Neurological Examination of the Limbs - Explanation

Поделиться
HTML-код
  • Опубликовано: 6 май 2012
  • This is a detailed explanation of the Neurological Examination of the Limbs illustrating technique and patient interaction.
    The film was produced by practising clinicians to aid the teaching of clinical examination skills. It starts at the point when the clinician has finished taking the medical history and begins the clinical examination.
    Presented by Dr Peter Critchley MD FRCP Consultant Neurologist. Produced and Directed by Dr Irene Peat FRCR FRCP, Dr Nicholas Port MBChB BSc and Jon Shears.
    More Clinical Examination materials can be found at; www2.le.ac.uk/departments/msce...

Комментарии • 557

  • @chairladysummer
    @chairladysummer 2 года назад +553

    Im not even a medical student i just found this extremely relaxing

  • @notcasesensitive7301
    @notcasesensitive7301 4 года назад +780

    17:50 absolute bars

    • @INSANEWitG18S
      @INSANEWitG18S 4 года назад +16

      AHAHAHA

    • @TranquillShot
      @TranquillShot 4 года назад +23

      LMFAOOO I knew this comment said somewhere in 17 minutes and *immediately* I could tell where you were referencing hahaha

    • @my3rs307
      @my3rs307 3 года назад +9

      Someone should make a funny video of him rapping

    • @gavshields83
      @gavshields83 3 года назад

      @@TranquillShot o

    • @gavshields83
      @gavshields83 3 года назад

      @@TranquillShot oo

  • @DFM1987
    @DFM1987 3 года назад +472

    “Touch my finger then touch your nose”.
    Pre-Covid was much simpler, more innocent times

  • @Woden23
    @Woden23 6 лет назад +477

    02:07 all right, can you sit foward Jake so I could look your cool tattoo?

    • @maximilliansus6487
      @maximilliansus6487 3 года назад +4

      @@janethester1501 why are you scamming people like this

  • @yunogasai3255
    @yunogasai3255 6 лет назад +634

    4:55 getting memed in a medical instructional video. I am pleased.

    • @urmumgay1899
      @urmumgay1899 6 лет назад +13

      Yuno Gasai thank you for that comment u a legend

    • @Shirtisbeast
      @Shirtisbeast 4 года назад +3

      I was literally thinking about Yuno while watching this video

    • @alexandras8209
      @alexandras8209 3 года назад

      Edit: thanks guys for the encouragement and affirmation! I don’t feel obligated, just know how helpful a kind video can be during a tough time. Love you guys, thank you 💖
      I’m really disappointed in myself for not being able to make a video for you guys today. I know it’s a rough day for a lot of people who can’t travel, see family/friends with the pandemic.
      I’m sorry. I hope you guys are able to get through this day. Be gentle, please. Love you all ❤️

    • @alexcartner5759
      @alexcartner5759 3 года назад

      @@urmumgay1899 b
      Kc
      But
      Tcxc y vc o
      was uh
      I’ve c
      Cluh borne like boo kc clccu lo clclass op
      H Mcclister
      J ovI I
      OI bf
      F
      Lobbing hg
      Blllh
      L can very x voI ub
      U pup
      Doug cv closeup khle
      Of
      x x ulI c flI b

    • @alexcartner5759
      @alexcartner5759 3 года назад

      @@Shirtisbeast hu

  • @jcp100
    @jcp100 4 года назад +218

    1:58 “Now I’m just going to inspect his arms more closely”
    *Leans back

    • @axeldekkers
      @axeldekkers 2 года назад +2

      bro this had me dying

    • @HaydnG266
      @HaydnG266 Месяц назад

      He was leaning to his right so he could see the patients left arm better

  • @StephanReed1
    @StephanReed1 3 года назад +219

    6:43 how I like to end a tough day at work

    • @theadeptuscustodian8157
      @theadeptuscustodian8157 2 года назад +4

      Good to know that I wasn’t the only one that thought that was weird

    • @mtchamarro6802
      @mtchamarro6802 2 года назад

      I don’t understand, what happend?

    • @theadeptuscustodian8157
      @theadeptuscustodian8157 2 года назад +1

      @@mtchamarro6802 masturbation reference

    • @mytube650
      @mytube650 2 года назад +11

      12:11

    • @therealautisticdj
      @therealautisticdj Год назад +1

      @@mtchamarro6802 He doctor is just looking for a reflex. But the name "finger jerk" seem like an inappropriate sexual activity.

  • @kgodmode177
    @kgodmode177 3 года назад +382

    1:11 me trying to flirt

    • @inconspicuoussalad7730
      @inconspicuoussalad7730 3 года назад +28

      Is it effective?

    • @kgodmode177
      @kgodmode177 3 года назад +48

      Ask ur mum ( ͡° ͜ʖ ͡°)

    • @TobiCozy
      @TobiCozy 3 года назад +1

      @@kgodmode177 shut you fucking farted and now it smells like fucking shit bitch

    • @desmondlouden4295
      @desmondlouden4295 3 года назад +1

      😂🤣🤣🤣🤣🤣

    • @atlas1924
      @atlas1924 3 года назад +22

      @@TobiCozy well love is like a fart. if you have to force it, its probably shit

  • @johnpaulcalma4369
    @johnpaulcalma4369 8 лет назад +439

    " I'd like you to strip off to your underclothes and head on to the couch". hmmmm I wonder where I've heard that line before? hahaha

  • @trinketd8433
    @trinketd8433 Год назад +89

    As someone who goes to the neurologist constantly for seizures and limb issues, a video like this is very interesting. Reminds me of the tests I have to get done a lot. However, mine aren't as thorough though! lol

    • @RydersRacing
      @RydersRacing Год назад +2

      i would probably enjoy the doctor more if it was this thorough lol

  • @TheLTG
    @TheLTG 5 лет назад +255

    Stiff legged gait's first album is gonna be called "looking for spasticity"
    Also, their hit single will be "fasiculation"

    • @GABRIELADAWSON
      @GABRIELADAWSON 4 года назад +4

      The_LTG I’m Sure it’ll go Platinum Lol.

    • @christophercasey6775
      @christophercasey6775 3 года назад +2

      Great name for a band.

    • @christophercasey6775
      @christophercasey6775 3 года назад +3

      Their next single is "Proprioception". An instant classic straight to Number 1 in the charts.

    • @LordDeathwing17
      @LordDeathwing17 2 года назад +2

      Second album name: Broad-Based Ataxia

    • @GABRIELADAWSON
      @GABRIELADAWSON 2 года назад +2

      @@katerinasulcova4655 Girl WTF is THAT lol???

  • @theebigchunggus1579
    @theebigchunggus1579 6 лет назад +2061

    Doctor by day and a boxing referee by night.

  • @roquefortfiles
    @roquefortfiles 9 лет назад +258

    That would be a great name for a band. "Stiff Legged Gait"

    • @ChrisSmith-wh6bq
      @ChrisSmith-wh6bq 7 лет назад +15

      roquefortfiles with their debut album "Spasticity"

    • @roquefortfiles
      @roquefortfiles 7 лет назад +4

      Kinetic Tremor!! Their follow up.

    • @theebigchunggus1579
      @theebigchunggus1579 6 лет назад +1

      What genre?? Lol

    • @janer7792
      @janer7792 5 лет назад +3

      @@theebigchunggus1579 Thrash metal 😆

    • @roquefortfiles
      @roquefortfiles 3 года назад +2

      @@janethester1501 I've never heard of Conal Cancer. Cancer of the conal? And I am sure he ASSured you

  • @ihavehusbandjustlikeparkch8513
    @ihavehusbandjustlikeparkch8513 5 лет назад +40

    Finally i get a video that can give me tingles like dr. Holly Berry's and dr. Gill's videos

  • @stitcha123
    @stitcha123 6 лет назад +45

    9:15 for Dr Abbott's opinion on Jim Cameron's best films.

  • @blackbeardbarkbark
    @blackbeardbarkbark 2 года назад +48

    Lovely! Everything was layed out and done so nicely and calmly.

    • @tanyairwin3695
      @tanyairwin3695 2 года назад

      *laid

    • @1BadSavage
      @1BadSavage Год назад

      I know... Normally the doctor throws you around like an ape in the jungle. Screams directly into your ear and gives you aids

  • @MaxxyBee
    @MaxxyBee 3 года назад +22

    that look he gives at 2:43 makes it look so backhanded
    "yeah, THIS TIME close your eyes"

  • @jh1328
    @jh1328 6 лет назад +927

    Jake dresses like a guy who drives a poorly modified Mitsubishi Eclipse and dates a 17 year old.

    • @Babygirl-eu5yn
      @Babygirl-eu5yn 5 лет назад +18

      jh1328 LMAOOOOOOO

    • @oskarkrona3218
      @oskarkrona3218 5 лет назад +2

      Isabelle Legault c rdscm

    • @realguitarshredder
      @realguitarshredder 5 лет назад +10

      those are actually pretty expensive clothes.. its expensive to look that way lol

    • @LeisureSuitL
      @LeisureSuitL 5 лет назад +15

      So you're saying he's living the dream?

    • @bocagoodtimes1460
      @bocagoodtimes1460 4 года назад +7

      Careful..Jake looks like he was in Afghanistan......and survived.......your comment did not please him.....

  • @nancyveit3385
    @nancyveit3385 4 года назад +24

    Nice thorough neuro evaluation, that I only need to do on select individuals. Thanks!

  • @mjy1628
    @mjy1628 6 лет назад +357

    Fight fight fight
    Sandwich breath

  • @drmamunhasan
    @drmamunhasan 11 лет назад +3

    Best video in OSCE series on RUclips Thanks

  • @holoceneasmr7403
    @holoceneasmr7403 2 года назад +10

    7:57 me when it's Black Friday

    • @yaikiz
      @yaikiz 2 года назад

      nice meme

  • @kunstsammler5242
    @kunstsammler5242 4 года назад +82

    Next I'm going to inspect his arms more closely
    *stands further away*

  • @MrGerrry82
    @MrGerrry82 Год назад +1

    Another day, another sleepless night, thanks to these videos I actually do get some shut eye 😊

  • @XSAoRAD
    @XSAoRAD 5 лет назад +101

    Jake still has a little bit of a lid lag on that left eye

    • @finja9565
      @finja9565 4 года назад +13

      it was his face.

    • @GHanBax
      @GHanBax 4 года назад +10

      It's just cosmetic

    • @XSAoRAD
      @XSAoRAD 3 года назад

      @@janethester1501 conal cancer? Sounds like a pain in the colon.

  • @JL_79
    @JL_79 8 лет назад +34

    We need more of these great videos

  • @amead78
    @amead78 5 лет назад +182

    “Strip down to your underclothes and climb onto the couch.”
    ~ Harvey Weinstein

    • @WeebGD
      @WeebGD 3 года назад +2

      You do not know how hard that made me laugh lmao bruhhh

    • @maximilliansus6487
      @maximilliansus6487 3 года назад +1

      @@janethester1501 why are you scamming people like this

  • @deadpool8340
    @deadpool8340 2 года назад +8

    “Loose and Floppy”!!!! Everyone knows its “Lovely and Floppy” Dr Hollie Barry is the boss

  • @philltchigiya1229
    @philltchigiya1229 3 года назад +6

    One of the best examination videos i have seen

  • @jean-lucpicard5510
    @jean-lucpicard5510 2 года назад +5

    "Rather than giving him a firm blow" Jakes relief when he heard that wasn't going to happen.

  • @klefdnb
    @klefdnb 9 месяцев назад +1

    The way he hits the tuning fork on his shoe is pure joy.

  • @batcavemd
    @batcavemd 6 лет назад +6

    Thank you so much Doctor, educational (y)

  • @dramitjha2966
    @dramitjha2966 8 лет назад +62

    Only thing different we have taught in our college is asked to close eyes while testing sensation

    • @johnmo2168
      @johnmo2168 6 лет назад +5

      Exactly! It's gets sort of comedic when the patient is actually answering with affirmation BEFORE the doctor even tests for sensation sometimes! He goes "yep" before he's given the stimulus. Wouldn't happen if he closed his eyes.

  • @kheffah
    @kheffah 11 лет назад +2

    Great video! i benefited a lot, thank you!

  • @diogofonseca3161
    @diogofonseca3161 4 года назад +108

    No "fight, fight, fight", no sandwich breath. Well, not a properly neurological examination.

  • @marialeonoramaria
    @marialeonoramaria 9 лет назад +1

    thank you for generosity sharing this video.

  • @0x9bh47
    @0x9bh47 11 лет назад +11

    amazing video, as an aspiring neurologist its good to study and review clinical techniques

    • @RydersRacing
      @RydersRacing 2 года назад +8

      Hey its been 9 years, have you followed your dreams of becoming a neurologist?

    • @Hinata.Sakaguchi
      @Hinata.Sakaguchi 2 года назад

      @@RydersRacing he's working on McDonald's

    • @saraisa633
      @saraisa633 2 года назад +6

      @@Hinata.Sakaguchi i actually googled him, he is currently a medical student, worked in a hospital before, and had some published papers.. he is following his dreams..

  • @tonytony-fc6gq
    @tonytony-fc6gq 11 лет назад +20

    THANK YOU VERY MUCH
    nice simple well explained and straight to the point

  • @FUGOVESTRI
    @FUGOVESTRI 4 года назад +45

    Old Smithers testing grown-up Bart

    • @supernath80
      @supernath80 3 года назад +4

      This is a seriously underrated comment

  • @FilipMilenkovic01
    @FilipMilenkovic01 6 лет назад +98

    Warning, don’t look from 4:56-5:01.

  • @spencert94
    @spencert94 5 лет назад +1

    Why for proprioception do you work proximally in and for pin prick and light touch you work distally out? can you lose sensation in your arm without losing it in your fingers

  • @FullTiltClownShoes
    @FullTiltClownShoes 4 года назад +171

    Lovely and Floppy...this guy didn't get the memo clearly

  • @uberfatcatlad3912
    @uberfatcatlad3912 3 года назад +7

    5:50 "you doing the hand thing?"

  • @maximlefebvre8442
    @maximlefebvre8442 3 года назад +9

    By the Nine! He has the exact same voice as Jauffre in Oblivion!

  • @mattssonaaron
    @mattssonaaron 9 дней назад +1

    2:10 That backtattoo is sick! 🔥

  • @AJohnnymous
    @AJohnnymous 11 лет назад +2

    Dr Critchley has a nice calming voice as well, making this video easy to settle in to.

  • @jeffersonwaters9970
    @jeffersonwaters9970 3 года назад +7

    Why are they conducting this examination in the void?

  • @vaporwebbakadjwebb8391
    @vaporwebbakadjwebb8391 3 года назад +17

    The guy seems to be popped out from a stereotypical teen movie set in the 90's

  • @PaulRoneClarke
    @PaulRoneClarke 3 года назад +10

    Always begin proximaly and work distally. And, for gods sake, never cross the beams.

  • @ivomiljanovic7146
    @ivomiljanovic7146 6 лет назад +17

    Now try doing that to elderly 86 year old with mild dementia and hearing problems. The video would last 3 times longer...

  • @gulfaisal7246
    @gulfaisal7246 10 лет назад +4

    sorry to add something. when you will ask to do tandem foot walking, make sure to stand on the back of patient and walk with him in case of fall on either side if suspected with cerebellar disease

  • @christopherkeller6367
    @christopherkeller6367 2 года назад +9

    0:44 I’ve had to do this before except the doctor was a cop

  • @MysteryBanana
    @MysteryBanana 5 лет назад +22

    4:55

  • @Indesit420
    @Indesit420 6 лет назад +15

    4:57 is this yours?

  • @theosb7271
    @theosb7271 2 года назад +6

    Looks like algorithm decided we needed lessons in neurological diagnosis and examination.

  • @nicholasc.5944
    @nicholasc.5944 2 года назад +4

    6:17 his face when he said give him a firm blow😅

    • @1BadSavage
      @1BadSavage Год назад

      Im not gonna lie. In the beginning when he grabs his hands and puts them in his lap its a little too close to his crotch... Like dude ... Thats close enough

  • @jenellsaphid
    @jenellsaphid 11 лет назад +3

    Love the tat!

  • @themedicalvideos
    @themedicalvideos 11 лет назад +4

    GREAT VIDEO

  • @diegobonaventura8501
    @diegobonaventura8501 2 года назад +3

    2:09 “So I can look at this sick ass tattoo”

  • @salaylm
    @salaylm Год назад +14

    Isso é ASMR puro! 😻🌟⭐

  • @XX-gy7ue
    @XX-gy7ue 5 лет назад +1

    BRILLIANT

  • @samanshafiezadeh7155
    @samanshafiezadeh7155 10 лет назад

    it was comprehensive ,thanx

  • @larsjrgensenmdphd125
    @larsjrgensenmdphd125 11 лет назад +14

    What a nice neurologist

  • @ragestreet
    @ragestreet 4 года назад +5

    12:08
    Rapid Sustained Jerking

  • @oe542
    @oe542 4 года назад +7

    Do you really need to look around the room for a hidden walker? What exactly do you think the patient is trying to get away with?

  • @lockodonis
    @lockodonis 3 года назад +6

    I didn’t realise until recently that this man was the voice of the krypton factor...

  • @sabyasachichowdhury4446
    @sabyasachichowdhury4446 10 лет назад

    can we do knee jerk the way demonstrated? we were taught in a different way ...

  • @daboysheesh9306
    @daboysheesh9306 3 года назад +22

    13:37 Now if ya did that right, that doctor and the patient should be red in the face but I suspect only I got red in the face this time

  • @pstran594
    @pstran594 5 лет назад

    great video and very clear

  • @JRich-ec9bc
    @JRich-ec9bc 4 года назад +11

    I think he meant "lovely and floppy"

  • @huntcraft
    @huntcraft 4 года назад +8

    5:25 - Me when someone asks to push my finger to my nose

  • @drvinod0072004
    @drvinod0072004 9 лет назад +1

    thank you.....

  • @pabloperezurueta2142
    @pabloperezurueta2142 3 года назад

    Muy buen video

  • @ChrisGWGreen
    @ChrisGWGreen 6 месяцев назад +2

    7:37 "Two or three pricks in a particular position"... sounds like a lot of places I've worked

  • @theunexplainablecrumbs4387
    @theunexplainablecrumbs4387 3 года назад +5

    "Strip off to your underclothes and climb on the couch" I'd prefer to be wined and dined first doctor!

  • @rajagopalanvijayaraghavan2466
    @rajagopalanvijayaraghavan2466 3 года назад +3

    Every day I watch this then only I will get sleep. Good video 👍

  • @acx2009
    @acx2009 11 лет назад +7

    Sounds like Gordon Burns on the Krypton Factor.

  • @Relaxinghypnoasmr
    @Relaxinghypnoasmr 2 года назад

    The guy walking on that pitch black background reminds me of the scenes in that scar jo movie under the skin

  • @sibby84
    @sibby84 9 лет назад +68

    Soooooo......how do I get Jake's number?

  • @keithfarrell957
    @keithfarrell957 Год назад +1

    Go all nice and floppy for me . Brilliant.

  • @therealautisticdj
    @therealautisticdj Год назад +1

    It's like watching BBC Two at like 2:00am in the 2000s withe educational shows they used to had

  • @safari2447
    @safari2447 10 лет назад +2

    If the patient is complaining of pain, like left shoulder pain, how can I examin the tone of the left upper limb and how should I present such case.
    I am a medical student.

    • @Whaylie
      @Whaylie 6 лет назад +1

      And you saw fit to comment on this video for that question? I'm sorry, but these comments seen to be memes and jokes. Also, try moving the left shoulder around to test for rigidity or stiffness.

  • @chachiarcola3208
    @chachiarcola3208 2 года назад +4

    2:00 doc says “man do you even have a gym membership?”

  • @lucasc3651
    @lucasc3651 3 года назад

    Good job Chad

  • @isaiah5833
    @isaiah5833 5 лет назад +20

    4:57 doctor and patient ain’t showing it,but I know they were thinking it,they just said “gotty” to tons of people 😤

  • @ag77798
    @ag77798 Год назад

    what is written on Jake's back?

  • @aoastral4745
    @aoastral4745 2 года назад +6

    We all know at 2:18 he was just paused to read the tattoo.

  • @bastardtubeuser
    @bastardtubeuser 6 лет назад +7

    so like , um i a doctor now after seeing these ? I'm gonna try it on my dog first before going pro . apart from the liquorice wheel on a stick part i think it would just eat it.

    • @andrewjenkins9965
      @andrewjenkins9965 4 года назад +3

      You're only a real doctor if you've been given a certificate that costs so much you'll be in debt until you're 50.

  • @john-ob7bv
    @john-ob7bv 2 года назад +2

    1:10 when jimmy saville visits you in hospital

  • @DimaDarknow
    @DimaDarknow 2 года назад +1

    You know it’s 4am when you half asleep and read “Arms - Tone” as “Asmr -Tone”

  • @stevenreichertart
    @stevenreichertart 11 месяцев назад +1

    I came for the ASMR, I stayed for the hunky boy.

  • @regisphilmn
    @regisphilmn 3 года назад +2

    Notice how he holds the hammer to blow and pin prick specifically!!!

  • @sergio8977
    @sergio8977 3 года назад

    what a professionist

  • @iluvrandomnames
    @iluvrandomnames 2 года назад +4

    Biceps Jerk was my nickname in high school

  • @SimsMoyal
    @SimsMoyal 3 года назад +3

    The random patient by "coincidence" is always an amazing looking model

  • @huntcraft
    @huntcraft 4 года назад +9

    6:28 - He said *Byceps Jerk* ?!

  • @paulcharbonneau8773
    @paulcharbonneau8773 3 года назад +3

    “Let me examine u more closely” .. then causally steps back

  • @williamwinder5011
    @williamwinder5011 4 года назад +7

    The strength test can give a false result. If the patient is considerably stronger or weaker then you you will not be able to accurately determine loss of strength. A bodybuilder that is 10 times stronger than you may have lost half her strength, but are still five times stronger than you. Conversely an elderly patient who has no loss of strength may still appear to have lost strength when in fact they didn't.

  • @calins.nechifor4044
    @calins.nechifor4044 2 года назад +1

    Jake's vocabulary: up, down, yep, sharp, ok.

  • @FifthHorizon
    @FifthHorizon 10 лет назад

    Thanks!