Clinical Examination of Ear - Clinical Skills - Dr Gill
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- เผยแพร่เมื่อ 28 มิ.ย. 2024
- Ear Examination ENT is often a challenging examination, crossing over with the cranial nerve examination of the vestibular cochlear exam as well at other neurological assessments of balance
Here we will review the ear examination, looking both at the use of the otoscope, but also the Dix-Hallpike Manoeuvre, along with HINTS assessment. the Webers and Rinne's test is also included to determine types of hearing loss.
Often these ear examination techniques are performed separately, depending on the patients presenting complaint
#EARExamination #DrGill #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 - Introduction and Overview
00:56 - Ear Examination Begins
02:34 - Neck Examination
03:28 - Internal Ear Examination
04:05 - Balance Examination
04:38 - Tuning Fork Test
05:33 - Conclusion and Questions
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Gotta love the recurring characters in the Dr. Gill Cinematic Universe (DGCU).
😂😂😂 ok this one made my day!
@@DrJamesGill I bagsy the Groot character - I resonate so much with him ......
@@abbietutt4656 TIL “bagsy” means “shotgun” in American English.
hahahahaha
The "pitofpaper" saga of the DGCU.
Dr. Gill is slowly turning into a video production expert.
As both an ASMR fan and video editor, I'm doubly pleased!
gd
Yes, his skillset is widening in this field. I remember I issued a complaint years ago, but I am witnessing great improvements. Latest videos are practically perfect.
No Duh
The amount of times we've heard Abbey's DOB, we really have no excuse not to send her birthday cards.
I know right.
My ex sister in law, and my step brother have Dec. 7th birthdays.
I'll expect a mountain in december :D
Yeah, the regular viewers recognized her within 2 seconds haha. Warm regards from the Netherlands.
Such a valid comment 😆
😭😭
The bob ross of medical examinations, keep em coming!
Dr. Gill “close your eyes please”. Abby “don’t tell me what to do.” Leaves eyes open... 00:55
😁😁😁😁
Me in elementary school when the teacher would have the class play some game I can't even remember the name of 😅
@@XSemperIdem5 heads up 7 up?
Yeah what a disobedient woman
@@erin3967 I totally forgot about that game!
“That’s grand” is the most Dr Gill thing I’ve ever heard
Gill and Tutt: Season 1 episode 4.
Hahaha.
Probably the best ASMR ear exam I´ve watched, and what makes it so good is that it´s unintentional ASMR.
"Have a good look around" gets me every time.
I wish I could find a doctor near me for whom I could be a video example patient. This seems like so much fun.
Have fun explaining him this😂
Lol yeah
Honestly it seems so nice. I'd do it for free all the time
I'm currently a grad student getting my doctorate in Audiology and am living for this content! Please keep making more ear exam videos and balance exam videos if you can!!
One we’ve finished the pure examination videos, I think we’re going to try “scripted” patient assessments.
So students acting conditions, allowing things such as balance problems to be addressed
@@DrJamesGill That would be fantastic to watch. I have been basing how I take my case history with the patients I am seeing right now off of how you speak to your mock patients in these videos. They have been so helpful and I can't thank you enough!
@@keepcalmandmarchon how's the doctorate going? As a high-school student with lifelong hearing loss, I've been wanting to go into the field after school.
@@noah2418 It has been challenging especially with having to go without seeing patients during the height of the pandemic but all things considering I am greatly enjoying my work in the field. Coming into the program I wasn't entirely sure of what to expect. We have a fairly wide scope of practice and as someone who has APD I am pleased to continue to learn more about all the different therapies that can be used to treat people with hearing loss, vestibular disorders, APD ect. Two of the girls in my program have congenital hearing loss so I would 100% encourage you to go into the field. You will have the first hand experience of knowing what it is like to have a hearing loss and it will help you to empathize with your patients. Definitely look into all the programs around you first and see what makes each one unique and what area within the realm of audiology you might want to concentrate most on.
👍 this is a great little community - thanks for the input to Noah 😊
Ah, to be young and have no problems with your neck. Those were the days.
Or your knees. Mine are killing me now. 🤣😂
I can barely remember a time without neck pain 😫 I ruined the muscles in my neck in an accident when I was 17 and my whole spine has suffered the impact over the years so now (at 38) I pretty much have constant lower back pain caused by the original injury to my neck
Do you still have on going care, there are many things we can’t fix, but few we can’t improve
My mom used to have paralyzing back pains. She told me once she's not going to be a crippled old lady that is a burden on her son. She started attending fitness / wellness sessions, fixed all the problems with her back. A few years passed, she recently finished her training to become a fitness instructor. She's gonna turn 60 next week, and my gift will be some cash to get the paperwork ready for her new carreer.
And THAT is how you fix your back pains.
That’s great to hear!
Unfortunately not all back issues can be fixed with physical therapy, but there are many that do
It’s terrific to hear she is going into the career that helped her 😊
His voice- he sounds like an old time philosopher I love it
Gill and Tutt strike again! Love it.
Imagine if he teamed up with Dr. Hollie Berry. 🙌🏻🙌🏻🙌🏻
Healthy community here! No toxic people
It’s a nicely growing community here - welcome 😊
"Close your eyes please" and she keeps'em wide open. That was some nice comedy.
Noticed that as well 😂
@@YvieT81 I did too- thought it was just me.
It's the Doctor Gill Show, with special guest star Abby
She may be joining for the A-Z series
@@DrJamesGill SPOILERS ! :D
@@DrJamesGill cool 😎 Can you please talk about Epilepsy Dr. Gill. I’m always trying to educate myself on the disorder that makes life a bit more challenging for me. 😌
Yup. We’re planning the E’s this Thursday
“So if you’d close your eyes please”. She does not. “That’s fantastic! Thank you! Thank you very much!”
She actually does close her eyes in the shot when he says "Close your eyes," and then when it cuts to the new angle, they're open again.
Chill bro this vid for med school students 😂
“Look at the bridge of my nose”
*Dr Gill, flawless fatality*
Can we take a minute to acknowledge Abbie's amazing matching masks please?
SOMEONE NOTICED 🥺
Glad I’m not the only one that noticed
@@oliviathompson3469 I noticed too.
The way he enters the shot at 1.20 scared the crap out of me.
You know you've watched so many of these that you know Abi Tutts birthday off by heart 🤣 really enjoyed the video of course. Thank you , just wish they were longer 😆👍🙌
Thanks. An examination can only be as long as it takes however.
@@DrJamesGill Its ok , I understand of course. Theyre all amazing, hope you are well . Have a fantastic day 😀
I expect birthday cards now :D
@@abbietutt4656 Happy premature birthday 🎂 😊😊
I love that he always asks permission before approaching or touching the patient. So respectful 🥰
It’s their body, and the only way to engender trust is through earning it - especially for nervous patients.
Treat everyone to the same good standard, no one loses from that
I really love that you explain what you are going to do and then get verbal consent....maybe it is a US thing, but it is rare that a doctor or nurse of any kind would ask for consent to examine. They usually just tell you what to do and you're left feeling you have no choice. It is super refreshing to hear.
1:19 me looking out the window when I'm waiting for a parcel and I hear a noise outside.
I want this fella as my doctor he is so in-depth and knows his job well
Not a med student, but I do like the idea that the examiner controls when the patient should stop hearing the bone-conducted sound, and not just waiting for it to stop.
Yeah I always noticed that too. You can’t qualify the air condition if you just wait for it to stop.
Technically it should be left until the patient volunteers they can’t hear it without intervention. But I’ve found this makes a smoother examination
This is 💯 why I got into ASMR in the first place!!!! When I was a kid, every year I’d get my ears checked because I did have hearing problems, and ear surgery in my youth.
But when the doctor would whisper to me and put his tool in my ear to see what was wrong with my ear, he’d look inside my ear for honestly like 15 mins each ear and be whispering the whole time what he was finding.
Ever since then, the tingles he would give me made me realize it was ASMR and that tool I’m so obsessed with cuz it felt good in my ear.
So to conclude, Dr Gill using this tool and looking inside brings me great joy , I only wish he’d look in her ear longer and whisper to her what he sees LOL I just rewind that part over and over
same. ill rewatch it 100 times
"And have a good look around" ASMR tingles right there
nice and easy! 5 minutes are enough for Dr Gill to impress us once again. Thank you Dr!
As a med student, your videos are really helpful and appreciated. Now I have a guide to follow for my own examinations! Thank you for doing them
I’m so pleased to hear you find them helpful. 😊
Some of the stuff about your own body you don't even know could be wrong - watching these videos gives me hints as to what some probable ones might be. For example, I would never think that pulling your ear and it hurting could be sign of something, but if a Dr is checking for it - it could be. So, amazing.Thanks
Medical examination videos are always being suggested to me by youtube as unintentional ASMR, like that's the reason that they exist, they are very good for that purpose but there must also be people who do actually watch them as part of medical training study
as a medical student, there's actually an exam we have to take that's basically examining a sample patient and the purpose of these videos is to help with that 😂 but asmr+my homework is bomb
Another great addition to my ASMR list. Abby is great too!
I love when you can hear the noise floor on the microphone. Also when it picks up room sound. Calms me for some reason.
3 videos with this legend, what a lucky girl
Dr.Gill’s voice is so calming perfect for Asmr videos ❤
“Do you have any problems with your neck?”
“No”
I wish...
Me too...
Every time I see my chiropractor, there's something wrong with my neck
@@kiarona. try not sitting down all day or staring down wards
@@joshstenger6711 I would love to not do that - unfortunately studying online for university isn't great for my neck *or* my shoulders... 😬
Top quality video doc, always appreciate your informative job, and ngl the asmr aspect is great. Keep going
Wahey, no views crew! This is actually something I need to get done at some point, especially as I have started to get a slight ringing sound in the left ear.
Unilateral tinnitus is always worth while getting checked
@@DrJamesGill Mhmm, it has just been weird too it isn't present all the time and it seems to come on at random then just goes away at random and its always the left ear.
@@SetchDreskar are you a lorry driver?
This is very well-produced!
Thanks. My first Adobe premier video
Casually watching and just realized what day it is! Happy birthday Abby!!
You make the best medical videos!
I hope my students think so, as really want them to do well this year
@@DrJamesGill You seem like a fantastic instructor. I bet your students will excel!
You are the only one who makes me get interested and curious about medicine, great video btw
Great editing! The pimples on her right side showed that we might think that at 1:44 we're looking at her left side, but the it actually shows her right side mirrored! Great job and that's what editing is all about.
What does it mean when you shine the light in their ear, and the eyes light up? Another solid video. I can only imagine the help your videos are to medical students, not just future medical doctors but all the allied health professions.
Purell better sponsor this man !!!
His side hustle must be a very lucrative bedtime story podcast. This is the first I’ve listened to or heard of him.
1:45 tinglesssss 🥴🥴🥴
I bet he whispered that on purpose... 😂
Me gustaría que los videos fueran más largos porque su voz relaja mucho
7 December - happy birthday Abby!
The editing in this video is better than the last 10 movies I've watched
Thank you for these videos! I get to learn and relax at the same time :)
Omg.! Good as always. I really enjoy the ASMR part. 👌🏽💙🙌🏼
I like how you still always ask for name and date of birth at the start of the consultation in these videos.
It may seem like an obvious, extraneous thing but it is something that needs to become second nature.
It should be ! In fact - the whole beginning became so ingrained in me over exams that I got asked my name at the post office and launched into “Abbie Tutt, First Year ......” The woman looked so confused 😂
That's so great and also a little cute. I've also gone in to second-nature speech patterns when under pressure.
Abby looks like the sweetest, most unassuming person in the world.
This one needs to be looped
I love Dr. Gill. I wish he was my doctor.
1:36 best part in my opinion.
Dr. Gill can whisper into my ears any day.
Another amazing video, it’s nice seeing multiple angles, I imagine it’s helpful for learning too
That was the very original reason we started these videos. To give the students a “students eye view” that we couldn’t provide in lectures
I would probably die happy to have a doctor with this voice. Come in for small things 😅
Man, these production values are off the chart. This is the finest intention unintentional ASMR on TH-cam.
Glad you think so!
"...and I can't see anything"
Open your eyes, Doc
🤣🤣 or just put new batteries in the otoscope
The way she says "no" is strangely satisfying
I love like I couldn't say any "Yes" to all his questions...
I am now going to sleep to this man’s voice.
another amazing video
👍
4:27 *Loud Snap*, body falls on the floor. "Oops, not again..."
😂😂😂😂😂 I can’t even 🤣🤣
Another quality video Dr. Gil. I’ve seen you do it a couple times but what are you looking for when you do the tubing fork behind the ear and then ask them if they can still hear it after it’s stopped?
That is the Rinne’a part of the Weber and Rinne’a test
You can see it in an over view here where we discussed about cranial nerves
th-cam.com/video/ZdxzfUazDL8/w-d-xo.html
I didn't have noticed Gill's hair. So gorgeous 👌
Terrefic the perfect match love their voices
This Doc has a great relaxing reassuring voice.
Compliments on the montage! Thanks
I think this is the first time I’ve ever heart an Otoscope referred to as a “speculum”.
I’m referring to the replacement tip
Excellent. Thumbs up to both of you.
The audio quality is quite incredible. I don't know how you do it
It's just the output from the standard mic. I'm a visual person, rather than an auditory one, so I dont really do anything to the sound
Great one doc. keep them coming
This is pure ASMR
I've learned a strange amount about medicine from watching Dr. Gill over the years. I kinda want to change careers...
When she doesn't close her eyes, I wonder if there is any double vision?
Do ya feel pain if I touch?
Yes
Terrific!
Super!
Please make an ASMR vid some day Dr Gill, your whispering (1:44) makes me wanna fall asleep...
Those 99 tingles just hit different.
I can say, I don't think I have ever had such a good evaluation of my ears...even when I went to the ENT because of decrease hearing...still can't hear very well.
Did they find the cause though? I often find that is half the battle - as then you can look at solutions 😊
Did they find the cause though? I often find that is half the battle - as then you can look at solutions 😊
@@DrJamesGill not really. I had a nurse practitioner say it was fluid. ENT said no fluid, only inflammation - either way...it is what it is, it's been this way for more than 6 years
I’ve done those last exercises whilst having a BPPV attack.... You have to do them to provoke the vertigo in order to get that lose inner ear crystal back where it belongs. It’s like being in a giant stride for half a minute every time you move your head! Seriously one of the scariest things I’ve been through in my entire life. Especially the first time when you don’t know what the hell is going on! 🤯
I noticed that you asked her to close her eyes, and in the next few frames where you made a soft sound and said a number, her eyes were open.
I love Dr Gill's voice, even better when lowered slightly .. just wondered why the lovely Abi doesn't tie her hair up so Dr G doesn't have to keep asking her to move it 🤔😊
Loving the lockdown hair Doc! 😁
It’s getting cut in FOUR DAYS!! Can’t wait!
Stay hippie Dr! 😄
@@DrJamesGill congrats! Going to treat us to a video of the experience?
@@DrJamesGill Thank God! You are so handsome, but it’s gotta go....
@@DrJamesGill I feel like you could sell your hair on Ebay and get good amounts of bucks for it (because of your celebrity status 😉). 🤭😂
Next episode: Dr Gill helps Mr Allen in his quest for a navy suit for war...
DR james gill sets the standards
hopefully one day someone will have a question at the end
I need a loop of this video
I love these videos
Purell better give him an endorsement deal he deserves it
I wish!
Are you still training to become a doctor or one already?
Your excellent at this, u really make me wanna move to the UK 👍🏿
I graduated a while ago.,, 2010
@@DrJamesGill awesome.
@@DrJamesGill you look very young tho how is that possible? I'm completing my first year right now and i look 10 times older than you lol ( long hair, beard, weight gain, no sleep) any advise ?
@@danb6122 I believe Dr Gill left advice for medical students in one or more Q&A videos. I can't say for sure, but I think one of them was to get enough sleep as a priority.
@@danb6122 He’s attractive.
Dr James you should make an ASMR TH-cam channel your really good with your voice and I think everyone would enjoy that
Keep growing the hair doc! It suits you well!
Weird curiosity: did the presence/tension of the mask straps affect how you went about the examination?
Interesting. Great video. Thanks 👍🙂
Thanks for watching