- Видео 25
- Просмотров 280 339
Jake Gibbons, MD
США
Добавлен 20 мар 2022
Hi, I’m Jake. This channel is a channel about radiology, sports, and the overlap between the two.
I’m a Texan by birth and proud graduate of The University of Texas at Austin. I went to medical school at The University of Texas Medical Branch in Galveston.
After finishing a full residency in internal medicine, I am now completing a second residency in diagnostic radiology. Long term, I’m interested in both nuclear medicine and musculoskeletal radiology. I may even practice outpatient internal medicine one of these days.
Teaching is one of my greatest passions in life. In my free time, I enjoy cycling, lifting weights, reading, and spending time with my wife and dog (Lou). Also, I’m a huge Texas Longhorns football fan.
I’m a Texan by birth and proud graduate of The University of Texas at Austin. I went to medical school at The University of Texas Medical Branch in Galveston.
After finishing a full residency in internal medicine, I am now completing a second residency in diagnostic radiology. Long term, I’m interested in both nuclear medicine and musculoskeletal radiology. I may even practice outpatient internal medicine one of these days.
Teaching is one of my greatest passions in life. In my free time, I enjoy cycling, lifting weights, reading, and spending time with my wife and dog (Lou). Also, I’m a huge Texas Longhorns football fan.
How to Read a CTA of the Head & Neck: A Basic Approach
In this video, I explain my basic approach and search pattern in reading a CTA of the head & neck. The CTA is a commonly ordered study in the emergency department for patients presenting with neurologic deficits or after significant trauma. The CTA of the head is also important in the workup for subarachnoid hemorrhage in looking for an aneurysm.
Examples cases courtesy of Radiopedia:
1. Hacking C, Normal CTA head. Case study, Radiopaedia.org (Accessed on 26 Aug 2024) doi.org/10.53347/rID-40801.
2. Hacking C, Normal neck CT angiogram. Case study, Radiopaedia.org (Accessed on 26 Aug 2024) doi.org/10.53347/rID-40906.
Examples cases courtesy of Radiopedia:
1. Hacking C, Normal CTA head. Case study, Radiopaedia.org (Accessed on 26 Aug 2024) doi.org/10.53347/rID-40801.
2. Hacking C, Normal neck CT angiogram. Case study, Radiopaedia.org (Accessed on 26 Aug 2024) doi.org/10.53347/rID-40906.
Просмотров: 668
Видео
How to Read an MRI of the Knee: An Introductory Approach
Просмотров 478Месяц назад
In this video, I review my basic approach and search pattern in reading an MRI of the knee. Thank you for watching and hope this helps!
Emergency Radiology Case Series: Acute Emergencies of the Brain
Просмотров 1,4 тыс.5 месяцев назад
In this video, I review acute diagnoses of the brain commonly seen in the emergency room setting. We will review several different diagnoses and the important things to consider when reviewing these cases. You can jump to a specific case using the timestamps below. Outline: 0:00 - Acute Stroke 1:28 - Subdural Hemorrhage 2:40 - Epidural Hemorrhage 4:01 - Subarachnoid Hemorrhage 5:31 - Parenchyma...
Emergency Radiology Case Series: Acute Diagnoses of the Abdomen & Pelvis
Просмотров 9455 месяцев назад
In this video, I review acute diagnoses of the abdomen and pelvis commonly seen in the emergency room setting. We will review several different diagnoses and the important things to consider when reviewing these cases. You can jump to a specific case using the timestamps below. Outline: 0:00 - Appendicitis 2:19 - Ovarian Torsion 4:03 - Cholecystitis 5:28 - Pneumoperitoneum Email: jake@jakegibbo...
Emergency Radiology Case Series: Acute Diagnoses of the Chest
Просмотров 1,1 тыс.5 месяцев назад
In this video, I review acute diagnoses of the chest commonly seen in emergency radiology. We will review several different diagnoses and the important things to consider when reviewing these cases. You can jump to a specific case using the timestamps below. Thanks for watching. Outline: 0:09 - Aortic Dissection 3:57 - Myocardial Infarct 5:35 - Saddle Pulmonary Embolus 8:09 - Pneumothorax Email...
How to Read an MRI of the Cervical Spine: Beginner's Approach and Sequences Explained
Просмотров 10 тыс.6 месяцев назад
In this video, I review my basic approach and search pattern in reading an MRI of the cervical spine. I'll also review how to use each sequence to make the appropriate diagnosis. Timestamps: 0:00 - Intro 0:15 - My Search Pattern 8:19 - Example Case 1 8:58 - Example Case 2 Scrollable Cases From Radiopedia: 1. Normal Cervical MRI: Abidin M, Normal MRI cervical spine. Case study, Radiopaedia.org (...
How I Read an MRI of the Lumbar Spine: Sequences, Search Pattern and Example Cases Explained
Просмотров 7 тыс.6 месяцев назад
In this video, I review the lumbar spine MRI. I discuss the basic sequences, my search pattern when reading these exams and we'll review a few example cases with common pathology. Timestamps: 0:00 - Intro 0:25 - Sequences Explained 5:41 - Search Pattern 9:26 - Example Cases Email: jake@jakegibbonsmd.com Website: jakegibbonsmd.com #radiology #doctor #residency #medicalschool The views and opinio...
Imaging Findings of the Acute Ischemic Stroke: CT, CTA and MRI Brain Exams Reviewed
Просмотров 7376 месяцев назад
In this video, I review the imaging findings of an acute ischemic stroke. I'll break down the important clues on CT as well as review what to look for on the CTA and MRI brain exams. Strokes are very common and it is important to know what to look for to diagnose them. Email: jake@jakegibbonsmd.com Website: jakegibbonsmd.com #radiology #medicalschool #doctor The views and opinions expressed in ...
Torn Anterior Cruciate Ligament (ACL) Injury Explained: Example MRI Reviewed
Просмотров 2 тыс.9 месяцев назад
In this video, I discuss the MRI appearance and mechanism of injury in a torn anterior cruciate ligament (ACL). This is an extremely common sport injury, often seen in the non-contact setting. After watching this video, you will be able to diagnose a ruptured ACL from looking at the MRI images yourself. Hope it helps! Timeline: Intro - 0:00 Normal Anatomy - 0:27 Torn ACL MRI - 3:09 ACL Repair -...
Chest X-Rays Made Easy: Learn to Read a CXR in 10 Minutes
Просмотров 5739 месяцев назад
In this video, I'll review my basic approach and search pattern in reading chest radiographs (CXRs). After discussing my search pattern, I'll go through a few classic and must-know chest radiographs. After watching this video, you'll be able to identify pneumonia, pulmonary edema, pleural effusion and pneumothorax on a chest radiograph. Great resource for learning chest radiographs: Felson's Pr...
High-Yield Neuroradiology Case Review: Must-Know Diagnoses Explained
Просмотров 1,2 тыс.9 месяцев назад
In this video, we will go through high-yield and must-know diagnoses within the realm of neuroradiology. After watching this video, you'll be able to makes these diagnoses by yourself and determine the next step in management. Cases: 1. Hacking C, Left MCA stroke - dense MCA sign. Case study, Radiopaedia.org (Accessed on 10 Dec 2023) doi.org/10.53347/rID-41870 2. Lee S, Acute MCA stroke. Case s...
How to Read a CTA of the Chest Pulmonary Embolism Protocol
Просмотров 2,9 тыс.10 месяцев назад
In this video, I review how to read a CTA Chest Pulmonary Embolism study. This is a very commonly ordered study out of the emergency room and on inpatient units for patients with acute onset chest pain, dyspnea or in those presenting with syncope. An elevated D-dimer is another common reason these studies are ordered. Timestamps: 0:00 - Intro 0:43 - Search pattern 5:56 - Subsegmental PE example...
How to Memorize (and Remember) Anything You Want
Просмотров 3,7 тыс.10 месяцев назад
In this video, I discuss a memorization technique that completely transformed my academic performance during medical school. The Method of Loci, also known as the Memory Palace, is an amazing memory aid that people around the world are using to memorize and remember large volumes of information. After watching this video, you'll be able to use this technique too. Timestamps: 0:00 - Intro 2:37 -...
How to Read a Brain MRI: Basic Search Pattern & Sequences Explained
Просмотров 24 тыс.10 месяцев назад
In this video, I review my basic approach and search pattern in reading an MRI of the brain. I also discuss the utility of the various sequences, which can be confusing. Hope this helps! Outline: 0:00 - Sagital T1 1:44 - Axial T2 2:35 - FLAIR 4:15 - DWI 6:11 - ADC 6:51 - Susceptibility Example Case Courtesy of Radiopedia: 1. Gaillard F, Gajera J, Sharma R, et al. Glioblastoma, IDH-wildtype. Ref...
Unbelievable Radiology Cases Explained (Stiletto to the Eye, Nail in the Heart & More)
Просмотров 70210 месяцев назад
This video was a lot of fun to make. One of the awesome things about radiology is that every once in a blue moon you get a crazy foreign body case. Foreign bodies are essentially things where they are not supposed to be, like a stiletto heel in the eye or a swallowed clamshell in the small bowel. I hope you enjoy this rapid fire review of these shocking foreign body cases. Cases are courtesy of...
How to Read a CT of the Chest: Basic Search Pattern
Просмотров 2,1 тыс.11 месяцев назад
How to Read a CT of the Chest: Basic Search Pattern
How to Read a CT Abdomen & Pelvis like a Radiologist: Introductory Approach and Basic Search Pattern
Просмотров 16 тыс.11 месяцев назад
How to Read a CT Abdomen & Pelvis like a Radiologist: Introductory Approach and Basic Search Pattern
How to Read a CT of the Lumbar Spine: A Beginner's Approach
Просмотров 11 тыс.11 месяцев назад
How to Read a CT of the Lumbar Spine: A Beginner's Approach
How to Read a CT of the Cervical Spine
Просмотров 8 тыс.Год назад
How to Read a CT of the Cervical Spine
How to Read a CT Head: A Beginner's Approach
Просмотров 14 тыс.Год назад
How to Read a CT Head: A Beginner's Approach
How I Memorized Everything in Medical School
Просмотров 161 тыс.2 года назад
How I Memorized Everything in Medical School
How to EASILY increase your income during residency
Просмотров 3,6 тыс.2 года назад
How to EASILY increase your income during residency
Lessons from the Medical ICU Rotation in Residency
Просмотров 4,2 тыс.2 года назад
Lessons from the Medical ICU Rotation in Residency
Doctor explains Joe Theismann injury
Просмотров 2,4 тыс.2 года назад
Doctor explains Joe Theismann injury
How to Survive your Intern Year of Residency
Просмотров 1,2 тыс.2 года назад
How to Survive your Intern Year of Residency
Can the scan detect penile tumor?
thank you!!
Thanks for watching!
Great video thank you
Great review. I do wish there was a way to look at my MRIs. I've had a lot of difficulty getting true answers
Will ct scan show colon cancer.
thanks for good lecture.
We have a new worker at a retail work who has a knee brace in his left knee and apparently he tore his ACL playing lacrosse. I ask him if it’s completely torn or partially torn and he said it’s partially torn but he got a surgery on his knee in May. I’m curious they use tendons from your own body and used it as a replacement ACL, what happens to the replacement ACL overtime? Is it a much stronger than the actual ligament prior to the injury? I assumed it is since it’s a tendon or does the replacement deteriorates?
What's your thoughts about Calcification of Styloid Ligament? Along with "Reverse Curves" - Only thoughts I have are the fwd head, and stressed people who clench at the jaw, that creates tension on the ligament that causes this. Or people with some sort of Craniocervical Instability - Reverse Curves seem to go with the calcification that I've noticed. What's wild is now some are getting Dynamic Cone Beam CT Scans. Then BAI, ADI, CXA and BDI can be checked for instability.
hello is there any spect ct scan free of use? thanks!
Great lecture Doctor.
Is visual learning instead of symbolic
I think you are calling the lumbar vertebrae T1, T2, etc. But great video.
youre totally right. slip of the tongue. thanks for letting me know about it
Can I send you my findings and will you put them in layment terms so I can understand this better
Hi great video. I have a question? My side to side view… of my latest MRI on my neck is quite normal. However, my axial view is not, it’s showing multi level disc herniations pressing on my spinal cord. Moreover, 2 years ago I had a c5/6 disc replacement surgery but after three months I started to get symptom’s back. It was reported that there are some bone spurs on the that disc. On the axial view at c5/6 it confirms this as there is a huge disc bulge pressing on my cord……but on my report it says the scan is normal? I think this is wrong as they are only looks as the side by side view? I have neck pain and pain on hands…….
Nice techniques!!
Thanks for watching!
Amazing, thank you sir
Glad to hear and thanks for watching!
Is comparing my ct scan with this one wise? 😂 because there’s a lot of empty black space on mine in the same parts as where you are in the big stomach and it has me worried😂
Why was i asked AFTER my ct of if take blood thinners . Have they found clogged arteries x
Pls send mail id sir i send mri report and image
love ur videos, very simple and insightful👏🏼
Glad to hear and thanks for watching!
Amazing, i love your videos. Thank you
Thanks so much and hope the video helped!
What would you be looking for in a male in his 20s. With memory loss, fatigue, insomnia, brain fog, stuttering.
Those are pretty nonspecific symptoms with a lot of brain and non-brain causes. Sometimes no explanation is found. It just varies by the patient.
A working brain
Thanks Doc. Question: is the quality of the images something to be aware. I've received my disc from the hospital and I'm wondering if image quality degrades via file transfer or depending on which program I use to view them
Good question. Quality of images is definitely a consideration. MRI is very prone to artifact from motion by the patient in the scanner. There are various other types of artifact too. Switching between monitors/screens and viewing programs is probably not as big a factor, but certainly could obscure things some.
@@JakeGibbonsMD thanks. And I assume the MRI tech would work with the patient to make sure the images come out clear. What programs can I use to view the images (software)?
Correct, the tech will work with the patient. There is an image viewer you can download online. If you Google "IDV image viewer" it'll be at the top of your search page.
@@JakeGibbonsMD great, I think I see the program. thanks for the info!
As a retired RN this was excellent. I just has this procedure with contrast last week. Nothing major wrong at 68 years old except a fatty liver slightly enlarged.
glad to hear and thanks for watching!
Had an mri on head today is there someone who understand it
Why do doctors dismiss Hemangiomas so easily? It's a Tumor inside the bone- That's Not Normal--- and if it's affecting nerves even a little it could be causing symptoms. Also- what if it starts growing or starts bleeding inside the bone- ? What is the best way to get rid of an Hemangioma inside the spine?
You bring up a good point that not all hemangiomas are totally harmless. I would say most of the time they do not need to be treated. But, I have seen cases of atypical or aggressive ones that are problematic. I am not sure how these end up being treated.
Thank you so much🎉🎉
Thanks for watching!
Nice summary, I am on internship in neuroradiology right now and this helped alot.
Glad to hear it! Thanks for watching.
I have problems when it comes to applying study methods that I see on the internet (the most well-known and best explained are those of Justing Sung, although I see that his videos are declining and he only promotes his course and then there is Cajun Koi Academy, which lately simplifies and minimizes many aspects of learning). I have an acquaintance who can give me the icanstudy courses without having to pay for the course, but I still feel very confused. Some courses require iPads, which I don't have. I only have a laptop and the typical notebooks and papers, but most of the videos either offer study techniques that are too simple like those of Cajun Koi Academy, or they complicate it too much with unnecessary theory for a medical student. To tell the truth, I don't know what to do and I feel stuck. I mean, I can't apply study techniques because, having been my obsession for a long time, I know almost all the methods. I'm no longer someone naive who believes what I see on RUclips, which makes me feel miserable since I no longer know who to base myself on to be able to apply them. Effective study techniques, I know I have to learn it with practice but I really would like to start well but I can't, I don't know what I will do in the next semester of my medical career so I would like someone to clarify my mind or give me some advice.
Thank you very much, very insightful
Glad to hear it! Thanks for watching.
🎉🎉🎉
Just had an MRI done today. Probably won't see this by the time I get my results back but how can a radiologist differ a bright spot on an image for a possible tumor versus someone wearing braces? The person I spoke with today mentioned that my braces may show up as a spot or dark spot on some of the images. How do you tell what's what?
The artifact from braces and other metal is pretty characteristic in its appearance, so it should not provide much confusion for a tumor. The braces artifact is very dark. A tumor has a variety of appearances but much different than that type of artifact.
Great video. What software are you using to view the MRI images ?
Thanks for watching. I get these images from Radiopedia, which is awesome and a free online resource.
Posso inviarti la mia RM?
72158
great video, thank you !
Thanks for watching!
If stone shows on ultrasound but not ct what does that mean?
Thats a good question. A calcified gallstone would show up nicely on both. However, a noncalcified stone, for instance, might not be conspicuous on CT but well seen on ultrasound. CT is based on density while US is not. Therefore, things can definitely show up differently on each modality. A less dense gallstone may not be obvious on CT.
I got a ultrasound done first and it showed a 4mm nonobstructive stone on my right kidney but 10 days later i got a ct with and without contrast and my results were all normal they said they dont see any stones so i dont know what to believe? I still have pain on the lower right side. @@JakeGibbonsMD
We use CT and US alternatively to pinpoint radiolucent versus radio-opaque stones
Thank you. This was very easy to understand.
Thanks for watching!
A lot of people say don’t take notes because it’s a waste of time. I agree to extent, but I feel that I need pen and paper as an extension of my brain to learn concepts and make sure I understand them correctly
Good point. I am not a notes person myself but absolutely if it works for you I think it’s great to do. Ultimately we all learn differently too.
It would also be very interesting to see situations where there is "some ACL left" to try to distinguish between partial tears and sprains - in other words, a situation where it would be much more beneficial to look at all sagittal axial and coronal views.
Also, I would gladly provide you with my MRI reports, if you would like to create another video like that but you do not have MRI reports of other people who have agreed
Thank you for the great and heartfelt video, you remind me of Ben Shapiro!! what Ben will be like if he was a doctor instead of his wife ☺️!
Hello current R1 here :) Thanks so much for your video!
Thanks for watching! Best of luck.
Great review! Very thorough
Thanks Dr Jake!
Hello Sir, Can i send you my MRI. I would like to know your opinion about my case
Feel free to email me (email address in video description) and we can discuss further
@@JakeGibbonsMDdone, thank you for your collaboration
I HAVE A QUESTION WHAT DOES ANEMIC HAVE TO WITH THIS?
my daughter tore her ACL fully a month ago and scheduled for ACL surgery in a couple of weeks. Lately her injured knee has been improved tremendously, is this normal? This progress is making me having doubt if the first MRI result is accurate or if she needs to do another MRI to see if her ACL is completely torn or partial?
Glad to hear your daughter is getting better. That is a great question and a hard one for me to answer. Some degree of improvement is definitely normal. I would ask your daughter’s surgeon what he or she thinks about the progress your daughter has made and if surgery is still necessary. As a rule of thumb, surgery is often a good option in young and healthy people with high grade tears. Low grade injuries are often treated without surgery.
Sir I'm a second year medical school student, despite studying on regular basis I've scored 62 % i didn't know what to do? your video has been very helpful.
Thank you very much. Practice questions really did the trick for me but it can definitely vary based on the person what works and what does not.
Is the grainy signal of the bone marrow on t2 normal? And if yes, why is it so?
Yeah the bone marrow signal is often kind of heterogeneous on T2. I use my T1 for the bones and anything darker than neighboring muscle on T1 is something to worry about.
Very helpful
This was very informative, but not as helpful when looking at my MRI. Apparently, I have cervical spondylolisthesis and I can find no information on it.
I have no idea if you'll see this but I hope so anyway, what are some alternatives to medical textbooks? my drs only advice us to study from text books, and after a long session of studying anatomy and trying to understand and connect everything together, I find it hard to recall that information even a couple of days after.
I also felt like textbooks were not really working for me for anatomy. I started trying to do spaced repetition with Anki and practice questions instead, which worked better. I think USMLERx and UWorld had good anatomy practice questions. I made my own ANKI decks for anatomy, which was definitely time consuming but ended up being worth the time investment.
Well done doctor, I really appreciate for this video!