Hand​ Examination Clinical Skills OSCE - Medical School Revision - Dr Gill

Hand​ Examination Clinical Skills OSCE - Medical School Revision - Dr Gill
Clinical examination of the hand can be quite challenging, as it is more engaged than many of the other orthopaedics examinations. We'll help with your medical school revision through a demonstration of a hands examination OSCE.
As with any orthopaedic assessment, the Hand​ Examination Clinical Skills OSCE examination will be expecting you to approach with the standard Look, Feel, Move approach which you'll be already familiar with
People often find the Clinical Skills OSCE to be daunting and the Hand examination even more so, as it is quite an engaged OSCE station. However, as with everything at medical school, repetition is going to be key in understanding how you are assessing the patient, positioning your hands, and manipulating the patient.
Please note the hand examination also includes the special tests Tinel's Test and Phalen's Test to examine for carpal tunnel syndrome, which can be worsened in pregnancy, osteoarthritis and rheumatoid arthritis
During the Hand examination, the wrist is also assessed, as you should always examine the joint above and the below the joint are focusing your initial assessment on
Performed by Dr James Gill
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.
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 recognized standard textbook for clinical skills.
#clinicalskills #handexamination #DrGill
You can now consult via video or in person with Dr Gill at Dr Finlay’s Private Practice - www.drfinlays.co.uk/services/...
00:00 - Introduction and Patient Verification
00:20 - Hand Examination
00:37 - Joint and Hand Pain Test
02:10 - Hand Movement and Flexibility Test
03:16 - Finger Movement and Resistance Tests
04:03 - Nerve Function Tests
04:50 - Conclusion

[@goblingunk_]

In terms of professionalism, this is amazing. In terms of ASMR, he is a legend.

[@aurorapierabella6327]

P E R I O D

[@yulifigueroa3279]

In terms of examination, putapitopaper

[@haydenhartley1852]

Smart people watch asmr like yourself I think

[@fdfsdfsvsfgsg4888]

Yes, his "clincial" professionalism is unsurpassed.

[@Bruno-ow5dc]

@@yulifigueroa3279 jjhmkhdn in on parça no ji hj no ji no no Ko Ko

[@gabrielesimionato1210]

When done properly, the doctor and the patient should become red in the face.

[@drftr6073]

But I suspect only I get red in the face this time

[@michaelbacon8698]

lig lag

[@rolxus]

Michael Bacon i always thought it was “lid lag”

[@michaelbacon8698]

@@rolxus sir, you just may be right!

[@michaelbacon8698]

@@rolxus that makes a lot more sense now that you mention it hahahaha

[@I_Am_Killer_B]

"Any problems with that?" "Yes, it's incredibly painful." "Excellent."

[@venar4248]

Hahahahahaha :D i have the picture in my head now :D

[@ctmdarkonestm]

@@venar4248 someday a movie will cast Dr. Gill as a villain and that's exactly how it'll playo ut

[@johnnyboy2172]

Lets go for it..

[@michaelleeson6789]

Soup Herb!

[@cariad81]

The ASMR is strong in this one 👏

[@highfeelz]

Very

[@slippingbugs]

I’m so unbelievably confused as to why this is in recommended

[@DrJamesGill]

🤷‍♂️ trust the algorithm

[@pamisa-chan317]

Probably because people watch it for asmr

[@mellowtyphoon7995]

Slipping Bug same

[@cesarmonsivais1969]

Just enjoy the ride like all of us

[@yildrimburit9144]

The legend is responding 🙇🏻‍♂️

[@Joefromgeorgia]

"Super, thank you very much" *But little did she know, it was not super. Being proper and British, Dr. Gill was far too polite and nervous to tell her about the fatal abnormalities he found in her hands*

[@gabrielesimionato1210]

4:23 Was going to putapitapaper

[@michaelbacon8698]

I wish he could somehow incorporate paper into all of his examinations

[@shadorian9797]

Get a bit of paper* ya deaf or something?

[@iferawhite7661]

@@shadorian9797 It's a joke. He speaks very fast, so there's often sentences that sound kinda funny at first.

[@shadorian9797]

@@iferawhite7661 regardless it sounds nothing like that lmao

[@bucketofgondor]

I was looking for this comment

[@evanpitchers584]

Dr. Gil- Now, I’ll have you push me down Patient- *stands up and shoves Gil down* Dr. Gil- Superb

[@Cindee-Schnitman]

😂😂😂😂😂😂😂

[@alexschofield944]

Dr Gill “Now if you could just squeeze my fingers as hard as you can. Try and break them, really go for it.” *Fingers snap* Dr Gill “Excellent”

[@johnnyboy2172]

Dr Gill and Dr Kelly

[@arvind-venkat]

Turn your hands up, don't let me push them down. *FIGHT FIGHT FIGHT FIGHT FIGHT...*

[@venar4248]

Aaaah :D the famous Dr. James Kelly and Pat Lafontaine in ASMR :)

[@carlitosmo]

my beginnings in the asmr

[@miguelboludarodriguez2624]

BEST video ever Dr.Kelly

[@johnnyboy2172]

And you push me down!

[@alliecattlopez537]

She didn't take the examination too seriously, she's too busy thinking about their wedding.

[@sminor666]

I would do the exact same

[@scemo39]

@@sminor666 as would i

[@heatheringram6287]

Who blames her

[@Cindee-Schnitman]

😂😂😂😂

[@NukaNerd]

xD

[@AndresMorenov]

This girl is not even close to understand the huge icon is touching her hands

[@HaydnG266]

She knows. Look at her grin!

[@gabrielesimionato1210]

@@HaydnG266 At 4:24

[@sirot5561]

Abbie Tutt is an ICON HERSELF! 💯

[@stacked7476]

@@sirot5561She is adorable

[@DingusTheGenius]

It's cool to see a real Doctor making an ASMR role play video.

[@chriscook1766]

Im pretty sure it was a educational video shot for training and was just viewed as ASMR but I'm not so sure the Dr. Had any idea how was being used as unintentional ASMR

[@DrJamesGill]

Correct

[@DingusTheGenius]

@@chriscook1766 I would be surprised if he was by now not sure of his star shining brightly in the constellation of Unintentional ASMR videos.

[@DingusTheGenius]

@@DrJamesGill And with all due respect to your years of training, competence, and professionalism in your field of medicine... your videos are ASMR gold, and I was paying you a cheeky compliment. But, DAMN... it is quite the honor to "shake the hand" of the hand that putapitapaperonit !

[@DrJamesGill]

DingusTheGenius DIDNT take it as a slight :) one of my friends said about 6 months ago - “have you seen the response to the KZbin vids” Then another friend managed to convince me to do the audio book But I’m not “doing” anything different. I wouldn’t want to be disingenuous in that way I’m me, and can’t really do anything other than that. If I’ve got people learning from the videos - great. If people are reassure what is going to happen at their doctors - terrific If people relax when listen then all the better 😊

[@zazollo]

The man, the myth, the legend

[@sentinalno1]

Would an arm wrestle be inappropriate?

[@Cindee-Schnitman]

How about a slap 👋🏻 in the face? “Excellent”

[@daaave2142]

we need Dr Gill to defeat the coronavirus with his almighty paper

[@liamcheeseman5212]

Dr. Gill and a Bit of Paper The greatest duo history has ever seen. Prove me wrong!

[@liamcheeseman5212]

@@user-lg5cq1ch8q totally agreed! 👍

[@erminiodepaolis6577]

​@@liamcheeseman5212😅😊

[@ImaginaryMdA]

I'm very thankful to Dr James for deciding to upload more clinical examinations.

[@plopplop9402]

this guy is a legend and i also recommend checking out his 3 men in a boat story reading i absolutely loved them keep up the good work dr gill :)

[@facundogomez4513]

The master is back!!!

[@JamesCourse66]

I love Doctor Gill. His voice came on but then he started rubbing her hands and I always like “ASMR OVERLOAD.”

[@graemekemp3248]

I like these videos. Would be interested at some point to see a comparison video to see the different checks for someone who does have issues or injuries.

[@DrJamesGill]

there is a difficulty with filming patients. But maybe

[@noel_21]

@@DrJamesGill But you can play pretend, no?

[@cassandramora8459]

I love the way he talks 😍

[@jessmarie525]

Not sure why I’m supposed to watch this, but it’s always nice listening to a cute Brit so okay.

[@ArthurCheesebag84]

You are so gentle and effecient.

[@livingter5079]

y'all here to get them tingles

[@alliecattlopez537]

I'm here for the comment section. Best one on all of KZbin.

[@MisterMythical]

@@alliecattlopez537 soup herb

[@Jamie-bb4wt]

Im here for the first time. YT gave it to me as a suggested video. I was confused; I came in; I was not disappointed.

[@chubberinaWhispers]

The way you say superb is the best

[@DrJamesGill]

terrific comment 😉

[@johnnyswahn3059]

Dr. Gill, you are my absolute favorite !! :)

[@DrJamesGill]

Thank you. Hope you found something useful here

[@allyb.7194]

I apparently sent this to nearly my entire Facebook friends list in my sleep this morning. So.. that's cool.

[@DrJamesGill]

well, I suppose, I should say thank you 😊

[@allyb.7194]

Unconscious Ally is better at social media than awake, conscious Ally it seems.

[@realmofthemadgamer]

@@allyb.7194 I’ve done some interesting shit on my phone while asleep

[@leandrogomes7738]

Brilliant ASMR, congratulations.

[@michaelbacon8698]

I wish you could somehow incorporate paper into all of your examinations!

[@Mrtheunnameable]

Paper in between the fingers makes me anxious about a paper cut.

[@Cindee-Schnitman]

@@Mrtheunnameable I know right 😁

[@CC-jl7jz]

I've never heard of setting an appointment for a hand examination but very relaxing video nevertheless.

[@DrJamesGill]

Very common - people with arthritis, auto immune conditions, injuries. Lots of various reasons people come to the doctor with problems in their hands

[@seanmcnamara2447]

Great video. More please!

[@moukafaslouka4796]

This doctor is the embodiment of unintentional ASMR

[@Wezleechadd1327]

You know you're a proper Dr Gill fan when you start to recognise his patients lol. As soon as I saw her I was like "oh Abbies back" haha

[@225fahimahmmed9]

Thanks for being an inspiration Sir

[@jazmynedeither5989]

My finger got broke today and this was recommended. Wtf

[@massimookissed1023]

Google knows ...

[@MansMan42069]

You: "My finger is broken." Dr. Gill: "Excellent."

[@DrJamesGill]

👍

[@RedditElevate]

The references to the pat la fontaine nerve exam video are so good😂

[@heatheringram6287]

To say this man is good looking, would be an understatement. My lord. Anyway, the Asmr is amazing too...

[@huananina]

I love her orange outfit. It suits her soooo well! ❤

[@Ganjasmith]

This guy saying pitapaper like it’s a thing hahah - smooth criminal

[@casablancasj2570]

6th comment on a Dr Gill video. Feeling very blessed right now.

[@bibimohamed5689]

Doc, good vidoes. Can you please add subtitles explaining what you are looking for in each step? Thanks, keep up the good work!

[@DrJamesGill]

We’ll do one better for film the deep for explaining the steps

[@drewshardlow53]

Hope she doesn’t mind the sandwich breath

[@vik8063]

Ha! I understood that reference

[@vik8063]

@Tam Ere there is another video where a doctor is doing an examination on a man and when he gets close to him he says "i hope you don't mind my sandwich breath" or "excuse my sandwich breath" or something like that. I think that's what I meant. But then again, i left that comment a year ago so.. who knows what I was thinking lol

[@johnnyboy2172]

Dont let me push them down, fightfightfight

[@rses916]

Super relaxing 💆‍♀️

[@johnnyboy2172]

Dont let me push them down

[@Daytonian17]

Cannot believe it’s been 2 years!!

[@RobertShippey]

He has lovely hands

[@madrugadaasmr]

Não entendo nada do que ele fala, mas assisto vários vídeos em sequência

[@scoobertdoo4223]

He ain’t asmr he just polite and quite❤️

[@amazonazapata9424]

It’s like she is star struck...silly grin the whole video

[@JayBeWonky]

Amazona Zapata because it’s THE doctor gill

[@angieestacio6107]

Good doctor good explain

[@davidanderson5310]

All of your exams end with a finding of "nothing wrong". Aside from demonstrations, would you do an exam on someone who has no presenting complaint?

[@DrJamesGill]

Absolutely - patient reviews, which is the next series we’ll be starting

[@josemerino7894]

Amazing dr gill,make more new 2020 videos 💪👌🙏

[@DrJamesGill]

Currently, the medical school is locked, so might be a while before I can complete the examinations

[@josemerino7894]

@@DrJamesGill ok cool,understandable

[@SGWndrWmn1211]

My hands👐🏼 needs a thorough examination...how can i make an appt with Dr.Gil?

[@catherinebisset8870]

Legend.

[@maskedasmr2156]

GETTapittapaypuh - this new remix is awesome.

[@FreedomFighter1759]

"e" - Abbie, 1:24.

[@sarahduclub6008]

Happy belated birthday Amber ✨

[@davidtomkins4242]

he didn't even make any attempt to tell her fortune. what a let down

[@DrJamesGill]

🤣🤣

[@ReoAard]

Thanks

[@jwilliams7713]

What if you can’t press the back of your hands together like this unless your elbows are basically up at your ears? Is that uncommon or an issue?

[@maddieali2865]

I wonder if she knows she’s being touched by a legend

[@dachickenman]

Any double hearing? At some points I hear two Dr. Gills

[@misselvira8369]

I dont know why he came up on my feed maybe ASMR but I have to say he is a gentleman from Victorian London lol

[@smileholicfox]

Well doctors in here never ever ask if its ok to do anything lol

[@ahmeteneren3478]

3:54 Dr. Gill: Chibaku Tensei!

[@sitedrm]

Abbie Tutt is on the verge of corpsing throughout the entire video!

[@bartharris]

Any double vision?

[@airborneSGT]

chevrolet, zebra, and honesty

[@larrymcjones]

The tv, the watch, the book

[@pikamettlight7696]

LMAO

[@johnnyboy2172]

Any double vision...?😜

[@Mr.sensetive]

George Lukas you got younger!

[@DrJamesGill]

🤣

[@emmajeaniebeanie5395]

I have a somewhat random medically-related question: when your reflexes are tested, is your leg or elbow supposed to automatically react? Because I have always had to think about it and said to myself, I’d better react, so that’s when I do. But nothing happens automatically except a slightly weird feeling in the spot that’s being tested.

[@paulwilkins]

The way she rolls her eyes at 0:10 - does she not know she’s in the presence of a god!?

[@ceaserbrown4347]

Just realized that the pitapaper isn't there at the beginning but randomly appears at 2:48.

[@hermanhetherington2473]

Poor Abby, I wonder how many times she's had her identity stolen at this point.

[@TalkieTalkie]

Worth it!

[@ijasahammed8338]

Sir please also do the explanatory videos. Of all your examination

[@DrJamesGill]

They are coming. Was filming the cranial nerves one yesterday

[@ijasahammed8338]

@@DrJamesGill sir thanks for your efforts. Hope I could use your videos for educational. Purposes

[@DrJamesGill]

Ijas Ahammed sure, they are here to help students, if you need to use them in anyway, please feel free 😊

[@ijasahammed8338]

@@DrJamesGill thanks sir.also your approach is very hypnotic

[@erichschmidt8987]

This is actually a try out for a sweat shop in Westhamptonshireville.

[@Triumph-dg4bv]

96, thats four years ago?... wait

[@bighoss7603]

Putabitofpaper

[@jacqo4426]

Can we do this assessment over a phone call doctor?

[@DrJamesGill]

Not really. I can’t see how that would work

[@jacqo4426]

@@DrJamesGill Haha!

[@heatherwilson5043]

What are you saying at 2:07?

[@daniellesworld4491]

If I got this done to my hands, 1 min in I’d be asleep 😂😂😂

[@vitaliykovalev1193]

👍

[@drannikaprestwich3199]

This is like finals flash back..... huuuuuuuuuu!

[@DrJamesGill]

How long have you been lurking here?!? Ladies and gents one of the best junior doctors I ever worked with 👆👆👆

[@drannikaprestwich3199]

Dr James Gill Pfffft. Have you gone to a charm course again, dear...? ;)

[@drannikaprestwich3199]

Also I had THE PROFESSOR OF RHEUMA as my examiner for a bloody RA hand station. Put right into extended for that one ;)

[@DrJamesGill]

DrAnnika Prestwich what do you mean BEEN on a charm course?!? I AM charm personified!! 😎

[@DrJamesGill]

DrAnnika Prestwich oops. I argued that my rheumatoid hands patient, wasn’t actually a presentation of rheumatoid hands, but was Caplan’s disease

[@stevebowldeep69]

I just wish the audio was 4k

[@NotSuheyla]

i would fall in love

[@holobolo1661]

she's a guitarist.

[@DrJamesGill]

I think she did singing actually

[@holobolo1661]

@@DrJamesGill Oh cool. I was guessing because of the longer nails on the right hand.

[@zedosporting]

I can't stand that Abby never has any questions to ask him. The man is a legend, just ask him How he's feeling

[@jaclynrachellec]

I'm only 24 and my hand has begun to swell and has become painful/unusable (I've seen several doctors and a hand surgeon) and I'm beginning to wonder why I was never given a hand exam anything like this?

[@DrJamesGill]

This is the “standard approach” to hand examinations. HOWEVER that doesn’t mean that each element is done in every patient in daily practice. It’s a little bit like driving. Some things happen automatically. Here we’re doing everything very overtly to allow students to observe

[@jaclynrachellec]

Thank you for the reply! (I saw five different doctors and none of them really tested my hand at all (just poked it where it hurts/sticks out and asked for X-rays). I think maybe they just didn't care to test it... To be fair, I couldn't really move it much anyway.)

[@shannonpolice9365]

What was the final diagnosis?

[@jaclynrachellec]

@@shannonpolice9365 I saw a hand surgeon and he said that he thinks I have arthritis,--though he did not elucidate much about which kind or what I should do, or even mention much about the degenerative nature of it. ¯\_(ツ)_/¯

[@dantheguitarist5823]

@@jaclynrachellec Hey!How's the hand?

[@donnyjepp]

3:12 the inverted middle finger lol

[@Zoomy]

It doesn't look like he's searching for anything in particular, so under what circumstances would someone find themselves needing to undergo this particular examination?

[@WhalesInTheClouds]

After a recovery, perhaps? It may be standard practice to make sure nothing healed incorrectly or has resumed hurting after a break or surgery.

[@romrom920]

It would generally be done after surgery or some other kind of recovery, as well as with patients who suffer from diseases which may affect the hands. It could also be done if other issues within the arms or shoulders are detected to ensure that they aren't compromising the hands. In actuality, most doctors will do a shortened version of this exam looking at certain things they suspect might be issues but for the sake of example, he has done a full one.

[@DrJamesGill]

👆

[@johantenhove7770]

Wow! I realized he is not pumping anything out of the hand sanitizer at the beginning of the video! :O

[@eliouus3590]

why is so relaxing i dont understand

[@johnnyboy2172]

Same for me

[@DrJamesGill]

Good education can be a positive experience 😊

[@azure5644]

*Yoshikage Kira intensifies*

[@DrJamesGill]

I dearly hope not!

[@azure5644]

Dr James Gill well, your voice helps me get 8 hours of sleep, no matter what. Your voice is like having a glass of warm milk, and after doing about twenty minutes of stretches before going to bed, I usually have no problems sleeping until morning. Just like a baby, I wake up without any fatigue or stress in the morning.

[@OiRyo7]

3:56 this test. Me, who can't do it after an injury: damn

[@DAlexWhitehead]

“Real tight, like you’ve got soap in them. Don’t let me open them up, fight, fight, fight, fight”

[@johnnyboy2172]

Any double vision?

[@Matt-pu1sn]

Did he check for double vision?

[@johnnyboy2172]

No but you push me down...

[@michaelleeson6789]

We all know her name very well now.

[@Iseeyou-zn9xi]

You were on the island with bear grylls show

[@DrJamesGill]

Yup 😊

[@Iseeyou-zn9xi]

@@DrJamesGill you done fukin brilliant mate well done man

[@pubjubz]

No one: Dr. Kira: