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

Ankle Brachial Index - How to Assess the Ankle Brachial Pressure Index - Clinical Skills - Dr Gill
When it comes to assessing peripheral arterial disease, or diabetic feet, the ABPI assessment is a core clinical skills
In a nutshell, the ABPI allows you to determine if intermittent claudication is due to PAD, if you calculate a ratio of less than 0.9 of the ankle pressure divided by the pressure at the arm.
This video demonstrates how to perform an Ankle Brachial Index test
The test is performed with a simple handheld Doppler and a blood pressure cuff, taking measurements at the ankle and arm.
#drgill #clinicalskills #osce
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 & Purpose of ABPI
00:26 - Test Procedure Explanation
00:43 - Blood Pressure Measurement on Arms
02:49 - Assessing Ankle Pulses
03:20 - Using Doppler Probe for Ankle Blood Pressure
04:28 - Doppler Measurement on Dorsalis Pedis Artery
05:01 - Repeating Procedure on Opposite Leg
06:47 - Conclusion

[@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!

[@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.

[@sethdaniel1115]

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

[@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!

[@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.

[@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.

[@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 😊

[@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!

[@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.

[@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!

[@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

[@yeetskeet1581]

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

[@LeAnnASMR_]

your voice is so soothing ✨

[@MMALineMover]

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

[@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, 😊

[@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]

👍

[@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!

[@RNScrub]

good simple video

[@DrJamesGill]

Although surprisingly a challenging to film - easily 2 hrs!

[@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.

[@AL-jo2vp]

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

[@janclierinck]

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

[@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

[@TheCmoney84]

My doc never did this for me in the states 😢

[@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 …

[@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

[@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.

[@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

[@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

[@Billy-dj8zw]

The boy patient looks bewildered.

[@josemerino7894]

NYC WASHINGTON HEIGHTS IN THE BUILDING🔥💪💯♨️

[@ballbag]

Born in 2000 😂

[@learicist]

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

[@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 😊

[@madarab37]

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

[@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

[@garfunky2]

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

[@AgentDenton2000]

👍

[@DrJamesGill]

👍

[@28loss]

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

[@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

[@antoinehunter3776]

Detroit in the building!!

[@Billy-dj8zw]

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

[@user-ls9sv7by9k]

asmr

[@Joshgilly94]

Those fetal heart tones are quite slow