Thyroid Clinical Exam - Clinical Skills - Medical School OSCE Revision - Dr Gill
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- เผยแพร่เมื่อ 30 มิ.ย. 2024
- How to perform a Thyroid Gland Examination - Clinical Skills Revision
The thyroid examination is one of the first sessions of the clinical skills block for medical students at Warwick Medical School - largely as it touches lightly on to other clinical areas, such as the cardiac examination, and the peripheral neurological examination making it an excellent starting point for building further knowledge
This is a clinical examination of the thyroid gland is performed by Dr James Gill following the approach in Macleod’s Clinical examination.
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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 evaluation - 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.
Some people may experience an ASMR effect from watching this medical clinical examination
#ThyroidExamination #ClinicalSkills #DrGill #ASMR
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 - Explanation of Thyroid Examination Process
00:35 - Hand Examination
01:09 - Pulse Check and Blood Pressure Measurement
02:46 - Eye Examination
03:04 - Neck Examination for Lumps and Bumps
03:38 - Eye Tests for Movement and Double Vision
04:12 - Mouth Examination
04:22 - Throat and Chest Examination
04:55 - Leg and Ankle Examination
05:09 - Reflex Tests
06:09 - Conclusion and Final Remarks
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Examining the thyroid is so involved, why is that, Dr. Gill?
Because the thyroid acts as the “accelerator pedal” for the whole body.
If you have and under or over active thyroid EVERYTHING is affected
It’s an old video but this does explain it
th-cam.com/video/uWhJrMzT5ZA/w-d-xo.html
@@DrJamesGill interesting, thanks for the response!!
Dr James Gill Indeed! I have Graves’ disease, diagnosed as a teenager I was considered one of the worst affected in the country as my readings were off the charts, several doctors viewed me in a group as a case study I was so “toxic” - all under control now but wow those symptoms, I felt like my body was losing its mind if that makes sense 😅
Rachael Simmons I have Graves too! Lol hi 👋
@@DrJamesGill THANK YOU AND EVERYONE IN THE NHS!
My most anticipated sequel. This is the Empire strikes back of Thyroid examinations
🤣🤣
My thoughts exactly !!
中村雪 well a I only probably go every few months
Man this is what Lucas WISHES he could've given us.
Ross Paterson 😂👏🏼
I like to believe, while Dr. Gill doesn't upload FOR the asmr community, he doesn't ignore them either. I find the videos both relaxing and informative, so im always happy with this channel.
That’s a very reasonable way of putting it. I like that phrasing. Thanks
@@DrJamesGill No no, thank YOU!
He’s so patient with this following if weirdos he’s attracted lol. Can’t imagine his odd it is for him to put out content for medical education and and then get thousands of US 😂. Dr Gill is a good sport ❤️
Me too
Ich bedanke mich auch, sehr informativ.
Dr. Gill: Trying to educate for the good of humanity
The internet: F YEAH HE SAID PUTAPITAPAPER *AGAIN*
Oh it means put a bit of paper ! I couldn't understand what you guys were on about.
It was a bit softer, this time, I think.
Be safe out there, Dr. Gill.
Damn right...
I freaking lost it haha!
I about fainted and then when he dropped his head right after 👏👏👏
This girl was examined twice by Dr Gill. It's like winning the lottery!
R3fiX id rather be examined by Dr Gill twice than win the lottery
ill take 107 million in tonights mega million jackpot
And she giggles both times but he giggled too this video
Zia Tomayo She’s adorable!
@Zia Tomayo stop being so disgusting about someones appearence wtf
He protecc
He atacc
But also putapitapaper bacc
Dr Gill is keeping us all safe, well informed and entertained. May he never run out of paper!
🤣🤣🤣
He’s conservative with it. When you only have to putapitapaper it lasts a while. And he’s a professional.
Let’s send him a ream of paper for future exams. 📩📄🗄
And snazzy waistcoats!
@@emmacassidy8482snazzy? It's black?
1:16 - Dr Gill reboot sequence initiated
🤖
His reboot sequence is much faster this time. His hardware has been upgraded.
Lmfaoooooo
Johnny In Japan please tell me you were thinking about Cybermen from Doctor Who, please🥺
@@Furieni I've never seen Dr. Who
Jokes aside. Because of your tutorial video, i've learned and advised my wife to go for thyroid examination. She on medication and doing very well now. I'm so glad that i've followed your work and channel. Thank you for your work and dedication Dr Gill. Cheers!
5:30 Dr. Gill's version of "lovely and floppy"
i like her vids too
His "loose" came out a little technical like he was telling himself "Would it be right to say lovely and floppy?"
it makes me insanely comfortable to realize Dr Gill has always been using his sanitizer
Is there any double vision?
Me: no, there isn't. You're both great doctors
lol underrated comment
This comment is hell underrated 😂😂😂😂
Clever!
Only one man could make the phrase "Whilst I'm at the back, I'd like to put my hands on your neck" sound classy.
HeathMcNease man I’m dead 😂😂😂
HeathMcNease 🤣 good catch
he said this as i read this comment 😂 you’re right he does make it sound very classy
It's the vest and tie that really sells it.
@@cjdfv waist coat 😂 but ye
It's the same lady from the Hand examination ! I thought she seemed familiar, lovely to see she's doing well 😊
Yup. She’s doing very well at WMS
Good for her 👍🏻
She seems like a lovely girl 😊
Aww cheers ! (I’m secretly paddling like mad underneath the surface 😂)
@@abbietutt4656 Hi Abbie. I remember you helped me to find my accommodation back in September on the arrival day. Thanks for your help!
Robert Lee no way !! Hope you’ve had a good year despite everything going on !
Dude, you’re like the Bob Ross of doctors, I could literally fall asleep to your voice. 😴
My students seem to!
I DO actually fall asleep to his voice. This is a compliment, I assure you! I struggle with anxiety and panic attacks and his voice always calms me down.
Does Lucy Brown know that you are puttingabitofpaper on other girls?
lukebfc 🤣🤣
Dr James Gill we need Lucy Brown to do a cameo
Yessss Lucy Brown definitely needs to come back for a guest appearance 😆😎☺️
LOL!!!!
lukebfc 😂
1:03 3:56 4:00 4:03 Take note Disney, these examples are what fan service is.
I’d just tried to get the shots which we talk about in lectures
Very true, but you missed 3:05, his infamous check for "Lumps and Bumps"
@@DrJamesGill you're so humble, Doc. Like we didn't crack a smile in each of these parts. Hope you feel the same satisfaction as we do knowing your work is so appreciated (not only for medical reasons, however making people happy and relaxed for some minutes is a huge health aid!)
Dr Gill: Trying to educate us on good medical practice
The internet: pUtAbItOfPaPeR
I’d wager there is still some passive learning and I’ll call that a win
@@DrJamesGill damn, even in text your voice sounds great!
Sergio Martinez 🤣🤣🤣🤣🤣
@@DrJamesGill indeed, quite a bit of passive learning. At this point from all the medical ASMR videos I watch, I feel like I have a fair grasp on what exactly is being looked for in each part of the exam and why.
Now if only I could learn other stuff like this...much less stressful lol
Thicc broke & single This is the ONLY time I’ve ever enjoyed the “ me: you: “ format, well done.
Dr. Gill should be the Fourteenth Doctor. It would be the chillest and most educational season of Doctor Who ever
Actually, from a non-linear, non-subjective viewpoint - it's more like a big ball of wibbly wobbly... viral-y wiral-ly... stuff
🦠
Baking Kookies yes!!!!!!!!!
First episode called double vision
Haha he would look awesome in a fez 🤣🤣🤣🤣🤣
I wonder if it took Dr. Gil a few takes for the "putabitofpaper". I feel like he must of laughed or lost his composure, knowing that is what his fans wanted.
Chase Adame First try! He's a pro.
The way that girl looks at him.... she knows she is in the presence of an icon.
2020 has been a tough year so far for us but this sequel takes it first step towards redemption. Thank you Dr Gill
Some of my earliest memories of experiencing ASMR were during pediatric exams when I was a child! Especially when the doctor would use the stethoscope, because it would go all quiet except for the rustling of their white coat as they moved it around, and softly asked me to take deep breaths. That was long before the term ASMR existed, and my parents were confused when I tried to explain how I felt pleasantly relaxed…as long as I wasn’t getting a shot that day! 😂
I just had the news that I may lose my job in 3 days, plus i've also been told to self isolate for 3 weeks.....but a Dr Gill upload always makes everything ok!! Cheers for continuing to make such a great content for the medical and ASMR communities! Thanks Doc!
Sorry to hear that Nicky. In what area do you work?
@@DrJamesGill I work in a backpackers hostel in Cardiff, so as you can imagine we have had so many people cancel their reservations, from all over the wprld, it's pretty much going to bankrupt us!
@@nickyjlyons hope it ends up well for you somehow, hang on there fella. Virtual hug from Brazil, Kelly.
Oh no!! I am so sorry to hear that. Our health comes first but the economic toll this pandemic is taking on a lot of people is terrible. Psychologically damaging. Let's pray there is a silver cloud somewhere.
I hope you are doing better Nicky
Oh boy, it's so gratifying to see you honing your skills and becoming a master at making videos
Keep up doc, a great 1-meter-distanced-hug
I would suggest 2m, but I respect the sentiment😊
She's come back for seconds. She obviously can't get enough of the Gillmeister and his audible chocolate voice that is like butter to our ears.
From the makers of... Putapitterpaper... Its... Putapitterpaper 2! This time it's personal!
🤣🤣🤣
YOU WIN THE INTERNET TODAY
Just once in one of these videos I’d like the doctor to find something and be like “MY GOD WE’VE GOT TO GET YOU TO A HOSPITAL RIGHT AWAY”
😂😂 yeah its always fine
I’d be bummed if anything happened to Abby From The Hand Exam. Also, it would probably be going down too much of a privacy and legal rabbit hole to share private medical info of patients.
🤣🤣🤣🤣🤣🤣🤣 I am totally cracking up
These days, that was a $10 squirt of hand sanitizer Doc.
😂
Looks like PUTAPITAPAPER's back on the menu boys!
LOTR for the win! Now there is a quarantine movie - in extended edition - but we don’t talk about The Hobbit
@@DrJamesGill I think I might do just that. I've got all the time of the world now.
Literally just cleared the trilogy for the thousandth time today 👌👌
My heart feels with joy every time I see a LOTR reference 😌
@@DrJamesGill the hobbit was a cgi abomination! Lotr greatest trilogy ever
Dr Gill,
Thank you for embracing the ASMR community. Obviously, the amount of work you’ve put in to become a doctor is indicative of medicine being your priority. However, it’s really cool that you acknowledge us and dabble in it with your other videos. You seem like a really down to earth, cool guy. Stay safe during this virus outbreak. Thanks again.
I would go to UK only to being examinated by Dr Gill 😂
I would have laughed heartily if when doing the “putabitofpaper” test and the double vision test, if he looked into the camera and wiggled his eyebrows knowingly!
I find the fact people resonant with the way I speak, still rather strange
Dr James Gill All in the best possible taste!
@@DrJamesGill All great men do.
gettystar gay.
SonnyL Aww heres your attention little lad.
I like how he gives his patients and update on everything he checks. Most doctors don’t tell you “everything looks good here”. Instead I have to ask “what is my blood pressure?” Etc
I think it’s more that I’m “showing my working” as I go along
1:04 is Dr Gill’s Stairway to Heaven !
Ah, a sequel to the original legendary video, wonderful! Hope things aren't too crazy for you right now James, and thank you so much for all you and your colleagues do for us!
Crazy is relative. I’ve always been relatively crazy 😉
I'd just like to say that I respect your professionalism. Though all I have to go on is these videos, it seems you have a very calm and reassuring bedside manner, which I'm sure serves you well in your practice. Keep up the good work.
People who start a comment with "I'd just like to say..." deserve to be backhanded. Oh really? You would just like to say something? In the comments section of a TH-cam video? Thank goodness you let us all know. We would have never noticed your comment if you hadn't specified that you wanted to make a comment in the comments section of this video.
@@snorgonofborkkad Time of the month? Or do you just enjoy showcasing yourself as an attention seeking loser over the Internet?
I have a friend, who is graduating from Medical University, and for him, this video is really helpful, not only for tips how to examine, but for learning English as well.
For me, it is mostly for relaxation ☺️ (also, I can improve my vocab too)
I could tell from the first look it’s Abby from hand exam! Such a lovely girl :)
She is. She has made some very positive changes at the med school with regard to mental health for students 😊
Wonderful video! Very well done and for those of us who enjoy your ASMR skills, much needed during this heightened time of stress and anxiety. Thank you for all that you do in the medical field and beyond. :)
2:53 when my mom sees my search history
LOL
😂😂
@@clairewilliams9868 Honestly usually I'd use lol ironically but this time I literally laughed out loud
I'm not a doctor, nor am I a medical student, and yet I always enjoy watching Dr. Gill's videos.
I understand almost nothing of Dr. Gill's medical terminology, but there are some things that make a strong impression on me.
The first thing is the great respect that Dr. Gill gives to the patient. In Dr. Gill's hands, the patient feels like a king who is given a lot of attention.
The second thing is the soothing casual voice of Dr. Gill, which creates a uniquely relaxing atmosphere. This voice hypnotizes and relaxes the person, and this is already half of the cure.
I especially like to watch when Dr. Gill's hands measure the patient's heart rate or tap lightly on his chest. And not forget the check of the reflexes of the hands and feet with a special hammer.
I have never liked the name ASMR, which is given to this kind of sensation. There is something crude and too scientific in that name.
And the sensations of ASMR are a kind of opening of consciousness, something that Science has yet to understand and appreciate with dignity.
So it is not known when Dr. Gill helps more - when he teaches medical techniques or when he unknowingly treats a huge number of people with his soothing voice.
Think about it, Dr. Gill, please !
The sound difference from older videos is so good. You can hear the love and passion for the craft
@Dr James Gill You are seriously such an amazing man. From reading us books on youtube to doing these medical exams by the book and so efficiently, you are making us all happy and that is so admirable! I watch these to sleep for asmr but I'd be damned if I didn't think I could do a decent thyroid exam by now as well. Win win! Thank you thank you thank you! You're a lovely human being!
Well, if my students can do a good thyroid exam afterwards, then it’s a complete win on both sides 😊
These are great, definitely very useful and informative. I was thinking that something that may be helpful is to also do a side by side of these results when normal and abnormal, if you ever get a willing volunteer that would show symptoms
Maybe. I think it might be something to explore when the full series is created
Thank you for doing what you do doctor Gill. You help people in so many ways
I have Hashimoto’s disease and I’ve never had a thyroid exam like this. It’s typically just a bunch of feeling my neck, which is extremely painful, and blood work. I’ve never had a doctor listen to my throat with a stethoscope or look that closely at my eyes, especially not from behind. I’ve also never had a doctor kindly give me a glass of water when asked to swallow. I want to be seen by Dr Gill! ❤️
I love how at 5:21 Dr. Gill wants to laugh. These videos are relaxing, interesting and pretty good. Keep the good work, doctor!
The “that’s fiiiine” is very underrated ASMR gold.
1:16 DrGill.exe has stopped working
my joke from the original vid! stolen! and without remorse 😭😭
Ahh some gentle relaxation during these crazy, strange times. Thank you Dr. Gill. Stay safe.
In times like these, we need some thyroid examination to help relieve stress, thank you Dr Gil
anyone else notice at 0:08 the text flies out of their butts?
PFFFFRRRRRRRRRRRRT
thefowles1 That’s what I imagine Pac-Man’s diarrhea looks like
😂
Ahahah you're right! 😆😆 I didn't notice that because I was concentrated on listening to Dr. Gill's voice only.
LOLLLLL
Kids wear Superman pajamas, but legends say Superman wears Dr. Gill pajamas
CookieKurma 🤫
This is the second version of the same examination from 4 years ago.
The examined subject has changed, but Doc didn't, still golden voice Doctor!
Aaand of course educational.
I love watching you're medical videos because you're voice is amazing for ASMR! Very soothing and helps me sleep!
I’ve said it before and I’ll say it again....
“I’d like to perform a thyroid examination, is that okay with you?”
“No, what’re you doing in my house??”
“Fantastic.”
This doctor is a national treasure ❤️
Hitting week three of lockdown over here in New Zealand your videos have de-stressed me every night thanks Dr Gill keep safe!
This is the most detailed and most informative video I've found on TH-cam. Thank you. Now I can self examine.
Nice to learn about medical exams and get ASMR. I’m learning and relaxing at the same time! 😊
5:13 was the best part of the video. Confirming my thoughts that it must be such a great fun to make these videos. Thanks🤗
Furieni I couldn’t edit that out without it seeming jarring
There is a LARGE bloopers reel which will NEVER see the light of day!
Dr James Gill I’m sad to hear that, bloopers are the best part of film and video making, but I understand if you don’t want to share them.🤗
Dr James Gill can we have it as a graduation present ?
🤣🤣🤣 how about on a loop behind the stage? No, it’s hard enough to get volunteers as it is!!
Dr James Gill i volunteer as a tribute. When corona virus pandemic stops I can fly all the way to the UK.
I am so grateful for these videos, never fail to relax me, thank you again Dr Gill
I may be having to stay away from people, I may be terrified at the moment, but this is at least a little light in the darkness, thank you Dr Gill!
2:54 me when Dr. Gill says "fantastic" softly
I wonder, and this is not to be a jerk or a troll
I genuinely wonder, do you actually consult patients like this, being very informative etc.?
Cuz if you do, it's awesome, and our doctors here (Mauritius) should do that too
Love your vids, keep up the awesome work and thanks for all you do :)
I REALLY try to (as it helps focus my mind) plus I teach ALL of my students to give a verbal commentary too as it helps the patient know what is going on
Then you're even more awesome cuz you're teaching others to do it 😊
As a patient, I really value this.
It also helps me as a teacher know what the student is looking for an doing, so I can give appropriate feedback
@@DrJamesGill i think it's extremely important for patients to know what the doc is looking at and for
They may have felt something, for example, and dismissed it with little thought of else, but knowing it's of import, we can then share that information
I'm in awe with the speed and efficiency of all your clinical examinations. Thank you very much!
I've never considered myself particularly speedy when it comes to examinations just thorough
Do you know how excited I'd be to walk into an exam room and find Dr. Gill with a random sheet of paper just chilling on a shelf?
he said putapitapaper, the world is stressful right now but my day is made ☀️
I had unexplained anxiety, depression and anger starting a few years ago. I had an episode where my heart was racing and I was dizzy. The doctors found out it was hyper active thyroid and after taking medication I feel amazing! Please do not avoid the doctor, it may save your life!
That is a tremendous example - thank you 😊
Glad things have improved for you!
@@DrJamesGill Thank You!
Hope this pandemic isn’t putting too much stress on you, Doctor. Thanks for being you.
Thanks to Dr. Gill I feel much better it’s as if I was never hurting in my body such a miracle
Worth the wait. In isolation thanks to Coronavirus, this has healed me.
The legend is back!
Another great video! It’s clear you are learning and growing in your video production skills as well. Great job
Some say Dr Gill can fashion a bit of paper from thin air, using only the power of his voice
😂😂
Dr Gill: Putapitapaper
COVID-19: Well played
😂😂
It is somehow nice when you see again a person whose been involved in this exams. It is like you know a little more about it.
And as well, really good job Doctor Gill. My favourite part is when you put a pit of paper over patient hands :D
Always love watching your videos Dr. Gill, they are so relaxing but must importantly educational.
I like how gentle you are Dr. Gill. 💙
If Dr Gill gave a thyroid exam to Whispers Red I’d lose my damn mind.
"Whilst I'm at the back I'd look to put my hands on..."
"YES"
I take medication for my thyroid everyday and never had a exam that though. Typically in and out of doctors ten minutes typically. I love your videos Dr Gill. Your voice relaxes me so much.
Same.
U can really seriously be an audio book reader. I like your voice so soothing .
Dr. Gill: I'm just going t-
Patient: Y E S
Hello, Dr. Gill! I’m a medical student and recently been diagnosed with Hashimoto’s disease. Just found your channel and I can already tell that I can learn a lot from your videos! So I have one question: why examine the eyes multiple times?
Astrea Studies part of it is just flow. You are looking for different things at each point. I will do a video on it. But a quick list of general eye signs which covered both hypo (so Hashimoto’s is a hypothyroidism for anyone else reading this) and hyper
- lid lag
- kid retraction
- proptosis / exophthalmos
- double vision
- signs of anaemia
- pain moving eyes
- odema around the eyes
I taught my doctor the hand thing for testing reflexes....which I learned from one of your videos. It's the only way I can do the reflex thing, as I tend to tense up, so thank you.
I just wanna note the patient is a beautiful person
.
.
.
Have a good whatever you're gonna have next
this guy has put me to sleep more times than my mom
Well good sleep helps memory, which helps learning! That’s how I rationalise it 😊
still waiting for somebody to tell him No when he asks "is that ok"
I’m waiting for someone to say: I’m blind and can’t see anything at all.
Educational, relaxing AND memes. This channel has it all.
this channel is a double whammy for the medical and the asmr community! truly, dr james doing the most lol take care!
First time being checked by Dr. Gill: *normal*
Second time being checked by Dr. Gill: *straightened hair, dressed up*
I see what you're doing here Abi
Doctor: First of all, could you confirm your name for me..?
Patient: Yes, Amy Doublevision.
😄😄
And there it is .. put a bit of paper .. it’s been years in the waiting but it was well worth the wait. What a Jedi!!
2:54 wall street in February, 2021.
Thanks for your videos, Doc. I've seen this one but it was recommended again... So here we are! Hugs from Brazil.
Med students. Asmr likers
🤝
Watching this at 2am
5:25 BRILLIANT
Great video! It definitely helps as a future doctor! Thanks, Dr. Gill :)
He’s back! I watch these videos because they are so relaxing but I learn so much too! ♥️
As long as you are learning, I’m happy 😊
Rebecca B hi how are you Xx