Pregnancy Headache Clinical Exam | Osce Review With Dr. Gill

Pregnancy Headache Clinical Examination - OSCE Revision - Dr Gill
When it comes to headaches, there is perhaps no clinical consultation more frightening to the medical student or junior doctor than the pregnant lady with a headache!
When it comes to pregnancy headaches, you are not merely looking after your patient, the mother, but also your secondary patient of the unborn fetus
It is vital that we exclude dangerous pathologies such as meningitis, pre-eclampsia and raised intracranial pressure, whilst also helping to narrow down the cause of the pregnancy headache - often migraines, tension headache or cluster headaches
But it is also vital that we keep in mind the rare causes which can cause a headache in pregnancy; subarachnoid haemorrhage, CVT, vasoconstriction and ischaemic CVA
--------------
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.
Some people watching this video may experience an ASMR effect
#Pregnancy #DrGill #ClinicalSkills
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 Identification
00:14 - Symptoms and Previous Treatments
07:18 - Physical Examination Overview
07:57 - Blood Pressure Check
09:26 - Eye Examination
10:40 - Neurological and Reflex Tests
12:01 - Sensory Examination
12:36 - Urine Sample Discussion
13:01 - Headache Diagnosis and Recommendations

[@ianmurphy9955]

Dr Bethany is a good sport for going along with helping with content alongside coping with baby Gill's then imminent arrival. Congratulations again both of you.

[@DrJamesGill]

Oh that she certainly was!

[@ianmurphy9955]

@@DrJamesGill That's a supportive partner for sure. I hope she's doing well post pregnancy 🙂

[@srbond]

They are a very cool couple. #relationshipgoals❤

[@kebokev7519]

The wife is a doctor too??

[@danielmoore8953]

I realised Dr Beth changes her birthday every time (probably for reasons of privacy) and has so far ranged from 25 to 32 years of age!

[@DrJamesGill]

Everyone in the videos is advised not to use their genuine DOB,

[@alice.s.m.6482]

Her job also changed!

[@bethp311]

Can we blame baby brain? 🧠

[@richc8413]

I was about to say check out Dr Gill with his 25 year old partner! 😂 Fantastic content as always

[@Cindee-Schnitman]

@@DrJamesGillDoes Abbie Tutt use her real birthday? She’s been in numerous videos: which we all love 😉

[@chadsmith1200]

Dr. Gill does not need to apologize to his wife for his sandwich breath. One of the perks of being married.

[@gmc9451]

That video is an asmr classic.

[@Cindee-Schnitman]

@@gmc9451all of us ASMR nerds watch the same videos 😂😂 I love it

[@user-tb2wz1tr8y]

@@gmc9451 Indeed it is, as are many of Dr. Gill's presentations. But I cannot count how many references to "sandwich breath" occur in different videos. It's hysterical.

[@NativeWarrior88]

I love this! Homage to Dr Kelly.

[@mango2538]

Dr kelly is an asmr goat

[@avocadotoast9489]

I just want to say you have consistently made excellent content and i appreciate you. I know doctors work a crazy amount of hours, and for you guys to also be content creators is simply incredible. Congratulations on baby Gill!

[@DrJamesGill]

I appreciate that! The medical education is a big part of my world, and being able to recreate actually helps keep my head stable. Thank you 😊

[@therpderp]

I could never get into the mindset of repeating questions of which I already know the answer to, so watching this, knowing that you are well aware of the answers to what you're asking but being able to still act it out for the camera is astonishing to me. And, of course, they are very interesting to watch, even if I have 0 plans to enter the medical field.

[@MarkGarza94]

9:52 the ophthalmological exam. My favorite part in the video. Makes me so sleepy. 😴💤

[@jonofitz11]

Enjoyed the glance at the camera during the prolonged silence

[@ARO323]

Came here to say this lol

[@chumbawumba5486]

Love to see how well everything is coming along so well. You guys are going to be amazing parents

[@marcelodrummond8906]

Dr gil is an ASMR legend.

[@gdoy5061]

Congratulations to you both! I'm sure baby Gill will be very well loved and cared for! Good luck to you!

[@TLk36]

Hes finnaly said lovely and floppy i never thought id see the day dr gill would say that the doctor asmr multiverse confirmed we need a colab with dr hollie berry in all honestly truly an amazing human i love the way you keep to making sure the content is based fully on medical student but have manged to make production all anout asmr also may i ask when will you be bringing back your book reading videos

[@andreycalvogomez4024]

Y a ese baby que viene en camino Dios los bendiga a los del vídeo y al mundo entero que amamos gracias por tanto amor bendiciones y cuidarnos de todo mal a los que amamos el mundo entero gracias por tanto amor❤

[@hayleystower]

Hi Dr Gill. I watch your videos both for information and ASMR purposes. I was wondering, will you be making any videos relating to babies/child conditions such as bronchiolitis (which my little one has had twice recently), such as what helps or doesn't help and what causes it in the first place 😊 A child series would be super helpful

[@DrJamesGill]

That will be coming 😊

[@mclara8451]

Thank you so much for that video! I am currently on my ob gyn internship on my university and this video came in the exact at the right time! Love this channel!

[@DrJamesGill]

Glad it was helpful!

[@one_bad_mofo8658]

Congrats you two! Been watching you for so long the idea you being a dad blows my mind lol Be blessed!

[@ChristIsLord247]

I had a preeclampsia headache with my middle daughter. It came on suddenly and was massively intense. Luckily it happed during a stress test at my drs off so when I screamed, not meaning to, off of the sudden pain my dr was right there and after checking my blood pressure said lets go have a baby. She was very calm they gave me something to bring my blood pressure down which helped with my head. Not a situation I recommend. Oh my that hurt. That whole pregnancy was awful. 10 weeks of strict bed rest

[@DrJamesGill]

That sounds very unfortunate. I hope all was ok in the end?

[@ChristIsLord247]

​@@DrJamesGilloh yeah. We had a C-section, she was frank breach anyway and upon examination I was already 4 centimeters dilated. I was 37 weeks pregnant. She is now a beautiful happy healthy 10 year old. The funny thing is a year later I got pregnant with my youngest and outside of a little bleeding in the beginning that pregnancy was so simple. Outside of getting bigger I wouldn't have known I was pregnant. Morning sickness was extremely mild and short lived. No emotional rollercoasters, no preterm labor. In fact I ended up being induced TWICE! I didn't want a C-section again so when the first induction didn't work at 40+3 weeks I convinced them to let me go home since my water hadn't broken. I was induced again at 42 weeks and that did it. So interesting how each pregnancy can be so very different. My first pregnancy was easy till it wasn't as well. I ended up going into preterm labor and having my oldest at 32 weeks. But yeah that headache was just awful. I knew what was happening, I was terrified of having a stroke. But my Dr was so calm.

[@helenhucker346]

Excellent video and congratulations to you both on the birth of your son. Towards the end if my second pregnancy some protein was found in my urine however the Consultant was unconcerned and said that he probably had protein in his urine occasionally so it was nothing to worry about! Reassuringly everything continued as normal and I delivered a healthy baby boy a few weeks later.

[@user-rl7fl9uc4i]

All the best to you both with the pregnancy!

[@thedrawback3855]

It must be incredibly hard to keep serious, straight faces when you're doing role-plays as a couple.

[@DrJamesGill]

It can be, but thankfully this one was easier to edit

[@mattkevlarlarock5469]

Great video. Congratulations! I didn't know you were about to become parents.

[@416club]

I think we all know by now that Dr Gill is the best asmr speaker of all time without even trying, man don't even put asmr in his videos,TOP G 😂

[@zacharybartz7453]

Something about her accent and voice is so very soothing.

[@DemeterTelphousia-Erinyes]

What a lovely video- congratulations to you both.

[@DrJamesGill]

👍

[@checkmecare]

[@JointSnipe]

3:24 HA! Only Dr. Gill knows what was said in that moment right before the cut, only for Bethany to re-appear with a smile on her face. My imagination took care of some of the options there. Love it. I would love to be in that room, silently enjoying the banter that no doubt ensues, all we get is the smug smile from Bethany after every cut. hahaha

[@josemerino7894]

The 🐐 of doctors n ASMR 😅💯✔️🙏🏼💪🔥👍

[@checkmecare]

Thank you for the valuable information.

[@DrJamesGill]

👍

[@harleymendez3968]

Wholesome and informative. Congrats.

[@DrJamesGill]

Glad it was helpful!

[@Cindee-Schnitman]

@@DrJamesGillAny day now: baby time 😊😊 how exciting for you both. 😇

[@victorlwd]

congrats on having the baby

[@Phoenalix]

I hope Dr. Beth gets spoiled rotten after this. Hahaha she’s a good sport

[@DrJamesGill]

Priority number 1 is ALWAYS “Protect the Beth”

[@azureskyes6460]

Very informative, even if im not a doctor myself Love your videos ❤

[@DrJamesGill]

Glad you like them!

[@ABritishBoyAndAFilipina]

Made me laugh when he looked at camera when the silence during blood pressure haha

[@drehansen]

Dr Gill, I suggest you could be the patient in a future video, that would be interesting to see..!

[@TheRealHousewifeOfASMR]

i wish i could find a Dr who actually cared to make sure i’m okay. i had debilitating headaches during my pregnancy. literally only got them during pregnancy and they’d hit me in the afternoon. i’d be in so much pain for hours and my OB was just like “oh yeah that’s normal drink water take tylenol”

[@Gravedigger933]

The videos with Beth are the best ones yet. At leas in my opinion.

[@holeymcsockpuppet]

Yay! Doctor Gill said "floppy"!!!

[@brandonmoucatel9630]

Nice g

[@haqatak23]

That hello was unusually high pitched. But then he went back to normal.

[@RehabilitationPlovdiv]

Hello, thank you for the effort to make this video and share it with us. Would you be so kind to answer a question. Why did you not assess the upper cervical movements?

[@DrJamesGill]

Fair point. I probably would have if the patient had highlighted symptoms that made me think that way. But it certainly could have been done for completeness

[@17_Plaa]

Hi Dr Gill! First of all, sorry for bothering you in advance. I just wanted to ask if you could you make a small video talking about CBD and it's effects in parkinson patients. A family member is going through it right now, and many people suggested that CBD oil could help to manage the symptoms, since we are not very sure about it, would be helpful and also interesting! Hope this comment reaches you :)! Regards.

[@ultimacj]

Gill hooked up with a cute nerdy gal. Lucky guy. Thumbs up.

[@poopsled]

As always great video and congratulations on your little Gill! Perhaps I've missed it in another video but is Beth a Doc as well?

[@DrJamesGill]

Yes she is 😊

[@poopsled]

@DrJamesGill that's so cool. What's her specialty? We ever going to get a video with you as the guinea pig?

[@bethp311]

I doubt it. Dr Beth is a gynaecology trainee!

[@poopsled]

@bethp311 lol, would make for an interesting video if nothing else then 😅

[@jasmine92mabry89]

Rumor has it Dr. Gill got his wife pregnant for pregnancy video content.. we love man dedicated to his craft! LOL jk! congrats

[@andrewgonzales589]

Hey Dr. Gill, outside of your storybook audios, do you ever do anything in your videos to slightly cater to your considerable ASMR fan base?

[@diariodousineiro]

I'm already coming to Brazil, doctor?

[@Kkerr430]

Hi, any contact with Aiden Cross?

[@adentzya]

I'm curious, as you stated it was very important, what is the concern of headaches waking you up?

[@BradLad56]

I don't know why but it took me a second to twig that it was your wife lol

[@sebita7z]

congrats on the baby! 🎉

[@Omni315]

10:42 what's the arm tugging test called? Sorry if you said and i missed it

[@DrJamesGill]

Checking power and tone

[@mallclaude1949]

I'm shure James is not far away from being the source of her headaches...:)

[@DrJamesGill]

Very true😂

[@LizaPersson]

Would it be possible to add short comments about what the different questions and procedures aim at checking for? I am absolutely not wanting to add to your workloads, and I imagine that these videos are primarily for medical students and practitioners, but I still wanted to ask because I would love to know why you ask about whether her headache gets worse when she's tying her shoes, or what frothing urine might indicate. Again, this is not at all something you need to do anything about. It's just a thought

[@DrJamesGill]

That is the plan, video 1 is always the demonstration and video 2 is the explanation😊

[@LizaPersson]

@@DrJamesGill Really!? Wow, then I need to go over your video library! Thank you!

[@DrJamesGill]

Video 2 for this isn’t up yet. There is a playlist “medicine explained” I think that is what you are looking for 😊

[@Albert-Arthur-Wison225]

1998 ! Oh my,..I’m a fossil ! A relic ! The scrapings from an Old Kingdom tomb !

[@francmaurer3036]

👍👍👍👍

[@matthewcampbell9490]

Dr.: you forgot to apologize for your sandwich breath

[@TheTruthWholeTruthNothingButTh]

Hole in the tooth allowing food to go up into the gums maybe?

[@ChrisStumer]

Any sudden, severe headache or change in the pattern of headaches warrants an immediate medical opinion, especially if it comes on like a thunderclap.

[@DrJamesGill]

100% - only last week I’m aware of a patient who ended up in ITU due to new change in headache

[@ChrisStumer]

@DrJamesGill My mum was getting severe headaches, and the first hospital she was sent to sent her home again, and it turned out that it was a ruptured brain aneurysm. There was nothing they could do at the second hospital she went to.

[@Cindee-Schnitman]

@@DrJamesGilloh wow 😮

[@kellyinawheeliebin9096]

The look at the camera when the sphygnomemoter is taking its sweet time 🤣 9:07

[@andreycalvogomez4024]

God bless You and World y a los que amamos el mundo entero bendicioness gracias por tanto amor orar por los que amamos el mundo entero que amamos y cuidarnos de todo mal amén bendiciones ❤❤

[@AquilaTheHun]

4x2 paracetamol for a pregnant woman? 😮 I know in the UK people use paracetamol for everything they eat it as peanuts but... Isn't it known as the effective dose very close to the hepatotoxic dose? 🤔

[@DrJamesGill]

Not really no. Paracetamol at that dose is safe as houses, as someone can use that dose for YEARS and no problems.

[@DrJamesGill]

However 10 tablets a day… for a month can kill

[@DrJamesGill]

I think of it as speed limits. Doing 40mph in a 40mph, is completely fine. Doing 50mph in a 40mph and I’m in a lot of trouble

[@AquilaTheHun]

@@DrJamesGill But there are less dodgy substances around, aren't there? For instance, I personally use metamizole (marketed here as Algopyrin) for less severe pain and fever, works fine. It's a non-NSAID and it's been around for nearly a century now, has to be safe. Mind you, I am very (over--?) cautious about pharmaceuticals, resort to them only if inevitable and in the smallest effective dose.

[@HarleyInDamn]

She said she was born 1996 in the video before...

[@thesavagesoutherner]

I see comments saying your wife is a Dr as well? If thats the case, then I feel bad for your children! They'll never be able to fake a sickness to get out of school! Haha.

[@leideningrid]

I had a headache for 3 days that wouldn’t go. Symptom of gestational diabetes 🤦‍♀️

[@diariodousineiro]

Which UK university did you study to become a doctor?

[@DrJamesGill]

Warwick

[@cranos96]

Fra chist è ASMR, jamm a vrè

[@DrJamesGill]

👍

[@eznf98]

Having your wife pregnant probably is why you decided to make about pregnancy Its interesting to watch all the videos

[@DrJamesGill]

Maybe I just needed a way to do pregnancy videos 😂

[@eznf98]

@@DrJamesGill hope you didn't tell her that 😂😂

[@markhorsburgh]

I imagine this is what lead to her getting pregnant in the first place haha

[@fathq6385]

hola

[@DrJamesGill]

👍

[@tichyedge]

Have you ever tried to solve a Rubric's cube and it just doesn't, go the way you want it..

[@DrJamesGill]

actually I've never been able to solve one!

[@joeg19]

9:07 lmao

[@hand587]

So you're husband and wife, so you could say you're a pair of Gills 🐟😁

[@DrJamesGill]

hahahahah honestly , that is the first time that joke has been made - I like it!

[@X-13-X]

Would his sandwich breath affect the baby?

[@aeward1982]

She's never 25! More 30s isn't she?

[@TheInselaffen]

I doubt your veracity!

[@DrJamesGill]

Not her real DOB, so who knows 🫢

[@bethp311]

Firstly. How dare you. 😂

[@aeward1982]

@@bethp311 haha I didn't mean you looked old.. But I'm sure you're wiser than 25.❤️

[@glenndoleberry8418]

I thought women claimed HEAFACHES AFTER the baby is born 😂😂😂😂just an old marriage joke

[@longjohndelaney6183]

Wait.. so the doctōr impregnated the patient? Seems inappropriate

[@tonyt4687]

Not suprised she had a tension headache she was stiff and tense for the whole exam lol learn to relax love 😂

[@rugersoldier]

I have a head ache and came to hear ur amazing asmr voice.

[@DrJamesGill]

👍

[@envirogeologist5940]

She is brilliant and adorable.

[@416club]

I think we all know by now that Dr Gill is the best asmr speaker of all time without even trying, man don't even put asmr in his videos,TOP G 😂

[@416club]

I think we all know by now that Dr Gill is the best asmr speaker of all time without even trying, man don't even put asmr in his videos,TOP G 😂