video has a greater likelihood of impairing concentration from an education theory perspective.
I’d like to have better graphics, which could reduce so the changes. Maybe something to consider if that channel grows sufficiently to be able to pay someone for the animations 😊
Cranial nerve. Pain in the neck. Haha
Keep the mop
haircut szn