Cardiac Examination Deep Dive - Clinical Skills Explained - Dr Gill

Cardiology Examination Explained - Clinical Skills OSCE Deep Dive - Dr Gill
Perhaps the longest video to date, cardiology examination, deep dive looks at explaining the steps of this examination, as you would be expected to complete in the average OSCE
It's important to highlight each medical school will have slightly different ways of doing/expecting OSCEs to be performed, so please refer to their protocol for your clinical assessments
For the cardiac examination, I will be looking at peripherals pulses, looking for signs of anaemia. assessing the jugular venous pulse. Checking the position of the apex beat. Auscultating of heart sounds and listening for cardiac murmurs.
Examining the abdomen for abdominal aortic aneurysms and listening for evidence of pulmonary oedema which might be associated with heart failure
This video demonstrates not merely the examination of the heart, but the complete cardiovascular system including its peripheries.
I hope these clinical skill revision videos are helpful, please like and subscribe and join the community so that we can create more effective videos to help with your journey through medical school
#CardiacExam #ClinicalExamination #asmr
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.
This video has five other Cardiology system-focused videos associated with it:
• Cardiac Examination De... - cardiac deep dive
• Cardiovascular Examina... - cardiac demo
• Heart Murmurs Made Eas... - cardiac murmurs
• How to Perform an ECG ... - ecg demo
• ECG Lead Placement / E... - ecg lead placement
The examination demonstrated here is derived from Macleods Clinical Examination - a recognised standard textbook for clinical skills. Some people may experience an ASMR effect from this video
You can now consult via video or in person with Dr Gill at Dr Finlay’s Private Practice - www.drfinlays.co.uk/services/...

[@docian]

I am a semi-retired doctor. These are really impressive videos. Dr Gill is not only knowledgeable but he explains clearly why each part of the examination is done and does so in an articulate and easily understood way. These videos should be compulsory viewing for all medical students - takes me back 40 years too! The ASMR is a bonus!

[@MelinaPaez]

These videos are a lovely resource for actors. I like how detailed you are so anybody can learn.

[@graemehall9537]

Evening all

[@DrJamesGill]

👋

[@seyara1]

Howdy

[@brandonmoucatel9630]

Hi

[@deletemii3312]

Heyo

[@learicist]

Sup

[@Geth-Who]

Fantastic stuff. I love that ASMR's a legit mnemonic for cardiology.

[@starfishgurl1984]

Another fantastic video as always! I may not be a med student but I really appreciate the work you put into these for them because it helps me learn a little along the way as a result. Having anxiety and sensory processing disorder I like knowing what to expect for certain examinations so that I can prepare myself and warn the medical professionals about any potential involuntary reactions my body might have towards them as a result of the depth of pressure their touch might have so I don’t accidentally injure them in the process. (If their touch is too light that’s when my body twitches, but anything else is fine).

[@DrJamesGill]

I’m glad it’s useful

[@rishabhojha4630]

llllLlllLlllllLLllllLllllLlLLLllllLllllllllpl00

[@random.med.student]

I am currently studying for my cardiology exam and this video was posted just in time. Extremely helpful and useful as always, thank you Dr. Gill!

[@DrJamesGill]

That’s great to hear! Please pop back and tell us how it goes when you’ve your results 😊

[@random.med.student]

​@@DrJamesGill Hey, I'm finally done with the exams and I got a 10 on my cardiology exam Thanks again Dr. Gill!!!

[@Agetri]

@@random.med.student heeey good job man ! (yes, a year later lmao)

[@random.med.student]

@@Agetri thx mate, it's never too late

[@GoldenTuLipps]

Thank you for these awesome videos Dr. Hill!

[@juanantonioortizmartinez8504]

I'm from Mexico and I love your videos doc! 🇲🇽

[@thegirlwiththatface]

I truly appreciate these videos and the work that goes into them. ❤️ I don’t need the information for my day to day life but I enjoy learning new things and you have a very soothing energy, Dr Gill 🫶🏻

[@DrJamesGill]

Learning is always a win 😊

[@chadsmith1200]

Excellent job! Keep these longer videos coming👍

[@DrJamesGill]

Thanks. I’m going to try as long as I’m able

[@YouTudey]

Very fascinating! Great video doc!

[@DrJamesGill]

Thanks 😊

[@optimistic1996]

Loved this, thank you! Would it be possible to have any new audio filed uploaded to Spotify? Totally understand if it's too much faff!

[@carlachiappe6672]

❤ è importantissimo..... purtroppo persi il mio papà per un infarto,tanti anni fa.Grazie per quest'interessnte e rilassante visita cardio

[@Draedaja]

I was right - definitely worth it. Very informative as always, Dr. Gill! Thank you for your continued efforts :)

[@DrJamesGill]

My pleasure!

[@aikamsinghsandhu2834]

This was amazing useful! Exactly at the time I needed it

[@DrJamesGill]

Glad it was helpful! Are you studying cardiology atm?

[@TheKaylaKronicles14]

Incredibly informative as always

[@DrJamesGill]

Glad you think so!

[@disheartenedboi]

27:39 ASMR! he's acknowledging us 😂

[@eggnogalcoholic]

LOL yes! Am I right to say I never see him tag that in his videos, even #unintentionalasmr? This man is pure in his art for informing medical students lol but many of us are here for the reasons not planned!

[@DrJamesGill]

Honestly - that is the order Aortic Stenosis, Mitral Regurgitation.

[@Draedaja]

@@DrJamesGill what a lovely coincidence, though! :D

[@disheartenedboi]

@@DrJamesGill I know that's really funny though! lol

[@fdi150]

Cant stop watching these

[@DrJamesGill]

👍

[@karlmitchell4879]

Dr Gill here about to solve the Sunday night blues.

[@DrJamesGill]

Not quite sure about that, if we are talking about blue and cardiology, that should really be looked at immediately 😉

[@s0n00n]

Bro is Dr. House M.D. but welcoming and heartwarming

[@zahramousavi3445]

Recently joined your channel, and sir..... It's fantastic.

[@DrJamesGill]

Thanks and welcome

[@yoeridesloovere2676]

Ever considered doing some mental status exam videos? I love those but good ones are rare to find. General mental status exam, SLUMS, mini-mental, etc

[@dylanL19]

I’m from Belfast and I love your videos bro

[@DrJamesGill]

Cheers. I hope it was useful :)

[@megan9516]

Also watching this video from Belfast!

[@fairuzastevenson9896]

Thank you

[@Giri93067]

I love when he says “super”

[@Jordannelson23]

I wonder if Dr. James knows he is an unintentional asmr jewel ❤

[@deemcdaniel9150]

We've been telling him for years!

[@anatole9839]

6:47 so normal finding should be a steady pulse? What is it indicating if it is "falling down"? Sorry if you already explained it, I just didn't understand...

[@Enoch-Root]

As a runner I'm familiar with plantar fasciitis, got it early on but better now. I'm surprised you didn't mention the use of night splints, it is my understanding that they're one of the most effective ways of treating plantar fasciitis.

[@DrJamesGill]

It’s possible to get complications with night splints if not applied correctly, BUT they can be very useful yes

[@sionnach.1374]

I practice medicine without a license These videos are invaluable to me and my practice. Thanks Dr. Gill 😉

[@knightstormbringer]

You're like the Bob Ross of clinical examinations.

[@ReeceMedcalf92]

I never knew Splinter hemorrhage could be an indicator of Endocarditis. Learn something new everyday. 😄

[@DrJamesGill]

Indeed! The things you can see in the hands pointing to other bits in the body is amazing

[@wadahtahjones8940]

Purell should sponsor you.

[@hirayasmr]

Dr Gill, when I learned about listening to Bruits in the carotid artery, I was taught (and even examined) that it should be auscultated on the exhalation of the patient as on inhalation the SCM tends to tense which could interfere with the ability to detect a bruit. On expiration thé SCM relaxes allowing for the bruit to be more audible. In your video I noticed you auscultated after asking the patient to inhale. What are your thoughts on this?

[@hirayasmr]

On exhalation i meant ask the patient to hold their breath AFTER expiration

[@Flint9250]

27:39 He said it! He said the thing!

[@chuckoneill2023]

I've wondered, is it possible to add recorded cardiac sounds to these videos, as a indication of what one is listening for? A comparison of normal vs. pathological sounds, such as murmurs, for example?

[@DrJamesGill]

Not when they are already up. I don’t currently have kit for recording the sounds - not necessarily know the correct patients I’m afraid

[@chuckoneill2023]

@@m4inline From what I've read, every Med student scares themselves that they have whatever disease they're learning about, anyway.

[@isabelledavis2981]

I will have a physical exam this year on May 7th 2024 after Star Wars day May the force be with you

[@torum2668]

Just finished my cardiac exam the other day. I feel very confident that I'll get a good score. There was only one question I know I got wrong because I couldn't remember how to spell a one of the arteries (womp womp), and I later looked it up in my notes. But everything else I'm confident I got right. I felt I should share lol. im not sure why

[@DrJamesGill]

Because it’s a shared journey 😊 good luck - when do you get the results?

[@tommyp6266]

Big fan Dr Gill, did I spot you in the medical tent in Australian Survivor last night?

[@DrJamesGill]

👍 yup Which contestant was that with?

[@tommyp6266]

@@DrJamesGill in the medical tent with Sam after tribal 🙂

[@DrJamesGill]

Ah! He’s a good guy

[@tommyp6266]

@@DrJamesGillThanks for the reply, I’m sure it would’ve have been a great experience to practice medicine in that setting and interesting to see the physiological effects and medical challenges the contestants had to face!

[@aymanbo7971]

2:57 I don't have a Schamroth window 🙂 is that bad ?

[@teacuphead_]

I watch this every night before going to sleep 😭

[@SammyMatteo]

4:17 glasses on, glasses off 😛

[@DrJamesGill]

It’s magic 🪄

[@danpal6737]

@@DrJamesGill thanks Doctor you are the best asmr and physician, and .........

[@biancasgambetterra6935]

Un prelievo del sangue

[@ghostrot]

It must be only in the uk asking for concent

[@DrJamesGill]

Should be universal. Respect for patient bodily autonomy

[@JohnFallot]

10:52 Is it not pronounced “Fuh-LOW” in medicine? (Source: see my last name, albeit no relation to the initial discoverer 😅)

[@BlueyH-wk4kb]

It's a sign that I'm too easily distracted to be a doctor when every time I hear the name 'Shamroth' I think ooh, that sounds like a Doctor Who baddie.

[@DrJamesGill]

I always thought LOTR

[@eznf98]

That random crack or mark in the wall kept on making me thinking was hair on my phone

[@DrJamesGill]

Honestly it bugged me too!

[@AgentDenton2000]

👍👍👍

[@DrJamesGill]

👍

[@nobilismaximus]

thats not what a water hammer is. A water hammer describes the violent shaking of pipes when a valve is quickly shut. the momentum of the fluid shakes the pipe work as if hit by a hammer, also there is a massive increase in pressure and can cause pipes to burst.

[@FistralG]

Correct. However the water hammer toy is designed to replicate the effect by using water in a low pressure glass tube to create a ringing sound as if the tube is struck by a solid object.

[@DrJamesGill]

Yes, but that is the phrase in the text books I THINK the idea - based on the engineering example - is that the raising of the arm is equivalent to the shutting of the pipe valve, causing the increased pressure on the aortic aortic valve… however the aortic valve can’t withstand the pressure and prolapses back

[@KonfluxGames]

Missing description by the way?

[@DrJamesGill]

Thanks. Updated that. I’m not sure what happened there!

[@sanderdans]

Where is Aidan Cross?

[@Loss.Desires]

Am I the only one that for the first half of the video checking if I had anything he was talking about

[@tayzonday]

17:20 The sound of the table rising is jarring and impedes this video’s ASMR utility. Take it from me and my 100+ hour exam playlist 😆

[@HomoLegalMedic]

I really didn't expect to see you here!

[@deemcdaniel9150]

Well, since these are medical exam videos made for medical students by a teaching doctor, the ASMR, while usually spot on, isn't the main focus. It's a bonus for us.

[@jp5125]

Love seeing TayZonday comment on random videos

[@balthiersgirl2658]

I honestly think many hospitals and accident and emergency services depend to much on machines instead of hands on doctors.

[@antoinehunter3776]

Doctor Gill I went for my annual 6 month check up and doctor said I had a high level of white cells and now they want to run all these test...what's your take?

[@DrJamesGill]

I’m not able to give specific advice I’m afraid. Other than speak to your doctor

[@antoinehunter3776]

@@DrJamesGill she the 1 that wants to run all these damn test...but she say elevated level of white cells usually means there your body fighting off disease...but I have none

[@trellw21]

27:38 LOL😂😂😂

[@Peter-vn5jq]

>obviously we need to gain consent Quick, somebody send this vid to our legislators, they seem to be hazy on the concept

[@missilemiata7593]

👍💤

[@DrJamesGill]

👍

[@juliejuicyfruit60]

Have you ever found any health problems with any of the students that help, when making these videos ?

[@huntmich]

There was definitely one student with a shoulder injury.

[@plummetplum]

My doctor would never do this detailed exam. Shame.

[@balthiersgirl2658]

Same if had machin givin to me by hospital but even there they don't test or check you like this at all just wear machine

[@NadrianATRS]

You look a little different. Did you change glasses?

[@DrJamesGill]

Yes. Others wore out

[@SimplyTakuma]

_However, there is no such things as never in the medicine._

[@DrJamesGill]

Very true when talking about clinical medicine. But there are things WE should never do in our practice of medicine

[@JKchick62]

26:22

[@isolinasantana5259]

Por favor, más alta la voz

[@jamespoulios3534]

m’kay, we’re going to learn about the diversity of the cardiovascular system m’kay.

[@mihhailfjodorov5676]

why HE is yellow?problem with liver or?