We’re ensuring the size of the cuff is appropriate for his arm. Wrong sized cuffs can affect the blood pressure. We explain it a little more in the video “understanding blood pressure” ruclips.net/video/rLEbOjWgmvE/видео.html 😊
I took and failed/passed anatomy classes for a degree I have never used in my life (shows you how much i hate that degree) now i am back in school for something i have passion for but we had to learn how draw anatomy which i hissed on 😂 anyway I agree with you though. ASMR is better than learning anatomy in science classes.
@@DrJamesGill I don't know why but whenever I am reading your comments or replies I always imagine you doing the Basil Rathbone voice from Sherlock Holmes movies. Your voice has so much similarity, just if you add the sharp sophistication which Rathbone did.
Dr Gill, since the birth of my children I’ve not slept well only averaging around 4 hours per night and taking forever to finally fall asleep. I now play your videos every night and the soothing tones of your voice coupled with the interesting subject matter get me off to sleep within 30 mins. I don’t mean that in a bad way, your not boring me just relaxing my mind and putting me at ease. I can’t thank you enough.
I used to think I was weird as a kid cos I loved when the nit nurse used to come to school and check our hair for lice . The sensation is now known as ASMR and everyone loves it. Happy days . Great vid
Pressing on your stomach is a way to find out if the size of your internal organs is normal, to check if anything hurts, and to feel if anything unusual is going on. Looking, listening, and feeling are all part of a physical exam.👍
@@DrJamesGill OMG A LEGEND HAS ANSWERED ME!!! Wish I were but although I have been learning from your videos I mostly use them to relax because ASMR haha You’re awesome! Both as an instructor and as a asmrtist Saludos!
Any1 else get proper buzzing when dr gill uploads a vid? I instantly know I’m going to drift into a deep sleep tonight. Also. I’m pretty sure I’ve become a qualified doctor as a sideline of asmr.
Excellent video. It really helped me in my OSCE. Couple of things that were needed in my station and not here were: 1- Inspection & palpation of the testicles for testicular atrophy (Cirrhosis) 2- Per Rectal Examination Thank you very much for the video Doctor
They are mentioned at the end of the video as things which are often required to “complete” the exam. However more often than not for osce purposws they are considered separate exams - certainly in the two Med schools around here
Actually, Dr. Gill videos are for educational purposes. For Warwick students, and others with diverse interests in health. Of course there we are, the asmr fans. This man deserves all the good things in life. 🤍
We’re checking the size of the cuff, against the size of the arm. If the cuff is too small, then it will mean the blood pressure is artificially elevated
@@DrJamesGill That implies that enough of the herd will take the vaccine. Not sure how it is for you guys in England, but here in the US half the population is INSANE.
Have to hand it to you; you are the only channel that I can watch and not fall asleep because I am too immersed in watching the examinations and explanations despite not being a medical student. I never would have thought that I enjoy watching an examination, but dislike being in one. The more you know 😅
This reminded me of the type i had a tumor in my ovary for over a year. STORY: I went to my dr to get checked since I was gaining weight fast, wasn't pooping, and looked pregnant. (I was in 8th grade). They did blood work, I took a pregnancy test, and my dr did an abdominal check. She felt something so she sent me to a small local hospital. There they did xrays, an ultrasound, and another pregnancy test. They ended up telling me that I had poop stuck in there and so they gave me medication to help me. Months passed and the pain got worse. It was so bad I couldn't get out of bed and 3 500mg pain killers did nothing. I went to me dr again and she did an abdominal check again. She told she didn't think it was poop and that i needed to go to bigger hospital ASAP. I was scared so I waited a month. In that month I couldn't even get out of bed. On the day I finally went, the hospital run xrays, an ultrasound, pregnancy test, and did some more blood work. Within 4 to 5 hours a dr came in and said, "yeah, your going to need emergency surgery. We don't know what it is. And whatever it is, it has taken over your entire ovary. So yeah your getting surgery tomorrow at 7am." When I got out of surgery he told me things were a bit complicated so he had to basically do a c section. He said that I had a tumor the size of a melon in my ovary and that my ovary was literally about to rip. He couldn't save my ovary but the good thing is that he took it out when he did since he said it could of caused cancer if it erupted. What was funny about his visit is that he brought in the tumor in a container that had some liquid. IT WEIGHTED 5 POUNDS! I was as fascinated as he was when I saw it. His eyes lit up like Christmas lights when he saw it. 😂 For years I didnt know what caused it but finally, fast forward to today, 26 years old now. I just found out that I have PCOS... which *drumroll* causes tumors to grow in your ovary. Point of the story, GET YOUR ABDOMIN CHECKED!
Great video, I’ve been watching this as a registered nurse to review some of my assessment skills I haven’t used in a while. One thing I noticed that was different from what I’ve been taught though is the order you assessed in. We were always taught to inspect, auscultate, percuss, and then palpate on an abdomen inspection since palpating May cause the bowels to produce some slight sounds that wouldn’t be there otherwise. Just wanted to throw that out there to highlight some of the difference in technique! Thank you for the videos they’re much appreciated!
I'm not sure why some countries approach it differently. I've tried to address that fact in the Abdo exam explanation ruclips.net/video/pEKWIMBpKRs/видео.html
Imagine Dr. Gill doing the Glengarry Glen Ross speech. "ABC. Always. Be. Checking for lumps and bumps." "If you'd be so kind to put that coffee down? Splendid. "
I would love to have Dr. Gill as my physician. He’d make me feel so comfortable I’m already nervous doing physical exams and so shy. I love his accent too!
We’re ensuring it is the right size of the patient so as not to cause an incorrect BP reading You can see more about it in our understanding the BP video ruclips.net/video/rLEbOjWgmvE/видео.html
Listening for changes on resonance. So for example a obstruction would sound dull. We discuss it in the abdo deep dive video 😊 ruclips.net/video/pEKWIMBpKRs/видео.html
Just a heads up, at the end there's a list of possible abnormal findings, which isn't legible due to a suggested playlist. This might be something you'd want to solve, or not.
@@DrJamesGill probably shouldn't have said anything! Really though, i probably only spotted them as I edit for work. But hopefully helps moving forward, always easy to miss the single frames. Keep up the good work though, the edits are great.
The first pass around is checking for pain. The second is a deeper palpating to see if you can detect any masses, so you literally have to push with more force
Dr Gill, I was wondering why do you ask the patient to do that with their fingers at 1:18. I've seen many videos where doctors do this and I'm curious.
It’s a huge help. Thanks. I have a minor issue with my binocular vision, when there are similar letters repetitions, I can overlook an error like that.
We gather information from lots of areas about a single system. So very simply low blood pressure after an accident and blow to the abdomen may indicate internal bleeding.
In the same way that “ninety nine” was previously taught for vocal resonance, I feel that the direction to auscultate first is similarly outdated. We address the point in the abdominal deep dive video and touch on the lack of evidence to support auscultation being first ruclips.net/video/pEKWIMBpKRs/видео.html
Why does he always check their hands at the beginning of so many of these examinations? I’m especially curious about putting the fingers together thing
There are a lot of things seen in the hands that can suggest underlying pathology We explain it in the abdo video ruclips.net/video/pEKWIMBpKRs/видео.html
Percussion is looking for changes in tone. For example, dullness might indicate constipation or a tumour (there would be other info to help you guide from one to the other, that’s just a crude example )
Hace ud un gran trabajo con estos videos, no solo educa y enseña, sino que tambien entretiene. Le animo a seguir en esta linea. Saludos desde España You are doing a great job with these videos, not only educates and teaches, but also entertains. I encourage you to continue with your job. From Spain, greetings
Dr. Gill, I had always understood that auscultation of the abdomen should be done before palpation because palpation may change what you hear. Is that not correct?
We’ve discussed in the clinical deep dive on the abdo, but there is no research evidence to support auscultation first, and there is also plenty of evidence to suggest auscultation is a very weak clinical sign anyway
I’ve noticed in many of your videos, which I’ve re-watched many a time, that when you check the blood flow in the fingernails, you choose the ring finger. Any particular reason why?
Hello and thank you for your fantastic videos! My only wish -if you could have an explanation of why you are doing what you are doing for each manoeuvre-or what you are looking for. I think this could enhance learning! Again, thank you so much-you have such a wonderful manner with patients!
Already done 😊 Here is the playlist for all of the medical Deep Dive videos where we look at what is being done in the demos 😊 ruclips.net/p/PLi9o6OEHhWUiM6z1GNGpdQZTqf9PQqzDT
Thanks. Yes that is correct. We discuss that point in the video about understanding the blood pressure assessment ruclips.net/video/rLEbOjWgmvE/видео.html
What is the reason for checking the hands during an abdominal exam? What abnormalities would you be looking for, and what would those abnormalities indicate?
Hi dr Gill. At 1:42 you are checking something... but what? Looks like you are checking if the blue matches his skin tone?
We’re ensuring the size of the cuff is appropriate for his arm.
Wrong sized cuffs can affect the blood pressure. We explain it a little more in the video “understanding blood pressure”
ruclips.net/video/rLEbOjWgmvE/видео.html
😊
For patients who are Smurfs, you often need to opt for a differently colored cuff.
🤣🤣🤣
@@meltee01 Or if they’re cosplaying as someone from the X-Men! 😂
He's so kind to answer it. Loved it
This man has fully accepted his role in the asmr community without even batting an eye. We love a multifaceted king
ASMR has taught me more about medicine and anatomy than 7 years of science classes in school ever did
The internet can be quite surprising
I took and failed/passed anatomy classes for a degree I have never used in my life (shows you how much i hate that degree) now i am back in school for something i have passion for but we had to learn how draw anatomy which i hissed on 😂 anyway I agree with you though. ASMR is better than learning anatomy in science classes.
What are yous studying now?
@@DrJamesGill I don't know why but whenever I am reading your comments or replies I always imagine you doing the Basil Rathbone voice from Sherlock Holmes movies. Your voice has so much similarity, just if you add the sharp sophistication which Rathbone did.
@@jassinghchaney6141 it’s pretty cool how he interacts with the fans. One of the few ‘celebrities’ on RUclips that actually do. Much respect!
One day I think we should get a full head to toe cranial nerve assessment
agree💫💫💫
Not sure if brilliant joke or mild confusion
Head to toe cranial nerve haha. Cranial nerves are the one directly connected to the brain in the head. Head to toe would just be a physical exam
Oh baby yes
Please signed me up!
Dr Gill, since the birth of my children I’ve not slept well only averaging around 4 hours per night and taking forever to finally fall asleep. I now play your videos every night and the soothing tones of your voice coupled with the interesting subject matter get me off to sleep within 30 mins. I don’t mean that in a bad way, your not boring me just relaxing my mind and putting me at ease. I can’t thank you enough.
Omg. You are just like me. I have been listening to him to relax and eventually sleep.
@@alizay3026you recently had a kid too?
@@iloveyouskii no dear. 🙂
“Hello there I’m Dr Gill, open the cash register and give me all your money”
Nope. Doesn’t work 😔
“Let me putapitapaper” would allow the register to be opened
**cashier hands over bag of money** "That's lovely thank you." ;)
🤣🤣🤣
@@89horizon Any double vision!
I used to think I was weird as a kid cos I loved when the nit nurse used to come to school and check our hair for lice . The sensation is now known as ASMR and everyone loves it. Happy days . Great vid
Ha! Not just me then 😀
Yes!
Pressing on your stomach is a way to find out if the size of your internal organs is normal, to check if anything hurts, and to feel if anything unusual is going on. Looking, listening, and feeling are all part of a physical exam.👍
Why so deep though 😟
Yeah well these virtual appointments cannot tell most of that.
@@preppy_robloxlifeBecause everyone likes it deep.
"Going to check your liver"
Me: "During Quarantine? uhh......... uuuuuuuuuuuhhh....... how bout next year?"
Hahaaaa I relate to this 😆
Same here👍👍🤣
😂
😂😂😂😂😂
ok
1:09 “Can you please do the Macarena”
The doctor always asks how the patient is doing. But I want to know how the doctor is doing. So.
How are you Dr. Gill?
Considering all things. Could be worse! Thanks for asking 😊
Hope you’re still doing good Doc. We care about your well being
Thanks guys. We’re ticking along. Trying to keep smiling 😊
Dr James Gill How is kitty doing??
"Hello MyNamesDr Gill"
Me: well hello sleep :d!
Are you SURE you are not one of my students?? 😂😂
@@DrJamesGill haha we all wish we were
@@DrJamesGill OMG A LEGEND HAS ANSWERED ME!!! Wish I were but although I have been learning from your videos I mostly use them to relax because ASMR haha You’re awesome! Both as an instructor and as a asmrtist Saludos!
@@emmanuelk.4520 aint that the truth 😊
Well with the mask the patient don't have to worry about sandwich breath
these r my fave comments
Someone please do a "in and out" 1hour loop....it really make me relax 😂
I’ll take that with an “any double vision” loop
OMFG I definitely would "second" that! :D
And putapitofpaper
Yes pleaseeeee
I don’t know if this works for you guys, but know RUclips lets you to repeat indefinitely the video ❤️
This patient obviously works hard. The Palms of his hands tell the tale.
He a climber
@@LekiCurbsYou oh right. Thanks mate. 👍
@@LekiCurbsYou How'd you know? Do you have his Instagram?
@@spencerschmidt75 I'd quite like to know too. Who is the patient in the video
@@benjaminn8534 Yup. It's been months but haven't found it yet
Any1 else get proper buzzing when dr gill uploads a vid? I instantly know I’m going to drift into a deep sleep tonight. Also. I’m pretty sure I’ve become a qualified doctor as a sideline of asmr.
Nice! The mask didnt hurt the audio quality at all
Awesome video Doc :)
👍
I like the patient's body and he's very laidback
3:27 doc be wearin his watch everyday holy fahk the hair is gone and the tan line strong 🤣🤭
Excellent video. It really helped me in my OSCE.
Couple of things that were needed in my station and not here were:
1- Inspection & palpation of the testicles for testicular atrophy (Cirrhosis)
2- Per Rectal Examination
Thank you very much for the video Doctor
Reference: Clinical Examination by Nicholas And Simon
They are mentioned at the end of the video as things which are often required to “complete” the exam.
However more often than not for osce purposws they are considered separate exams - certainly in the two Med schools around here
Cannot wait until this video goes viral so glad thar Dr gill is bringing another Asmr video for us
Actually, Dr. Gill videos are for educational purposes. For Warwick students, and others with diverse interests in health. Of course there we are, the asmr fans.
This man deserves all the good things in life. 🤍
ive had enough "going viral" this year
@@La_sagne valid Point
The asmr is what YOU take away from this
It isn't his intent
1:42 "Ah yes. He is not blue. Perfect."
Anyone knows why he did that?
We’re checking the size of the cuff, against the size of the arm.
If the cuff is too small, then it will mean the blood pressure is artificially elevated
Dr Gill:
Patient: But are you gonna putapitapaper?
Not in an abdo exam
@@DrJamesGill When the man himself responds. I am humbled sir.
Much love for that thorough and aggressive hand sanitizer use !
Imagine in 20 years someone will find out this video and will think: Why those ppl are wearing masks?
Wouldn’t it be lovely in 20yrs if we’re that far past it!
Imagine they are saying: "Damn they already wore them 20 years ago"
Who says we won't still be wearing masks in 20 years?
I think it’s unlikely. Partially due to cultural reasons.
I think once the covid 19 vaccines are being widely administered I think use will reduce
@@DrJamesGill That implies that enough of the herd will take the vaccine. Not sure how it is for you guys in England, but here in the US half the population is INSANE.
Have to hand it to you; you are the only channel that I can watch and not fall asleep because I am too immersed in watching the examinations and explanations despite not being a medical student.
I never would have thought that I enjoy watching an examination, but dislike being in one. The more you know 😅
This reminded me of the type i had a tumor in my ovary for over a year.
STORY: I went to my dr to get checked since I was gaining weight fast, wasn't pooping, and looked pregnant. (I was in 8th grade). They did blood work, I took a pregnancy test, and my dr did an abdominal check. She felt something so she sent me to a small local hospital. There they did xrays, an ultrasound, and another pregnancy test. They ended up telling me that I had poop stuck in there and so they gave me medication to help me. Months passed and the pain got worse. It was so bad I couldn't get out of bed and 3 500mg pain killers did nothing. I went to me dr again and she did an abdominal check again. She told she didn't think it was poop and that i needed to go to bigger hospital ASAP. I was scared so I waited a month. In that month I couldn't even get out of bed. On the day I finally went, the hospital run xrays, an ultrasound, pregnancy test, and did some more blood work. Within 4 to 5 hours a dr came in and said, "yeah, your going to need emergency surgery. We don't know what it is. And whatever it is, it has taken over your entire ovary. So yeah your getting surgery tomorrow at 7am." When I got out of surgery he told me things were a bit complicated so he had to basically do a c section. He said that I had a tumor the size of a melon in my ovary and that my ovary was literally about to rip. He couldn't save my ovary but the good thing is that he took it out when he did since he said it could of caused cancer if it erupted. What was funny about his visit is that he brought in the tumor in a container that had some liquid. IT WEIGHTED 5 POUNDS! I was as fascinated as he was when I saw it. His eyes lit up like Christmas lights when he saw it. 😂
For years I didnt know what caused it but finally, fast forward to today, 26 years old now. I just found out that I have PCOS... which *drumroll* causes tumors to grow in your ovary.
Point of the story, GET YOUR ABDOMIN CHECKED!
You poor thing.
It’s shocking how they miss so many womens issues
Great video, I’ve been watching this as a registered nurse to review some of my assessment skills I haven’t used in a while. One thing I noticed that was different from what I’ve been taught though is the order you assessed in. We were always taught to inspect, auscultate, percuss, and then palpate on an abdomen inspection since palpating May cause the bowels to produce some slight sounds that wouldn’t be there otherwise. Just wanted to throw that out there to highlight some of the difference in technique! Thank you for the videos they’re much appreciated!
I'm not sure why some countries approach it differently. I've tried to address that fact in the Abdo exam explanation
ruclips.net/video/pEKWIMBpKRs/видео.html
Could you imagine Dr. Gill and Hollie doing a video together... the medical ASMR world would implode
That would be my dream come true...💥
The lord of the ASMR kingdom is back! Thanks for another great video Dr.!
More to come!
OMG my favourite exam. And I’m Not even a doctor. Just love it!
the video- *a detailed professional examination by a doctor for informational purposes*
the people who watch it- *unintentional asmr and memes*
If people are learning, I’m happy 😊
I just love these relaxing videos and the sound of his voice
Imagine Dr. Gill doing the Glengarry Glen Ross speech.
"ABC. Always. Be. Checking for lumps and bumps."
"If you'd be so kind to put that coffee down? Splendid. "
No...
ABC is Airway, Breathing, Circulation,
Plus you can extend it:
ABC...DEFG - Don’t Ever Forget Glucose
@@DrJamesGill thank you
👍
1:18
"Love you Dr. Gill!"
I would love to have Dr. Gill as my physician. He’d make me feel so comfortable I’m already nervous doing physical exams and so shy. I love his accent too!
For all the dislikers , there is special room in hell for specially those who dislike Dr gill's videos.
New episodes of Dr Gill? Yaasssssss keep this up and I just may be a qualified medical professional
well I think a couple of people have said they're considering medical school...
Μου αρεσουν πολλυ τα βιντεοσας ειστε πολλυ καλος σας θαυμαζω σαν ανθρωπο και σαν επιστημονα και την ευγνειασας
love dr Gill!!! THE KNOWLEDGEYOU LEARNED AND ASMR YOU EXPERIENCED!!! LOVE FROM NYC WASHINGTON HEIGHTS!!🔥🔥💯💯
Thanks 😊
i had an examination today and i was so stressed before but after watching this i was all good!
Wish I had a doctor this good, really bad waistline pain while sat at desk. Have to undo trousers.. just flares up for weeks at time
It would definitely be worth while talking to your doctor. There are a couple of things, which you could easily be helped with 😊
Always been curious about the tapping technique. What kind of reaction does it cause and what is James feeling for?
Listening for dullness - obstructions of some form, and hyper resonance which might also be associated,
นำ ำทยีา
I listen to this Drs voice to fall asleep. It tickles my brain.
What is it that you are looking for when you hold the end of the cuff against the patients arm at 1:43?
We’re ensuring it is the right size of the patient so as not to cause an incorrect BP reading
You can see more about it in our understanding the BP video
ruclips.net/video/rLEbOjWgmvE/видео.html
Did I go to medical school
No. Have I watched all of these a thousand times
Yes
“I can’t see any ABnormal issues on ur stomach.” Very clever Dr Gill
I've been watching your videos for like 3 years now and I've just realized, how do you get all these different camera angles?
We re film MANY times. I think the abdo film took us about 3 hours
@@DrJamesGill you re-film each time??? You don’t just have multiple cameras???
glad to see you're still posting videos Dr. Gill, and staying safe!
Thanks? You too! We’re trying 😊
I love these blogs! My fave is the woman with the pink sweater and the first man Aiden.
1:18 what are you checking for when you ask the patient to put their fingernails together??
clubbing, take a look here 😊
studio.ruclips.net/user/videopEKWIMBpKRs
I feel sorry for anybody working a job constantly putting sanitizer on their hands. I think that stuff is bad for your skin
It can dry your hands, but as long as you use a moisturiser too, it’s not a problem
@@DrJamesGill any recommendations for a good moisturizer?
@@DrJamesGill too inconvenient
One practice I know has the moisturiser next to the sanitiser.
I’d recommend Dermol is it is antiMICROBIAL, so won’t undo the sanitiser
I felt like the Hand sanitizer bit was a bit too sexual... Like the Alan Partridge demo 😳
No word of a lie, when the Doc started washing his hands, all I could smell for the next 5 minutes was sanitiser.. ghost smells on another level ! Lol
Now that’s an interesting hallucination
Meanwhile I was thinking, "oh, name brand. Fancy."
@@XSemperIdem5 😂
Okay stupid question, but what is the point of the tapping on the fingers across the tummy?
Listening for changes on resonance. So for example a obstruction would sound dull.
We discuss it in the abdo deep dive video 😊
ruclips.net/video/pEKWIMBpKRs/видео.html
@@DrJamesGill thank you! ☺️
An hour long compilation of all these examinations and Ill never wake up
You have the voice of an ASMRtist 😌 Stay Safe Doctor Gill! 😷
I really want to know how you check the organs when you tap your finger on them. What kind of sound you want to hear and what should alarm you?
Just a heads up, at the end there's a list of possible abnormal findings, which isn't legible due to a suggested playlist.
This might be something you'd want to solve, or not.
Thanks I’ll tweak that shortly 😊
🔥🔥💪💪🙏🙏💯💯!! DR GILL THW GOAT OF ASMR AND DOCTOR SUBJECTS!!💪💪💯💯
Dr. Gill does it again!
👍
Good video Dr Gill
Musn't the deep palpation of the liver and spleen be continuous instead of lifting the hand?
Not really no, you lift off to move forwards
Great informative video Dr. Gill as always!
Thanks 😊
Hi James,
Great video, just a heads up, but you've got a few flash frames/loose frames:
02:29
03:16
03:32
06:57
thanks, they are really short, annoyed I missed them the first time around! But unfortunately cant do anything about it now
@@DrJamesGill probably shouldn't have said anything! Really though, i probably only spotted them as I edit for work. But hopefully helps moving forward, always easy to miss the single frames. Keep up the good work though, the edits are great.
Thanks Harry. There are lots of people on here who have helped me to get better with time
Based on his hands and feet, this man is hardworking
Your glasses don't seem to be fogging...I have found one of Dr. Gill's superpowers!! :)
Dr. Gill has nice hands.
Great video, Dr. Gill! :)
👍
I've always seen press on the stomach with two hands when they go deeper. Is there a reason for that?
The first pass around is checking for pain. The second is a deeper palpating to see if you can detect any masses, so you literally have to push with more force
How do you select the students that go into these videos?
Just ask who wants to help
@@DrJamesGill I want to help
Dr Gill, I was wondering why do you ask the patient to do that with their fingers at 1:18. I've seen many videos where doctors do this and I'm curious.
Watch out for that typo in the thumbnail! CLINICIAL --> CLINICAL
Love your content!
Thank you!! I’ll swap that now!!
Good spot!
@@DrJamesGill Not a problem! Hope you don't mind me mentioning, I just know that you take a lot of pride in your work :)
It’s a huge help. Thanks. I have a minor issue with my binocular vision, when there are similar letters repetitions, I can overlook an error like that.
@@DrJamesGill this is in some of your older videos too. I commented on one of them but can’t remember which
But is their a littlebitofpeiceofpaper
The best. The only one I would trust to be examines by
Just curious but what do the arms have to do with the abdomen?
We gather information from lots of areas about a single system. So very simply low blood pressure after an accident and blow to the abdomen may indicate internal bleeding.
I was taught to auscultate the abdomen before palpation and percussion because this could influence bowel sounds
In the same way that “ninety nine” was previously taught for vocal resonance, I feel that the direction to auscultate first is similarly outdated.
We address the point in the abdominal deep dive video and touch on the lack of evidence to support auscultation being first
ruclips.net/video/pEKWIMBpKRs/видео.html
Why does he always check their hands at the beginning of so many of these examinations? I’m especially curious about putting the fingers together thing
There are a lot of things seen in the hands that can suggest underlying pathology
We explain it in the abdo video
ruclips.net/video/pEKWIMBpKRs/видео.html
Hey Dr. Gill! How are the fingers related to the abdomen? I'm referring to 1:17
You can see anaemia, liver disease, protein issues, tremors, all relating to abdo pathology
I love this man❤️greetings from Bosnia🤗❤️
Excellent abdominal exam given the constraints of covid
👍
3:36 “If you’d be kind enough to take your shirt off and then I will lie you back on the bed.”
🤨
What does the tapping exactly do I’ve always asked myself 🤔
For one example, it allows you to tap out the borders of the organs - liver, spleen, bladder
Oh ok make sense now thank you love your videos!
Question Doctor. Wouldn’t the JVP also be examined during the Abdominal Examination?
This may seem like a stupid question but what does the tapping on the stomach do? Why do you do it and what does it check for?
He’s knocking to see if anyone is in there.
Percussion is looking for changes in tone. For example, dullness might indicate constipation or a tumour (there would be other info to help you guide from one to the other, that’s just a crude example )
Exciting. Thank you 👍🙂
Thanks for watching!
Really helpful hank you doctor
Glad it was helpful!
Hace ud un gran trabajo con estos videos, no solo educa y enseña, sino que tambien entretiene. Le animo a seguir en esta linea. Saludos desde España
You are doing a great job with these videos, not only educates and teaches, but also entertains. I encourage you to continue with your job. From Spain, greetings
Thank you! I appreciate that 😊
Dr. Gill, I had always understood that auscultation of the abdomen should be done before palpation because palpation may change what you hear. Is that not correct?
We’ve discussed in the clinical deep dive on the abdo, but there is no research evidence to support auscultation first, and there is also plenty of evidence to suggest auscultation is a very weak clinical sign anyway
I noticed a change in pitch when percussing the lower left abdomen, am I imagining this ?
I heard it as well...wonder what is wrong there
I’ve noticed in many of your videos, which I’ve re-watched many a time, that when you check the blood flow in the fingernails, you choose the ring finger. Any particular reason why?
No reason at all. Any finger will do. Likely just a habit of my internal examination protocol 😊
Dr. Gill checking for lumps and bumps is a huge ASMR trigger.
Hello and thank you for your fantastic videos! My only wish -if you could have an explanation of why you are doing what you are doing for each manoeuvre-or what you are looking for. I think this could enhance learning! Again, thank you so much-you have such a wonderful manner with patients!
Already done 😊
Here is the playlist for all of the medical Deep Dive videos where we look at what is being done in the demos 😊
ruclips.net/p/PLi9o6OEHhWUiM6z1GNGpdQZTqf9PQqzDT
Awesome, thank you! I learned so much from the chat, gotta look more into some of the conditions mentioned :)
Really pleased to hear that 😊
Best videos in the world !
The Return of The King
I thought we were supposed to do auscultation before the palpation. ?
What’s 1:43 for? When he places the strap on his arm for a second?
He is checking the size of the blood pressure cuff to ensure it isn't too loose or tight, as this could give an incorrect reading.
@@modestwriggles thank you
Thanks.
Yes that is correct. We discuss that point in the video about understanding the blood pressure assessment
ruclips.net/video/rLEbOjWgmvE/видео.html
Love your videos 👏🏼
🙏
What is the reason for checking the hands during an abdominal exam? What abnormalities would you be looking for, and what would those abnormalities indicate?
There are SO many features in the hands that can highlight abdominal issues
3:00 ‘your tong’ I’m deffo calling it that from now on