Lower Limb Neurological Examination - Clinical Skills - Dr Gill

Lower Limb Neurological Examination - Clinical Skills - Dr Gill
Often neurological issues will affect the limbs, so the "complete" neuro examination can be considered to be split into three sections:
- The Cranial Nerve Examination
- The Upper Limb Neurological Examination
- The Lower Limb Neurological Examination
Today we follow the Appearance, Tone, Power, Reflexes, Sensation and Coordination approach to the neuro exam for the lower limbs
Some people watching this video may experience an ASMR type phenomenon
#clinicalskills #ASMR #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 Examination Overview
00:46 - Walking and Gait Analysis
02:14 - Appearance: Observing the Lower Limbs
02:25 - Tone: Muscle Tone Testing
03:04 - Power: Muscle Strength Assessment
04:26 - Sensory Examination
06:21 - Proprioception Testing
07:00 - Coordination Checks
07:38 - Reflexes: Knee and Ankle Testing
08:23 - Balance: Romberg's Test
09:17 - Conclusion

[@waffleox]

The magicly appearing and disappearing socks

[@DrJamesGill]

Shhhhhhhh

[@matthewrayner11]

Haha I noticed that too! 😂 miracles really do happen!

[@grf15]

You beat me to it!

[@gabrielesimionato1210]

When such things happen, it's a doing of a wizard. But I must acknowledge it was tooooo much intentional, this has to be another little joke from our beloved doctor

[@michellemackenzie8724]

I only have the disappearing variety 😂

[@malteschaper3782]

Time and time again Dr. Gill blows his patients socks off...

[@shadey7277]

Yup. This one wins it for me

[@user-uq7tv8nj9b]

Yes 😂😂

[@jonahblock]

Props being being the only guy to still be putting out real exams instead of asmr bait

[@LadyMephistopheles]

Those were never meant to be ASMR unlike a lot of other videos on the platform. That's just a side effect ;)

[@NewCandyCane]

A very pleasant side effect ​@@LadyMephistopheles

[@bartparet]

And just because that’s not the real purpose it makes it even better 🤓

[@k1ng0fqu33n5]

@@bartparet Indeed. Unintentional ASMR is the best.

[@roland969]

The best part about these videos is that they actualy show real a real doctor working and the ""ASMR"" is just a side effect. And yes the ✨️magic✨️ socks 😂

[@annaagapova3583]

He is a real doctor.

[@AbeLuvsTheatres]

SRP is the same. He’s an actual optometrist with a practice and he creates quality content as well! Love both Dr Gill and SRP!

[@markmcdonnell]

Love that the opening 4 comments are about what we all noticed... The sock conspiracy 😅😂

[@Omni315]

I'm just waiting for the next arm exam and he makes the socks appear and disappear for a laugh

[@turtlesallthewaydown8831]

The truth is out there!

[@teddownum7428]

At this point, Megan Strothers must be the most thoroughly examined person in the West Midlands region. She is certainly a very good sport. (Thank you, Doctor, for another excellent video.)

[@pumpkinknight5732]

"Your body's ability to determine where it is spatially is based on your vision, foot placement, and inner ear. We've removed your vision for this one... excellent, now we're going to remove your feet..."

[@smo0ve209]

Seems a little harsh, doesn’t it?

[@pumpkinknight5732]

@@smo0ve209 Science is a demanding mistress.

[@yousra4770]

You're funny ​@@pumpkinknight5732

[@ProperSauce]

Megan demonstrating being an excellent patient!

[@timmysamecphd]

Dr. Gill, not sure if you’ve ever considered it, but I’d be interested in videos covering some of the latest medical journal publications you’ve found interesting. Almost like a mini review lecture! Anyone else?

[@Caltash]

Yay our Dynamic Duo!

[@I666U]

Thanks Dr. G, always the best.

[@christian7061]

Amazing work from both of you

[@ViceroyIcarus]

Big help! Thank you!!!

[@jjar2561]

I could make something of the sock-related continuity errors but I won't. Another great vid

[@kylegross9923]

It’s like a thing now with the socks. I think he does it on purpose to mess with us.

[@brianinc9294]

Super Doctor, Super Patient.

[@siriusphantom]

Thanks.This is gonna be a big help for me in the coming exam weeks

[@DrJamesGill]

Best of luck!

[@samir5118]

I enjoyed watching thanks dokter

[@RockyTopSplash]

The purell placement is always spot on!!

[@Ricodon2121]

Very professional examination

[@michellesupper1303]

:-) the sock discontinuity is absolutely charming

[@gtafans93]

We’ve all been there with continuity. It’s fine.

[@zoefofo7769]

Very relaxing

[@TenkoBerry]

This be Good Keep It Up Doctor 👍

[@ladynotron8304]

This is one of dan shnider's favorite video

[@benjaamin]

Nice to see Quentin Tarantino was directing this one 🤠

[@uhejnjd]

One thing I enjoyed was that during the 30 seconds of her standing with her eyes closed, he just was talking to fill the silence and went for the 30 seconds. He easily could have done it for 5-10 seconds, or did a fast forward in editing but talking about the subject during the 30 seconds was really good.

[@thatleeburton]

The option to say "lovely and floppy" was missed 😢

[@palimpalim.411]

magic socks✨

[@MEATHOOKMANOR]

Could we get an Avascular Necrosis of the hip exam? I was diagnosed with it after an MRI came back positive and walking is unbearable and my gait is off and painfull. My right leg has lost length due to the flattening of the femur and loss of cartiledge. Please could you do a video? Thank you.

[@phils1018]

Gill!!!!!❤

[@nnhk0056]

I enjoyed this field sobriety test

[@omartorres5626]

Yeah I was like got to make sure she not under the influence during the test

[@andyk9414]

I'm off for a glass of water now and I have my fingers crossed for a wonderful response

[@X-13-X]

Check if your legs are the same length afterwards.

[@andyk9414]

@@X-13-X by eye the left is about ¼ inch shorter than the right

[@ericpiacenti9610]

…….and god is working through me………

[@TheTattedGinger]

Hi doctor Gill. I've been diagnosed with FND ( functional neurological disorder ) i'm awaiting my next GP appointment for treatment. I'm just after information to ease the episodes... Also, just any professional information about the disorder really, so I'm not relying on googled information.

[@markmccallum475]

This Roadhouse remake is different to what I expected.

[@turtlesallthewaydown8831]

Much, much shorter and almost no punching.

[@guilhermenunes4275]

She's more gorgeous every video ❤

[@ars4455]

Megan is my fav

[@StephEGroff]

The socks are easily the best part 🥰 another lovely video!

[@omartorres5626]

🤨

[@standol]

Do Megan Strugles ?

[@Wintersky136]

Megan superenjoyed that one 😂😅

[@JulyFourth1776]

7:47 Dr. Gill, I finally got myself a queen square reflex hammer. Its way better than the other variants!

[@DrJamesGill]

They are certainly much easier to use. But I tend to use the Taylor hammer in clinic

[@HighlandsLuke]

The depressing thing is I remember your first videos the students dob was similar to mine

[@rebelmc33]

Would it be possible to do some videos on mental health such as early dementia signs, F.A.S.T test, PTSD, Autism in younger patients, Parkinson's patient care?

[@vince9292]

Why do you confirm the touch of the soft and blunt objects in the neck?

[@DrJamesGill]

Because patients with peripheral neuropathy should still retain sensation at the trunk. So it’s a baseline chekc

[@bennisbranch6976]

Dr. Gill! What brand are your glasses?

[@DrJamesGill]

Specsavers

[@rodneyboulton6410]

I'm just waiting for the day when someone does have questions at the end of the video

[@ericwalstrand3512]

I'm just waiting for the doctor to find something that's concerning and give a referral to a specialist.

[@starfishgurl1984]

I love videos like this where people walk so effortlessly and easily, lol, you can tell I don’t in comparison very obviously thanks to hereditary joint problems, plantar fasciitis in my left foot, and proprioception issues, I’m often all over the place as a result of those and so jealous of people who can easily walk straight 😂😂😂.

[@tinysnapz6499]

This new better call Saul episode is great

[@derrickw5204]

1:36 That's part of the standard DUI Field Sobriety Test here in the United States .

[@misunderstoodcomedian947]

most magical socks ive ever seen. love this guys videos. with her being my fav patient she is so pretty but those feet def need some TLC and a pedi ASAP

[@benjaminthishandleistaken]

This video completely socks!

[@dmkoz1665]

People don't realise is when he moved those toes that he was actually entering a cheat code.

[@MoefoeAhole-gy9vd]

I AGREE 😉 FANTASTIC!!

[@Gooner333333333]

What sports does she do?

[@chadsmith1200]

Can someone please tell me what video the gone red in the face, embarrassed is all about? Is there a link to the video? Is it a Dr. Gill video or some other doctor?

[@piotr8264]

It's the same video as the sandwich breath guy, I don't remember the name but you should find it by looking for sandwich breath

[@Guildforsucks]

Dr James Kelly

[@chadsmith1200]

@@piotr8264oh okay, I've seen that video before. I must have missed that part or didn't get that far or something. Thank you.

[@vjr4763]

Someone ought to write a children's book: "Megan and Her Magic Socks". She also magically goes between crossed arms and hands-folded with interlocking fingers!

[@mattiaspersson3846]

I'm a little odd... But your videos helps me to relax when I have trouble sleeping. It's something with your calm voice I think... :) So thanks.

[@r.h.0101]

yup

[@rankinspurff3431]

Abracadabra Scooby Doo ....Holy moly...you blew my socks away

[@Bad_Wolf788]

The continuity with socks, no socks is really distracting

[@shadey7277]

I am adamant the socks thing was on purpose 😂

[@ProperSauce]

The closeup view of the feet using an x-ray camera

[@luked5001]

Post instructional compliment final boss

[@maetalica]

Schrödinger's socks!

[@DrJamesGill]

😂

[@andrewmcdonald481]

No sandwich breath

[@aj_aka_alan]

Sucks when you need two angles of film, but you only have one camera and you forget if you used socks or not.

[@hazelnicholson]

You reused a shot of you using hand gel from another video as your ophthalmoscope was next to it in that shot but not present in any other shot 😄

[@DrJamesGill]

True, forgot to record the fresh on this time

[@boskabiker]

I didn't notice either of them getting red in the face... 😂

[@avocadotoast9489]

With that videotape

[@EuanBCFC]

I honestly didn’t notice sock-gate until I came to the comments, I’m not sure what that says about me…

[@lolololollo5377]

You would be calm in a storm, but you shouldn't be alone when hiking.

[@chrisrearick6120]

Same. But in my defense, I usually just listen as I go to sleep. 😂

[@iliutacristian8322]

The socks are a paid actor!

[@samc784]

Love the sock trick

[@amandajay9058]

You guys need to clean that opening out with Chlorhexadine ASAP, so infection doesn't start!

[@DrJamesGill]

??

[@hugheszie]

It’s always a good sign if you know the location of your toe in time and space.

[@erikmaster3]

What’s up with the socks

[@gabrielesimionato1210]

0:15 22nd February is as suspicious as 1st January, but let's sink that. Loved the video, as usual

[@christian0405]

Why suspicious?

[@ShinigamiAUS]

bro that whack with the tuning fork had to have hurt, goddamn

[@user-wv1ww6ii6s]

Some say the socks are still airborne

[@datboibobby7637]

“Yep. Yep. Yep. Yep”

[@yidarmy123]

I always accuse my dog of stealing my socks. But since watching this video maybe his excuse of the self disappearing socks is valid.

[@Vibemaker68]

Luckily at 4:45 the space time continuum is restored

[@davefeeley1]

Dr. G not holding back with the tuning fork. Forearms of STEEL.

[@dobryisamolet]

За много времени у Dr Hollie Berry появился конкурент, в asmr

[@canadiankid42]

"No it's not ok, Dr Gill"

[@connorcosgrove2240]

I do want to mention that you forgot to check the babinski response when you did the reflexes

[@DrJamesGill]

Unfortunately it is one of the things I recorded…but now realise it was not included! Doh!

[@vjr4763]

What did Megan say was wrong with her leg at 0:38?

[@macaconoturno4843]

"I got a bit of a painful foot"

[@FursAndMasksMusic]

What the heck is papal foot?

[@khayyamkhan7794]

I wish I had those socks

[@mkotechno3972]

Hope you find Red John soon

[@DrJamesGill]

?

[@ML-jk4dg]

@@DrJamesGillI think it is because you remind him of Patrick Jane, a character from the Mentalist, whose main goal is to capture Red John

[@DrJamesGill]

@ML-jk4dg I started to watch that series, but didn’t get sucked in far enough.

[@k-asmr4248]

Bad thing about these videos is that when I go to the doctor I either get really sleepy...or find myself mentally criticizing the examination.

[@bgg5090]

2:03 Oh snap. I bet he's getting an easy 'yes' there.

[@Gmc833]

“Just going toputabitofpaper on your feet”

[@leee3760]

UK: America: that'll be $978 with insurance

[@johnbeans2000]

5:58 that sounded like it hurt! Doc, admit it here... you smacked yourself harder than you thought and had to keep face!?😂

[@ericwalstrand3512]

Is this The Ministry of Silly Walks?

[@DrJamesGill]

No, tis but a flesh wound

[@kaleta036]

5:42 shatters wrist bone

[@gabrielesimionato1210]

Aka legs

[@arnaldofernandez]

Why some people have the soles of their feet that yellow?

[@Aguseze39]

You are very handsome Doc!!

[@SAABTURBO1986]

No babinski?

[@joribremer5260]

Yerr a wizard James 😂