Abdominal Examination Explained - Clinical Skills Deep Dive - Medical School Revision - Dr Gill

[@1nickdaora]

I'm not even a doctor or studying to be one however he explains things so carefully that he's got my attention. Cheers, Doctor!

[@pakmude4176]

ml

[@alessia7710]

same here

[@hopewjn]

I am a student nurse practitioner based in Australia, I will have my OSCE in 4 days... so far, this is the best informative video I have found. Dr James Gill, you helped me tremendously.

[@charmingresignation]

As an aspiring physician and frequent volunteer patient (for med students), I've seen several physical exams, and only by watching this was I truly able to understand the purpose of every step. Not to mention, this is extremely patient-centred! Dr. Gill, thanks for inspiring us pre-meds here in Canada :)

[@DrJamesGill]

I’m glad that helped. The best feedback is hearing someone say “it clicked /. Now I understand”

[@jenellsaphid]

Just curious, how do you become a volunteer patient? I thought universities supplied random people lol.

[@adipratamapratama3328]

@@jenellsaphid Sexist

[@jenellsaphid]

@@adipratamapratama3328 what?

[@sphinyal8758]

I am not a docotor and don't even work in a field related to medicin. Still these videos are super interesting. Came from the asmr, staying just out of curiousity :D and I think I learned a neat fact here and there to drop in conversations ;)

[@DrJamesGill]

Which fact? Thanks for joining us on the journey

[@sphinyal8758]

@@DrJamesGill in this video for example that adipose tissue can produce estrogen. Just little things :)

[@DrJamesGill]

We spend quite a bit of the abdo session on Palmer erythema as it’s an excellent opportunity to make mental connections

[@jismy012]

@@DrJamesGill your videos are really interesting. I wish my gp actually listened to me. I can't even seem to get much help due to covid

[@moinurislam8698]

@@DrJamesGill শত ।

[@wyattd28]

“ hi welcome to my kitchen” I wasn’t expecting that to be the first thing he said😂😂😂😂

[@DrJamesGill]

😅

[@NadrianATRS]

A doctor discussing an abdominal exam in the kitchen 🤔 just like Human Centipede

[@ufailowell]

He really shouldn't have a plant in his kitchen

[@DrJamesGill]

Why?

[@charlieh9725]

@@KentoLeoDragon poor plant getting traumatised 🤣

[@jeffd830-i8q]

the clothes don't stay on very long when the Gillster's in town

[@snorgonofborkkad]

Dr. James “Chad” Gill

[@BobGymlan]

What a dreadful comment! Dreadfully accurate.

[@DwightLivesMatter]

@@KentoLeoDragon Oh, I accepted that part of my life years ago. ;)

[@mwanichi]

LOL!

[@thesnailtale8490]

@@KentoLeoDragon same!

[@littleskate69]

I'm not going to school to be a doctor or anything but I find these videos fascinating and I love learning. This guy is one fantastic teacher!

[@gabriellegerdes1351]

I have seen his videos here and there and usually can calm my brain to fall asleep to them. I put this on at midnight (late for me) and got so interested that now it's 12:45 and still haven't fallen asleep. Oops. Such amazing information and couldn't stop watching

[@DrJamesGill]

I’m glad you found a benefit here. I’m not sure why this topic has resonated so with people as opposed to the respiratory deep dive, but if people are learning, it’s all for the good 😊

[@nitfens6863]

I'm not studying medicine, but I really enjoy your videos as informative. The way you present the information in a practical context add a lot more complexity than usually exists when learning biology or physiology online casually.

[@jenellsaphid]

Just here to say that I've been a fan since your original videos because you somehow simultaneously inspire trust by your calm demeanor and mellow voice, but your obvious in depth knowledge and easy explanations are so interesting and resonate with a lot of folks. Well done!

[@alexn5743]

"We need to get onto the whole pokey pokey bit." Yes, I endorse this terminology

[@btecandalevelrevisiontutor9889]

I received the book, and extremely happy. Thank you sooooo much

[@DrJamesGill]

Congrats! I hope it helps!

[@LizaPersson]

You're the best instructor I've ever come across in any combination of medium and modality! I'm not a medical student, but I'm about to buy MacLeod's Clinical Examination

[@DrJamesGill]

Thank you 😊

[@nicolaclark7779]

Dr Gill I particularly enjoyed the use of two extremes of Christian Bale to illustrate the different weight extremes

[@DrJamesGill]

I thought it was a head nod to a great actor, and also made the point well 😊

[@ASMRMace]

Hi, it's me, Christian Bale - and if you're wondering how intense I am, please refer to these photos. Thank you.

[@mysticalwhiterabbit4676]

I never noticed Bills hands before! I guess you learn something new everyday !

[@jocefjose6004]

Thanks for this! I work in the lab and to know these signs make my work a lot better through correlation

[@DrJamesGill]

😊

[@neptunepirate1981]

Your videos make me think I could be a doctor. However, I assure you, I could not be a doctor, haha. I came here years ago for the unintentional ASMR. I’ve stayed because you’re a fantastic instructor.

[@KishoreKishore-lc2nm]

M...n

[@foureyedreview1160]

I'm so happy I discovered this channel you're going to save my osce

[@DrJamesGill]

Good luck!

[@dttron]

Fingers crossed that I win! This was such an informational session; I'm really looking forward to the future deep dive series!

[@DrJamesGill]

Thanks. The draw has been done on the communities tab If people feel this approach worked I might see if there is another give away that would be useful

[@dttron]

I feel that it did, however is it possible to hold the premiere later on in the evening? 8 PM GMT is roughly around 12PM to 4PM in North America, depending on where you are located. It was still part of the working day when I tuned in!

[@DrJamesGill]

Ah fair point. Time zones never work well. So perhaps we’ll alternate. Europe vs US

[@lienvo6673]

Ưu

[@RobinTheBudgie]

All of your videos on clinical examinations are so clear and very well explained, really helpful for my OSCE

[@DrJamesGill]

I’m so pleased they helped. How did the osce go?

[@KeeliaSilvis]

This video is the perfect mix of relaxing & educational I need if I'm going to get any sleep this evening.

[@rayaana8310]

Beep 🇦🇺

[@chairperson1440]

You are gifted doctor. Praying for more blessings upon You!!

[@JB-oo3cw]

This guy is great at presenting! 👏

[@H0NEYBRE4D]

dr. gill, i so appreciate your willingness to share these videos with a general audience. i'm not a doctor, but i feel like i'm able to communicate more clearly about my health issues thanks to your well-presented information. plus, it's all fascinating! :~) hope 2021 is a better year for you!

[@DrJamesGill]

👍

[@Countbearvonroar]

Amazing in-depth medical assessment and can't resist throwing some sibling shade around :)

[@DrJamesGill]

Well, it’s the law isn’t it if you have a young sibling!

[@marys8626]

His voice is pure velvet

[@eylmon5912]

Imagine having all these info in your head , respect

[@sammuslu2992]

I don't work in the medical field and neither does my partner however I have a fascination for the human body being a personal trainer and I do find your videos most interesting,I'm definitely a fan👌🏽💪🏽 Keep up the good work sir ,I take my hat off to you

[@DrJamesGill]

Thanks Sam You may benefit from the MSK ones that are coming in the next few weeks. I’ll actually be recording upper limb tomorrow!

[@Syiepherze]

I've got a short case to prepare for later and watching this as a supplement to your abdominal exam video is great revision! Thanks doc!!

[@DrJamesGill]

Glad to hear it was useful - what are you doing the case on?

[@Syiepherze]

@@DrJamesGill It was a hepatosplenomegaly case with ascites (c/o abdominal distension)

[@GuyThatAlex]

Dr. Gill, this video was great. Really enjoy reviewing your content as part of my revision (as sometimes it doesn't feel like revision at all!).

[@DrJamesGill]

Thanks. I really hope it helps. I’ll let you in on a secret, it’s good for me as well doing them. Keeps me sharp

[@GuyThatAlex]

@@DrJamesGill Back a year later, having passed all of the Physician Associate exams thrown at me. I have my final registration exam in October, so I'm back at the GOAT to sharpen my skills before hand :)

[@danhall9053]

Thanks for the video; I always learn something! I have Crohn’s disease and now I will be watching myself for signs of vitamin B12 deficiency (to blame my bad memory on, of course).

[@victorialatawiec2310]

can you please make more of these deep dive examination videos? your videos make what i learn in school make a lot more sense, and i am sure a lot of other nursing/medical students could use these as well :)

[@DrJamesGill]

The neuro exam deep dive video has been recorded and in currently editing. Hoping to put up this week, but they do take much longer than the other videos to put together

[@LoganDC100]

I just went for my annual physical yesterday. (And I'm fine. Although it's more like I'm holding steady at baseline.) I know you know how pivotal demystifying things can be. I've got a number of health conditions I'm dealing with. Thanks for making them not quite as scary as they formerly were. Here's wishing you and your family a very happy new year. :-D

[@rooser123]

Love it when Big Jim drops another master class. Love it. Dulcet tones like verbal valium.

[@adrianchorolez5013]

I am not even a Med student and too old to become one but this was a very interesting video.

[@1984margolcia]

That's the point. A good explanation for us - people that are patients, not doctors 😎

[@sonofliberty1]

I was diagnosed with Crohn's at the age of 11 partially due to clubbing of the nails. These videos are always interesting.

[@sonofliberty1]

I work as a Pharmacy dispenser (when I'm not at home shielding) and metformin is one of the most prescribed medicines we dispense so that Actavis image made me smile. Does anyone else have Teva Divas? Adamimulab (Amgevita/Humira) has always been best in my Crohn's treatment though.

[@sonofliberty1]

Obviously Omeprazole and Lansopraole can be important in protection against gastro-damaging medicines i.e. Naproxen.

[@FlyYouFools88]

This video helped me in my osce yesterday 👌🏽

[@DrJamesGill]

EXCELLENT - I’m so pleased to hear that!! When are your results out? It would be great if you could tell us how you did? 😊

[@FlyYouFools88]

@@DrJamesGill They were just formative exams, but so happy to find this channel. I got 90% on abdo station 👌🏽

[@DrJamesGill]

BRILLIANT. That’s cracking score! 👍👍

[@tristandosantos-4882]

This gives me some asmr and also it’s so educational.

[@Billy-dj8zw]

I love his accent and his smooth voice.

[@msjo9649]

Ha....my dr never even touches me, sits across the room with her laptop. She asks questions and checks boxes and the computer tells her what to do for me. That is medicine in the U.S. and it comes at a very high price.

[@andycollier1268]

2:51 I was waiting with bated breath as to what word Dr.Gill was charging up to rain down on us.....the resulting word was NOT what i was expecting

[@sondosszaouali1999]

Absolutely brilliant, you made my studies so much easier 🙏🏼🙏🏼🙏🏼

[@chubberinaWhispers]

Thank you for explaining the nail thing. I never knew that

[@DrJamesGill]

The nails are a really important feature to check.

[@sydney19931]

You get a like for the most unexpected opening line for a medical video.

[@nohaalalfy2548]

Another great video, thank you very much. Could you please consider making a video regarding assessment of hydration state of the patient, signs of dehydration and fluids overload. Thank you

[@DrJamesGill]

We might be able to include that in the cardiac deep dive

[@barrygrossman8954]

This video is great. I had one problem however. The audio needs to be louder. He talks so softly that on my Mac Pro I could barely hear him. Thank you

[@DrJamesGill]

Honestly no idea what causes it. The audio seems to affect a small number of people - maybe about 10%, we’ve not been able to find why the audio is low for some people, but not for the majority

[@slashedbeauty]

Did anyone think he was talking about Bill Nye and got confused when he said british actor 😂

[@bobbyvandermeer393]

Congrats on 50k

[@DrJamesGill]

Thank you so much 😀

[@marthajensen3768]

Was waiting for you to pop in a photo of Bill Nye the Science Guy. The American in me is showing. 😂😂

[@DrJamesGill]

another equally terrific Bill, although doesn't quite have the penetration into the national psyche over here as he does there

[@Loonyrabbit-tv]

These are very useful for a medical student

[@DrJamesGill]

Thanks. I’m currently doing the cardiology one. Any suggestions to improve them?

[@thebeardednurse187]

Great in depth yet simply explained video regarding why ones sees the clinical signs mentioned. Please do more. Perhaps one for ENT

[@Volvoman90]

I'm getting a huge Jude Law vibe from you Dr Gill!

[@mwanichi]

I was thinking the same thing!

[@ms.carriage6867]

Dr Gill bringing the relaxation back to youtube :D

[@gavinschwier8242]

This is very interesting since I have Congenital Hepatic Fibrosis with Portal Hypertension post-splenectomy.

[@sonofliberty1]

I'm really sorry to hear about your sister Dr. Gill

[@heshwheshw7966]

Great keep going, our respect for you from iraq😊

[@peskyseagull]

Good stuff, (I wonder if your reverence for Bill Nighy lead to all the turns to other camera angles, nothing on par with the classic Nighy turn)

[@DrJamesGill]

Honestly, I think turn came about as it means I’ve TWO audio feeds for when one feed inevitably breaks!

[@peskyseagull]

@@DrJamesGill aha I did not expect a reply, thanks for all that you do

[@cubbykovu8955]

IS very brave to admit you made a mistake Even when you were a student :)

[@DrJamesGill]

We all learn by our mistakes, and if we don’t acknowledge them, others will also not acknowledge theirs, perpetuating the cycle

[@cubbykovu8955]

@@DrJamesGill very very true indeed I I would be interested in doing a video for you about Stomas

[@thiagoheringer101]

Amazing video! But i think the sound of your voice was a bit low. May be due to my heaphone (although it have never happened before). Im not english native so i need to hear the sound a little louder to fully understand. Anyways, great video!

[@DrJamesGill]

Thanks. The one issue I’ve had with sound is volume and I can’t work it out. Some people have the issue, but it doesn’t seem many Hopefully the volume is ok on the others for you?

[@thiagoheringer101]

@@DrJamesGill i can hear. Its just bit harder. But i could understand everything! I havent seen other videos but after this one i will (btw i saw that assassins creed valhalla shot haha)

[@DrJamesGill]

Everyone loves a bit of assassins creed

[@taibikamal6917]

Perfect , perfect , perfect doctor 👍👍👍👍👍👍👍👍👍👍👍

[@ayantikbiswas2632]

Your voice is so calming

[@brandonmoucatel9630]

Nice job Dr. G

[@DrJamesGill]

Thank you kindly

[@asatowne5234]

Another great video and a belated Happy New Year Dr. Gil! Out of curiosity for future videos, have you ever considered doing one on ASMR itself or is that really more of a psychological topic... I ask because, and not to be gross, a few years ago I had to have an ear cleaning done and I noticed afterwards that ASMR wasn't as affective as it used to be. Meanwhile my wife has sparkling clean ears, and says ASMR doesn't affect her at all but listening to glass shattering makes her sleepy. Just a thought, medical peculiarities have always been interesting to me, like being part of the 1% of people who think cilantro tastes/smells like soap. Have a good day!

[@MariaLopez-hy7fq]

How would one contract high levels of copper in their system? Just curious, I’m nowhere near being a doctor but I am a college student majoring in nursing

[@DrJamesGill]

It’s a genetic - a mutation in the ATP7B gene 🧬 Recessive, so both parents would need to be carried at least for a child to present with the condition

[@star_man]

"we actually need to get on with the pokey pokey bit of the examination", not to be confused with the "hokey cokey bit of the examination" where you put your left leg in, your left leg out, in out in out and shake it all about.

[@andykeen6219]

Stay safe Dr Gill 👍

[@ASMRMace]

14:33 How you describe people's physical appearance while watching Dr. Gill's instructional videos

[@Triattt]

Someone photoshop fluid filled jaundiced Christian Bale and send it to the good doctor, please.

[@tanksoldier]

I'm so glad you started the explanation videos.

[@DrJamesGill]

Glad you like them!

[@DrJamesGill]

Suggestions on how to improve always welcomed 😊

[@joshuashade764]

@@DrJamesGill I like the multiple camera angles, but the fact I can see you turn your head to a new camera and then it cuts to it is a bit distracting and unnatural. I'd prefer a direct cut to a new view instead I think. Otherwise amazing video!

[@juweyriyaisse8619]

can you pls do a deep dive for cardiovascular examination

[@DrJamesGill]

It’s next on the Deep Dive list

[@juweyriyaisse8619]

Legend

[@dreamcatcher2327]

He’s a fine doctor

[@AB-or1yo]

This is absolutely Bob Rossish

[@bend6292]

That spot on the wall is giving us the finger

[@papapanders488]

My man's gonna make me wana become a doctor

[@asmrnaturopath]

Dr. Gill thank you for this video! Thank you for explaining why you choose to do auscultation last. In terms of a distended aorta or even a bowel obstruction would you think that doing palpation first especially deep palpation could cause a perforation? I totally understand where you are coming from in terms of looking for certain symptoms that could cloud clinical judgement but I think that hearing a aortic bruit or absence of bowel sounds in my case I detected a bowel obstruction just by auscultation because none of the physicians have auscultated the abdomen. For a couple of weeks this patient was given milk of magnesia thinking that the abdominal discomfort and distension was due to constipation (as this person was elderly and confined in bed) it turned out to be a large cancer obstructing the whole bowel and I was able to detect something unusual just by doing auscultation. In fact in this case I would argue that palpation especially deep palpation would have been contraindicated. Anyways just sharing my experience and as always very appreciative of your expertise! Sending greetings from Canada 🇨🇦 😘

[@janders79]

I appreciate the invokation of the Bale Scale.

[@leonstevens1382]

Interesting explanation. Thank you.

[@ruthbraude1456]

Fantastic video thanks so much

[@Newhandlewhodis1]

14:00 "*Still IRRITATING though", Dr Gill building rapport with everyone who has siblings through a single footnote 😂😂😂

[@DrJamesGill]

Those who know. Know 😂

[@XX-gy7ue]

happy NEW YEAR 🎉

[@DrJamesGill]

Happy new year!!

[@sandeeppundir6938]

Thank you so much for this videon on abdominal exmination, however do you have powerpoint slides same sa respiratory exmination.

[@medecinturc]

Thanks for nice video. I hope this channel will develop

[@DrJamesGill]

We’re getting some great feedback, which is helping things to evolve

[@medecinturc]

Sir,can you upload a new video what is about new variant of covid-19?

[@seang2012]

I know this is random but I really like that shirt and vest.

[@95mudshovel]

my guy is out here using Christian Bale in The Machinist to show Cachexia. _I see you._

[@DrJamesGill]

It’s a really clear example

[@sumanchaulagain]

While palpating liver should we lift our hand while taking deep breath in or out?or it's better to go through without lifting our hand ?? Is there is any specific hard or fast rules? [Also in spleen examination?]

[@DrJamesGill]

Lift off as the patient breathes in. You need to lift off in order to effectively move up the abdo. Same with the spleen

[@graceleon1517]

Hi Dr Gill! I tuned into this video since I frequently suffer from lower abdominal and back pain, and one part of your video has alarmed me slightly. At 4:33 it appears I have this loss of the nail fold angle; they touch 'back to back'. I'm almost certain I don't have IBS and I know for sure that I don't have coeliac disease, as I recently had a blood test, but I'm not quite sure about the others. Would you recommend seeing a GP? I am about to turn 16 if this plays a factor in it. Thanks in advance! Edit: I just had a look at some google images for nail clubbing, and they all seem to have an overgrowth of skin or tissue of some sort (correct me if I'm wrong), but I don't have that. Could it possibly be due to my strange anatomy? 😅

[@stanstantalent.5605]

Not me checking all my nails and everything when he mentioned it. Luckily show no signs phew.

[@I666U]

top video, thanks!

[@DrJamesGill]

Glad it was useful 😊

[@I666U]

@@DrJamesGill cheers, bay area california

[@XX-gy7ue]

so coherent !

[@DineshKumar-sh5wn]

Happy New year Dr.Gill🎉

[@exploringwithasmr]

So weird the last few months it's felt like I have a tennis ball in the right side of my abdomen. Not really painful. Just feel a pressure and almost a crowded feeling. Done MRI, CT scan, xrays and even a colonoscopy. They found tiny cysts on my liver and kidney (My doctor isn't concerned about them) but no explanation why I have this feeling. Ugh.

[@sim_aware]

Awesome! Love the clinical skills! #SimTribe

[@KF-cx8bm]

When you said, look at the map of UK, you actually only showed England

[@DrJamesGill]

True. But I was attempting to show the area commonly affected, it’s easier to show a close up, than the whole map. I understand your point though

[@lauramullan8830]

"Now, I'm NOT saying Bill Nighy is descenced from vikings..."

[@EditorOfSL]

*Descended.

[@outlawbrandiewales]

I'm here to check out your heart. I went to utube university Dr Gill med school.

[@ernestospironellijunior4803]

Dr James e muito lindo 😍😍😍😍😍❤️❤️❤️❤️

[@Parahelion]

You give me Dr. Strange vibes

[@hatusnee]

I love this man

[@cleocatra9324]

Can anyone please tell me if dr can tell if a patient has hydro neohrosis by touch? Or you need imaging? I dont have insurance currently ty.

[@DrJamesGill]

Unfortunately not.

[@cleocatra9324]

@@DrJamesGill thanks for answer Sir, I am getting some tests done to find out.

[@aeward1982]

Totally unrelated but.. Bbc breaking news keeps bing bonging me this evening about how bad the cv situation is. Can you shed any light on why these Nightingale Hospitals aren't open and taking all these covid patients?!

[@DrJamesGill]

Hospitals need staff. We don’t have enough staff. I worked in ITU about 10 YEARS ago now. So I can stop being a GP and restart in an ITU role. Could they redeploy people - yes they are. But it needs specialist doctors to RUN the ITU dept. Consultants there normally work in pairs, 24hrs on and 24 off. You need X number of consultants for X number of patients. Oh those doctors also are getting Sick with covid. And need down time You also have to keep the rest of the hospital running. The NHS has said we run at 99% for years. We’ve used to spare 1% now... and there is no space in the system

[@aeward1982]

@@DrJamesGill are there qualified medics in the forces who could help? Probably not qualified in ITU. Just shows the need for more people training in the field. ❤️

[@DrJamesGill]

Those medics normally have NHS positions when not deployed. We have Lieutenant Colonel at Warwick uni, who works in ITU in Birmingham when not in uniform. So not much spare there either

[@aeward1982]

@@DrJamesGill just horrid. I'm lucky enough to live in Cornwall but the situation even here is pretty bad now. We only have one fairly small hospital in the whole county. Scary times. Off to work at school every day looking after key worker kids,no masks in the classroom. feeling it's just a matter of time before I get it now. 🤦‍♀️