Ace Your Respiratory Examination OSCE - With This Clinical Skills Master Class - Dr Gill

Respiratory Examination Master Class - Medical School OSCE Revision - Clinical Skills - Dr Gill
This video details each step of the respiratory exam, highlighting why each step is being taken to maximise your clinical skills OSCE revision.
In this video, we demonstrate how to perform a clinical examination of the RESPIRATORY SYSTEM for your medical school Clinical Skills OSCE. As the chest exam is sure a core skill when it comes to examining patients, students should assume that a respiratory assessment is a high-yield station for any clinical exams or clinical assessments.
For a passing grade in your Clinical Skills OSCE, for Respiratory exam follow the approach of:
- Inspection
- Palpation
- Percussion
- Auscultation
We will also address why "ninety-nine" should not be used in tactile vocal resonance
HOWEVER, a respiratory examination OSCE station does not just involve pressing around the chest, this video also demonstrates some of the specialised examination techniques required in examining patients such as checking the apex beat, chest expansion, chest auscultation and percussion as an example.
COUGH, Shortness of breath and general concerns about the chest are common reasons for patients to see a doctor, and in any speciality is probably the most commonly performed patient examination
This video has three other RESPIRATORY system-focused videos associated with it:
• Respiratory Clinical E... - Respiratory Examination Demo
• Master Percussion Tech... - Percussion Technique
• Respiratory Examinatio... - Respiratory Deep dive
• Respiratory System His... - Respiratory Symptoms
• How to do the Respirat... - Respiratory Examination Details
• How To Read A Chest X-... - Chest xray basics
------------
Please note that there is no ABSOLUTE way to perform a clinical examination. Different institutions and even clinicians will have differing degrees of variations - the aim is the effectively identify medically relevant signs.
#clinicalskills #drgill #abdomen
However during OSCE assessments. Different medical schools, nursing colleges and other health professional courses will have their own preferred approach to a clinical assessment - you should concentrate on THEIR marks schemes for your assessments.
The examination demonstrated here is derived from Macleods Clinical Examination - a recognised standard textbook for clinical skills.
You can now consult via video or in person with Dr Gill at Dr Finlay’s Private Practice - www.drfinlays.co.uk/services/...

[@DolfoLicks]

A couple of videos ago this patient was diagnosed DEAD! Dr. Gill trully is a remarkable professional. 👏👏👏

[@amyr2876]

I am a professional coder in the United States. I read operative reports and also evaluation & management notes, then I “translate” them into diagnosis and procedure codes to bill the insurance companies. Watching your videos has really helped me understand better what I am reading in my physicians’ documentation. Thank you so much!

[@viperboy403]

"we're going to take a piece of paper" You know darn well that's not how you say it! I want a refund

[@RaindustZX]

Putabitofpaper on it!

[@chukwunyereiv3]

Hahahaha More like, "puta-pito-paper"

[@jabonky]

😂😂😂😂😂😂

[@buckfideniimd8546]

Puttabittapaper

[@chewygad7899]

I’m livid myself

[@seekerofknowledge4533]

Inspection Pattern of breathing Symmetry Hands: Fine tremors Flapping tremors Nails koilonychia leukonychia splinter hemorrhage Capillaries refill time Fingertips cyanosis Clubbing shamroth window test Nodes osler Heberdon bouchards Palms: Palmer erythema Dupuytren contracture Thenar hypothenar eminence Pulse Rate 15 × 4 rhythm rebounding pulse Temp thermometer in axilla Bp palpatory and then auscultatry method Eyes: Anemia jaundice Tongue: hydration Anemia Central cyanosis on upper surface of tongue Anemia on lower surface of tongue Oral hygiene Chest scar marks Palpation: Ask for pain Tracheal deviation Tracheal tug Tracheal crepitus Cricosternal distance Lymph nodes palpation Apex beat Chest expansion by hands (Below axilla, in middle chest) Measure also chest expansion Percussion: Normal resonant Dull on right sides at 6th ICS due to upper border of liver Above clavicle On medial third of clavicle 2 more sides below ( on both sides) In axilla 2 sites ( on both sites) Auscultation: Normal vesicular breath sounds Check Wheeze strider Crackles Pleural rub Bronchial breath sounds in lungs Post chest: Scar marks Kyphosis Scoliosis Crossing the patients hands on shoulders Same as in ant chest + Vocal resonance Sacral edema Pedal edema Thanks patient

[@Ibelikemj]

Honey! Come quick, new Dr Gill is on!

[@DrJamesGill]

🤣

[@largehenne5988]

I started vocational training in medical technical lab work a couple months ago, now I'm able to understand much more things watching your videos which makes me happy :) Maybe I'll go to med school after my apprenticeship is complete

[@DrJamesGill]

Congratulations! Are you working in the UK?

[@largehenne5988]

@@DrJamesGill I'm in germany!

[@guesswhat-chickenbutt]

I see you're subbed to the Slipknot channel. And to that I say: fuck yes 🤘🤘🤘🤘🤘🤘

[@jimkreider9997]

I like these videos by Dr. Gill. I try to do the tests on myself. But I go to my GP twice a year and all this is done. Of course he's not as polite as Dr. Gill but spends as much time with me as needed. I love the guy. Wouldn't change for anything.

[@guesswhat-chickenbutt]

Consider yourself lucky. I myself am lucky also because my double first cousin is my practitioner.

[@mo793]

Perfect timing! Was planning to practise cardiac & respiratory examination this weekend for my osce , thank you!

[@DrJamesGill]

You got this! I need to get the cardiac done on my side as well!

[@mo793]

@@DrJamesGill Looking forward to it!

[@lizzieandmocha1131]

Love these. I'm no doctor or medical practitioner, but I've always had a fascination with medicine and anatomy. I love to learn as much as I can, even if I'd never be able to use these.

[@DrJamesGill]

Learning is always good 😊

[@guesswhat-chickenbutt]

Dr Gill!! The GOAT!!! Hope the new year is everything you want it to be!! Much love from the states. 💜

[@loadventureslife5090]

Oh snap he has on the vest so u know it's gonna be another banger.

[@MATSULEIGO]

Amazing explanation, fellow doctor. Regards from Brazil 🇧🇷

[@josephjordan9650]

Always a pleasure to see an upload doc, Keep up the good work!

[@DrJamesGill]

Thanks, will do!

[@gemmahamilton2565]

I'm always amazed by your medical knowledge, I honestly don't know how you remember it all! Thank you for these educational videos. Not only does it relax me but I learn so much from them.

[@guesswhat-chickenbutt]

Ikr. I can barely remember what I did ten minutes ago. 🥴🥴🥴

[@tncountryboy06]

theres a reason doctors go to school for basically a decade lol

[@optimistic1996]

Absolutely love listening to your videos on Spotify, is there any possibility of these newer video's being uploaded at some point? Totally understand if it's too much work 🥰

[@quinnthadiva]

Thanks to your clinical videos , I Aced my Nursing Exams, Thank you doc!!

[@DrJamesGill]

Great job! I'm so pleased to hear that! you must be so proud! where will you be working?

[@chrisstevens3567]

This man is legitimately a celebrity.

[@d.williams9610]

Thanks for explaining why to multiply. Dr. ❤

[@yelha26]

Yo veo todos sus videos y ni siquiera soy doctor :D saludos desde México

[@stickstories2750]

I bet 50% of the people watching have already fallen asleep

[@stonehousetales6954]

pff. no. i havent fallen asl....asmmmdm....*snores*

[@No1SlapFIGHTFan]

Here for sleep lol

[@acefrmoahu]

Gonna end up watching this video a good 5-10 times this month just to fall asleep.

[@dclxvi_89]

Asmr crew

[@DrJamesGill]

Gosh, yes. Just had a look. KZbin applies them automatically, so I’ve pulled a few of them Thanks for the heads up

[@seang2012]

Dr Gill, I tried this exam on my dog. He demanded belly rubs and fell asleep on me. You ever have that problem with patients?

[@ryanschultz9413]

I for one would love to see more A-Z NHS videos

[@ysaleh911]

Your videos are great. Thank you!!!

[@YourFreeBeats]

This was a very relaxing video.

[@user-xq1mv8fw6z]

💗💗 deeply appreciates the effort u put into these vids… thanks a ton

[@DrJamesGill]

So nice of you

[@ProjectTokyo]

8:26 "Patient showing signs of drowsiness during examination attempts to stay conscious not succeeding"

[@wangcoffee]

Waiting with some popcorn! Thanks for the vid :)

[@Wakeywines]

just saw this reccoemend on my feed, turns out we share the same last name! which I think is so cool! subscribed

[@DrJamesGill]

Welcome! Hopefully you find it useful here 😊

[@anathinkangana2982]

bless your heart Dr🙏

[@matthewmersin2026]

A charming British accent is also a requirement for every examination.

[@guesswhat-chickenbutt]

Indeed.

[@herosbreath6715]

My ONE critique of these videos is that everyone is always healthy. Is there any chance you could get someone on the table that actually has some of the symptoms or presents with some of the signs mentioned?

[@DrJamesGill]

No easily as that is a huge confidentiality issue

[@herosbreath6715]

@@DrJamesGill Ahh. Yeah, I suppose that’s an issue.

[@TaterChip91]

I want to see a doctor that completes all the tests and at the end is like "you have a week left to live"

[@dscarmo]

There are some pretend ASMR videos doing that on youtube but none are performed by an actual medical doctor and serious, as far as I know

[@akilghosh]

Ah yes unhealthy specimen. I can volunteer for that, in a condition not to wake me up in case I doze off.

[@califlop]

You're a real life doctor bashir! Thank you

[@eznf98]

Watching this by work while taking a break. I almost fell asleep

[@RemberingWoody]

12 out of 10

[@davidjones421]

Thank you for your videos, they really are very helpful. By the way 10 minutes in, you said 10 deciliters per ml... But 1 deciliter is a 100 ml...

[@paolarebeco]

Seria genial subtítulos en español..gracias!!!

[@carissamatipwiri1272]

This was so much helpful!!! Please do a video on every system (major systems rather)😅

[@DrJamesGill]

That's the plan! We’re doing cardio next

[@abducens92]

Wonderful video, as always, Dr Gill! Minor correction: at 23:57, wheeze is expiratory and stridor is inspiratory (or actually can be both). Keep up the good work!

[@fatimab6064]

Thank you...I got stuck just here.

[@niallcardin]

Thanks, me too!

[@sheepdog03]

Great video! Dr Gill, or anyone who knows, how do you adapt percussion techniques to overweight patients and, in particular, patients with obesity? Or is the sound transmission the same?

[@DrJamesGill]

Unfortunately you can’t really. The test becomes less sensitive

[@learicist]

Dopest vest collection in the game

[@guesswhat-chickenbutt]

Tha illest

[@t.r.h.1433]

2nd January 2000 ! A brand new millenium baby 💚

[@BarefootCaveman]

All of the internal systems!! One million systems need to be checked

[@floridafirstpodcast4740]

"RES-PEER-AH-TREE"

[@TaterChip91]

Hey Doc, when your "putapitapa" video came out and you became easily top 3 most popular ASMR Gods....was that your intention? Like, where you aware of your growing popularity? Or did you find out after the fact?

[@christineblake7909]

Could you share the link for that aneroid please

[@annalie.love27]

30min isnt enough still haha..getting addicted

[@rdonshatalov]

I love Intro Inline font too

[@guesswhat-chickenbutt]

Oof. Your pfp hasn't aged well.

[@rdonshatalov]

what a shame... maybe u should try getting a job?

[@davyyyy1782]

Eu estou no trabalho assistindo isso, começou bater o sono mas nao posso deitar 😡

[@mermanshahi]

Stridor is inspiratory and wheeze is expiratory

[@michellejohnston9476]

Well spotted

[@JohnnyTightIips]

13:20 Looks like "Lumps and Bumps" is back on the menu, boys!

[@guesswhat-chickenbutt]

Whew. Thank Geebus!

[@MrZomg17]

I feel My English as an American is terrible after listening to Dr. Gill

[@wheelmanstan]

I wonder if there is a way you can make a video about something called the Bystander Effect (the theory that states that individuals are less likely to offer help to a victim when there are other people present). Maybe you can explain the tell-tell signs that show someone is actually in need of medical assistance.

[@UndercoveerAngel]

great video! but i was under the impression that stridor is inspiratory and a wheeze expiratory?

[@DrJamesGill]

It is. Stridor large airway narrowing causing inspiratory noise Due I missspeak?

[@Brickktopp]

When that boy had his hands out he looked like he had bn taken hostage boy george style 🤣🤣

[@testing3265]

Hi Dr Gill, I have osces coming up; can you kindly clarify why we 1) percuss the clavicles 2) check for heaves in a resp exam. Thank you kindly!

[@DrJamesGill]

I) percussion over the clavicle allows you to assess the apices of the lung Ii) Pulmonary hypertension can result in increase work of the heart, leading to RIGHT ventricular hypertrophy and possibly failure

[@DrJamesGill]

Good luck, and any other questions, stick them in the comments and I’ll try to get back ASAP

[@dclxvi_89]

Oh wow. I see some grey in the beard. I always thought Dr. Gill was super young, like early 30s, late 20s in his earlier videos. 😅

[@DrJamesGill]

It’s my covid stress work grey!

[@dclxvi_89]

@@DrJamesGill ah, man. That's tough for a 27 yr old.

[@matematicaluan]

very good unnintentuonal asmr bonus learn some about medical procedures

[@louishenderson3835]

God the NHS in scotland really needs to up their game, when I get checked I am lucky if they even whip out the stethoscope!

[@SquirrellyOtter]

"I'm a bear of very little brain" *"Hello, I'm Tigger" intensifies*

[@oliverkey1435]

I’m just some random bloke interested in chemistry who’s here because this sounds nice

[@jdbolynhoward8557]

Love for you to do s suspected diabetese examination and even a diabetese check in general my gp was shouting at my l.d teenage daughter mentioning bad things willl happen to her if she does not take metaformin which incidently gave her symptoms of so would love to see an examination of a suspected case of to see what my gp should of done

[@guesswhat-chickenbutt]

Hey. I don't know why it seems like doctors are prescribing metformin to those that don't need it. I would get a second opinion before making your daughter take that medication anymore. Doctors get financial kickbacks to prescribe unneeded meds. Good luck to you and your family.

[@guesswhat-chickenbutt]

My aunt had them prescribed years ago and for what, who knows. She is literally the healthiest person I know. She's 100 pounds soaking wet with little to no body fat. And when she does occasionally put on a pound or two, usually ten at the most, it all goes below the waist which is the healthier body fat.

[@peskyseagull]

You don't advocate for auscultating suprasternally?

[@hugheszie]

9:27 whaaaatssssauuuuppppp - Budweiser

[@matthewmckee3762]

At the beginning of the video, I legit thought there was a split screen, and something was going to come up on the other side. Nope, just the wall.

[@MaggieMay135]

This might be a stretch BUT since you just got married, can we get a video with you and your wife to hear your love story 💗

[@Nezc]

Wasn't this guy pronounced dead in a previous episode?

[@ditaylor1000]

Have you ever checked someone and found something disturbing like a tumor or something they didn’t know about?

[@DrJamesGill]

Yes

[@TheCorrectAdam]

14:44 good

[@richtsai6708]

i thought wheeze is expiratory and stridor is inspiratory

[@DrJamesGill]

It is. I made an error

[@Ottoniel-rb1jm]

Que hace Trevor ahí🤨

[@Daytonian17]

Putapitapaper on it!!!

[@SimmeringPotpourri]

Doctor: It's it Ok that I examine you? I will need to touch you. Patent: No Doctor: Super. Please see my receptionist and she will take your payment. Doctor: Please send in the patient who went to a doctor but isn't interested in being examined.

[@3DGvisuals]

"Ninety nine" is used in lots of other instructional videos 😳

[@DrJamesGill]

But unfortunately that is an error. “Ninety nine” should not be used It’s a misunderstanding of the original research

[@keithlivingstone2525]

The first ‘patient’ born in this Century?....😂

[@aewowww]

Specifically your hear…. your lungs

[@aewowww]

0:42

[@mikefitzgerald1013]

O

[@azu_9025]

P po po

[@ADjustinG2013]

Is the honeymoon over already?

[@shahmirkhan5411]

PLEASE CAN YOU TALK LOUDER DR. HEARING YOUR VOICE IS MORE DIFFICULT THEN THE TOPICS YOU COVER IN YOUR VIDEOS.

[@t0raneko]

For god's sake give him a pillow! He looks so uncomfortable!

[@guesswhat-chickenbutt]

Just noticed. And you're right. Lol

[@KZK2333350]

on to their left, lol 18:28