How To Measure ABPI - Ankle Brachial Pressure Index Clinical Examination - Vascular OSCE - Dr Gill

[@tayzonday]

I fall asleep to my playlist of videos like this.

[@BigDez1987]

My man

[@pikeeee]

You need to do a whisper version of chocolate rain!

[@4gags]

Dawg why is the patient literally the dollar-store version of you

[@KR11111]

What a pleasant surprise to see you comment here! I couldn't agree more with you! His voice is devine. Just like yours! I remember that random reading you did of "The Things They Carried", that was great asmr

[@officialpranksta06]

The legend himself is a Dr. Gill fan! Pittaputofpaper for the homie!

[@sethdaniel1115]

This is among one of the docs best vests. The shear power that it exudes is truly resounding

[@rustyshackleford7285]

I’ve worked in Non-Invasive Cardiology for 12 years and do 8-10 of these a day. Great to see such a great explanation. Most people don’t realize we can stent the legs just like the arteries in the heart.

[@DrJamesGill]

Really good point - actually any suggestions on how to improve the technique we demonstrated here?

[@rustyshackleford7285]

Well to add to the exam, we often get a resting Ankle Brachial Index, and then have the patient exercise. (We usually have them do the first stage of Bruce protocol on a treadmill for 5 mins.) And then repeat getting and ABI to compare before and after exercise to see if there is a decrease in blood flow during exercise.

[@goodyeoman4534]

Nice. It's the vascular department who do them where I work. Just going over my PAD/CLI for an upcoming exam.

[@VeronicaVeronica1]

I’m not a medical student or nurse but I’m a Medical Coder and your exams help me understand what’s going on in medical documentation so I can code properly.

[@Iyswift]

We literally just went over this today. Your videos have been lining up perfectly with our curriculum recently haha!

[@DrJamesGill]

That’s lucky! Where are you studying?

[@Iyswift]

@@DrJamesGill I'm an OMS-2 in the Eastern US :). Your videos are amazing!

[@lucyg9173]

So appreciate all these resources! Thanks for your dedication and all you do, you’ve helped so many people with these vids 😊

[@DrJamesGill]

ABPI is one of those skills I wish I learned earlier at med school, as doing it, helped me to understand so much more

[@jusemapu]

Thank you for showing the sound of that device, I was always curious about it.

[@DrJamesGill]

It’s a cool bit of kit 😊

[@Ibelikemj]

I’m going to be honest, I never imagined this was a thing and now I wish I could get my ankles/legs checked to see what’s been going on with my lazy leg. Fantastic work

[@DrJamesGill]

Lazy leg - has your doctor investigated that?

[@Ibelikemj]

@@DrJamesGill I was in a car accident years ago so I have as much capabilities as I can get out of it. It’s mostly a numbing feeling when I sit down for long periods of time.

[@lilianezeli5521]

To be honest. I've never seen this kind of medical diagnosis before. I learn new stuff from here really.

[@adibpg_geek]

I'm so comforted by Dr. Gill's use of alcogel I'm literally thrown off in the videos in which he doesn't.

[@NerdStuffing]

I've always been interested in things like this because I find the human body and how we have learned to examine it fascinating so I'm glad I've found a great way to learn it while also being something so relaxing its also in my ASMR playlist.

[@DrJamesGill]

I honestly love using the Doppler probe, as it let’s patients “see” or more accurately hear what we’re looking for 😊

[@yeetskeet1581]

I appreciate so much how you lower the volume of the velcro!

[@kiely4561]

Never seen the pressure being taken from the ankle before, very interesting.

[@DrJamesGill]

It is used for slightly different assessment though - in this case peripheral vascular disease

[@LeAnnASMR_]

your voice is so soothing ✨

[@JewishBettor]

That’s Doctor James Gill.. he’s top G of Asmr

[@xfactorfishing7208]

Gotta love lowering the volume for us asmr people on the Velcro! Nice touch 👍🏼

[@DrJamesGill]

Also it was just unnecessarily loud due to how I’d had to change the microphone to get the ultrasound sounds

[@RNScrub]

good simple video

[@DrJamesGill]

Although surprisingly a challenging to film - easily 2 hrs!

[@starfishgurl1984]

Oh, what a great idea for a video! I’d be fascinated to see the difference between my blood pressure in my arms and my legs just because I walk so much at work (almost 50 miles/80.5 kilometers a week) and I usually have pretty good blood pressure in my arms to begin with (I’m all over the place but the average is roughly 112/76 from a bunch of my blood donation readings) but I have problems with my legs bending down/kneeling on the floor so I’d be curious if that impacted the results at all. Fascinating stuff!

[@DrJamesGill]

The difference shouldn’t be too big, the legs should have a little higher BP than the legs, 😊

[@enriqueviveros7200]

This helps me sleep and also learn medical things, that I don't even need because I study a engineer, thanks Dr. James Gill for an awesome content!

[@DrJamesGill]

As an engineer I’m sure you know more about Doppler flow than I do!

[@ericterrell7486]

Excellent clinical resource.... And ASMR video. All in one!😁

[@DrJamesGill]

It’s something we talk about, but don’t really do the explanation of very well

[@kittybala7951]

Great video

[@DrJamesGill]

👍

[@diesenpai_]

listening to the pulse disappear and reappear is fascinating.

[@DrJamesGill]

It’s one of those “light bulb” moments for me, when you suddenly understand what is going on with the blood pressure.

[@jaydoggy9043]

DOB? "something something... two thousand" ..... I'M OLD. I'M OOOOOLLLLLDDD NOW!! These med students are from the 2000s!! HALP!

[@DrJamesGill]

I’m not looking to having students born in 2006 when I first went to med school!

[@niallmckane5136]

I have brain surgery very soon so I’ve become interested more in your videos

[@DrJamesGill]

Oh gosh! I hope it’s relatively simple

[@niallmckane5136]

@@DrJamesGill na it’s a pretty big operation

[@Caltash]

This Clinical Skills video with Doctor James Gil is brought to you (in no part by) Purell Hand Sanitizer.

[@DrJamesGill]

One day I hope someone will do a sponsorship like that!

[@janclierinck]

Question. Why using a doppler if you can have an automated bloodpressure sleeve that checks sys and dis BP?

[@TheUndertaker19]

My numbers so random: 44yo overall healthy man RArm 118/72 RAnk 152/67 152/118‎ = 1.28814 (right) LArm 133/75 LAnk 146/73 146/133‎ = 1.097744 (left) Highest Ratio (RAnk/LArm) 152/133=1.143 Would this test be considered healthy? I’m kinda worried because the high pressure into ankles? Does this reads differently? Thanks for sharing.

[@gsx6757]

I did this in my osce and was told that I did it wrong as I didn't use the doppler for the arm pressure but used the stethoscope instead :( Oh well, i think clinically it still works?

[@wildmansamurai3663]

Great ASMR.

[@AL-jo2vp]

Date of birth..2000?! I feel an early mid life crisis coming on

[@floppydolphins4123]

Late comment I know but wow that's cool, it's neat to hear what this kind of thing sounds like give with a Stethoscope, we can't really hear what you are hearing.

[@codymonahan1791]

Why this method and not an electric one. No criticism just wondering

[@DrJamesGill]

As it is very important that students can use the manual BP. As a tool we need to be able to MAINTAIN the pressure above the systolic pulse in order to use the Doppler - which is not possible with most electric BP machines

[@snowyowl6892]

Am in Sydney Australia and need to find a doctor or practitioner who can check me as Dr Gill does. Have huge”leg” probs but doctors tell me it’s just old age. Does anyone have a suggestion / advice ? Would be grateful …

[@josemerino7894]

NYC WASHINGTON HEIGHTS IN THE BUILDING🔥💪💯♨️

[@noname-kq6vm]

Hi, just wondering if it is normal for the heart rate to be higher when lying down?

[@DrJamesGill]

Going from vertical to lying down wouldnt normally affect heart rate other that the effort to do the movement

[@TheCmoney84]

My doc never did this for me in the states 😢

[@Billy-dj8zw]

The boy patient looks bewildered.

[@rayban5737]

I would have checked his gait before any kind of exam

[@DrJamesGill]

Reasonable point for a full peripheral vascular exam, but this was just the focused video demonstration for ABPI We’ll be doing a full peripheral vascular later 😊

[@thelearicist]

Something affecting the mic in this one. Just a heads up

[@chadster69]

i wish i could get both of my foot checked, ive noticed a bit of swelling on the side of both of my foot, and they appear to be near my ankle, and they hurt quite a bit when I rub it, my toes also has some deformities

[@DrJamesGill]

I’d suggest seeing either your GP, or a local podiatrist. Both may be able to help in different ways

[@mikeveilleux1592]

It’s crazy to me how much noise there is from the ankle area!

[@DrJamesGill]

We’ll get the same sound from any healthy artery

[@antoinehunter3776]

Detroit in the building!!

[@markmccallum475]

"Hello, I'm Dr. Ank-gill. Rib-tickling, I'm sure, although that's for another video."

[@DrJamesGill]

Bad joke,

[@markmccallum475]

@@DrJamesGill this joke needs 24 grams of hee hee stat

[@madarab37]

We have detected a pulse in your ankles and would like to congratulate you. It's a boy!

[@28loss]

I'm calm now that he didn't have to be spun around in the chair.

[@ballbag]

Born in 2000 😂

[@garfunky2]

I'm disappointed he didn't puta pita paper on there

[@AgentDenton2000]

👍

[@DrJamesGill]

👍

[@Billy-dj8zw]

I would like to see Dr. Gill talking dirty things about love! His sooothing voice is awesome.

[@Joshgilly94]

Those fetal heart tones are quite slow

[@ЗатычкаВБочке]

asmr