Digital Rectal Examination (DRE) - Clinical Skills - Dr Gill

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Dr James Gill

Dr James Gill

Күн бұрын

Digital Rectal Examination (DRE) - Clinical Skills - Dr Gill
The Rectal Examination or digital rectal exam (DRE) is a vitally important clinical skill - as part of abdominal, neurological and GUM clinical examinations
Often at Medical School, the rectal exam is a very difficult clinical skill to teach practically as a result it is often left to academic study. As a result, it is a medical examination which students are often quite anxious about when asked to perform on the wards - both due to their original exposure, but also lack of revision opportunities
Limbs and Things, have a range of products which enable the simulated practice of intimate examinations - such as the rectal examination - although it is worthwhile highlighting the that digital rectal exam (DRE) is often incorrectly termed "a PR" where PR stands for per rectum - literally meaning "by rectum" and thus should be recognised as an administration approach, not a medical examination
This video reviews the anal, rectal and prostate exam, as well as reviewing potential pathologies of the prostate.
#RectalExamination #ClinicalSkills #DrJamesGill
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 - Overview of Examination and Patient Consent
01:15 - Importance of a Chaperone
02:08 - Preparing for the Examination
03:37 - Patient Positioning
04:05 - Checking for Anomalies
04:32 - Performing the Examination
05:55 - Visualising the Examination
06:35 - Post-Examination Procedure and Patient Care
07:15 - Closing Remarks

Пікірлер: 235
@luizvictor1417
@luizvictor1417 Ай бұрын
because of this video that I remembered that you make informational videos for health professionals and I'm the weird one that watches cranial nerve exams to sleep... with that said, you do an amazing job at both :)
@TheOneMatt91
@TheOneMatt91 Ай бұрын
Same Hahaha
@debido2u
@debido2u 27 күн бұрын
Seriously! I think it’s his voice. He has a beautiful voice. I haven’t yet figured it out. But by what has been said. I do believe soothing would not be far off ✌🏻🫶🏻
@pigmanpower1628
@pigmanpower1628 Ай бұрын
im happy you didn't shy away from making this informative video
@DrJamesGill
@DrJamesGill Ай бұрын
I try - we teach the student’s to include or offer a DRE and these sorts of trainers are rhetorical best way for them to learn
@robotlegs
@robotlegs Ай бұрын
Extremely brave to leave the comments on. And so far pretty tame...
@timnoko3588
@timnoko3588 Ай бұрын
Looks like the "Men of culture" aren't interested in this. I wonder why?
@mudgie0205
@mudgie0205 Ай бұрын
@@timnoko3588gheyyyy
@nateniemi
@nateniemi Ай бұрын
Usually, his comment section is full of pleasant; grateful people. His approach to things would probably make people not want to leave lewd or rude comments anyway. Dr. James Gill; the king of calmly describing medical exams and conditions in a caring manner. This king is also great at describing what they look for when doing exams and explaining medical terminology. People seem to respect him greatly.
@gachamansama3703
@gachamansama3703 15 күн бұрын
​@@timnoko3588 cause is ghey
@TheAlumic
@TheAlumic Ай бұрын
Well. That’s not a video i was expecting.
@Honestly_take_the_hint
@Honestly_take_the_hint Ай бұрын
Not expecting but appreciate all the same as we learn all things medical
@TheAlumic
@TheAlumic Ай бұрын
@@Honestly_take_the_hint Yes of course!
@UCONN_HUSKIES
@UCONN_HUSKIES Ай бұрын
This is very important to us men.
@kareemali1742
@kareemali1742 Ай бұрын
Dr gill didn’t have any volunteers for this video
@lucaalberici7610
@lucaalberici7610 Ай бұрын
But it is the one we need.
@PosaPunto
@PosaPunto Ай бұрын
I'm not a men or a doctor, idk why I'm here. I just saw a Dr. Gill video drop and automatically clicked.
@jdos5643
@jdos5643 25 күн бұрын
Ok but don’t woman get this too?
@PosaPunto
@PosaPunto 25 күн бұрын
@@jdos5643 Umm no. Women don't have a prostate 😂
@WHOKAY25
@WHOKAY25 Ай бұрын
Real credit to the modellers of Limbs and Things!
@DrJamesGill
@DrJamesGill Ай бұрын
Oh they make fantastic learning tools!!
@Honestly_take_the_hint
@Honestly_take_the_hint Ай бұрын
@@DrJamesGillmay I ask where the best medical mannequins are from ? I’m currently learning administration of PRN medications, in particular suppositories and training aids would greatly improve understanding. Sadly my provider unfortunately doesn’t posses such training aids
@EmmaT27
@EmmaT27 Ай бұрын
It's not the most fun examination to have, but it could be life-saving, so it's extremely important!
@tommac21
@tommac21 27 күн бұрын
It's the most unnecessary exam. No frigging way !!
@FruitiestSushi
@FruitiestSushi 26 күн бұрын
@@tommac21better hope you don’t get prostate cancer then
@lienbijs1205
@lienbijs1205 26 күн бұрын
​@@FruitiestSushiOr rectal cancer.
@user-cv2xz9od7h
@user-cv2xz9od7h 21 күн бұрын
Oke
@user-cv2xz9od7h
@user-cv2xz9od7h 21 күн бұрын
​@@tommac21dok tor
@librepenseur2934
@librepenseur2934 Ай бұрын
this video is also very important for the patients: knowing what to expect, and reminding them how professional this gesture is.
@tommac21
@tommac21 27 күн бұрын
Well as a 58 year old male. I still expect and will keep my pants buckled
@The-Wandering_Cynic
@The-Wandering_Cynic Ай бұрын
First thumbnail I see in the morning, incredible
@wolfmoon5720
@wolfmoon5720 Ай бұрын
I’ve had a few of these, I usually decline a chaperone when it’s my usual doctor but I’ve since realised how the chaperone is reassuring and important for the doctor as well so next time I would probably agree for his sake as well!
@wolfmoon5720
@wolfmoon5720 Ай бұрын
I’m personally not bothered but you do also have to consider that for many patients who find the courage to talk about problems that require such an examination, the thought of more people witnessing it than what they felt is “necessary” can put them off wanting a chaperone. I think the doctor shouldn’t offer then say no I won’t do the exam if you say no. Because then it can feel like you weren’t actually giving them a choice for no chaperone and obviously the more control people have in delicate (and for some people actually traumatic) situations the more secure they will feel. I think it’s more sensible to say that for the doctors and patients protection a chaperone should be there and then let the patient make their choice whether or not to proceed with the examination with all the info on what the choices actually are!
@user-sm7jp4km4d
@user-sm7jp4km4d Ай бұрын
@@wolfmoon5720Agree. I don't personally have anyone in my life that would not make this more uncomfortable for me, but I can suck up my feelings for 5-10 seconds of discomfort and the chance to catch and treat cancer
@elliotbaker5416
@elliotbaker5416 Ай бұрын
I’m no doctor, but I think this patient may have more pressing issues at the moment.
@DrJamesGill
@DrJamesGill Ай бұрын
😂😂
@ianmcklatchie4390
@ianmcklatchie4390 Ай бұрын
Hey, Doc...some bum's just crashed on your couch!
@DrJamesGill
@DrJamesGill Ай бұрын
You sir win the internet today!
@matthewfurlani8647
@matthewfurlani8647 Ай бұрын
boo 😠
@user-jz9ll7td8y
@user-jz9ll7td8y 21 күн бұрын
I don’t know why I’m here, but I love that you talk about having manners and trying to make it as dignified as possible. Also that prosthetic is hilarious 😂
@chuckoneill2023
@chuckoneill2023 Ай бұрын
Thanks for approaching this subject with such emphasis on patient dignity. Coming from a computer background, not medical, I expected rather a different kind of "digital".
@tommac21
@tommac21 27 күн бұрын
There is no need for this !! I'm 58 and no way in hell !!
@AL-jo2vp
@AL-jo2vp Ай бұрын
This video was informative as to what the doctors were doing specifically when I had this last year prior to a sigmoidoscopy. Not a pleasant experience but better than not getting checked and giving cancer chance to spread. Also, in this instance, as well as the sigmoidoscopy, I was told more than once that I could back out at any point - which was important, particularly as I disclosed mental health issues related to childhood trauma in this area. Patient autonomy feels especially important in exams like these (all clear on the cancer front thankfully and it was weirdly interesting watching the sigmoidoscopy on a big screen!)
@darthvegan69
@darthvegan69 26 күн бұрын
This is easily my favourite type of exam!
@palomathereptilian
@palomathereptilian Ай бұрын
I know I already spoke about this in another video about the DRE, but thank you so much for making this video Dr! As someone who lost my grandpa to prostate cancer 9 years ago (and I still miss him every single day), every opportunity of spreading awareness about prevention exams is extremely important... Please don't feel shy or embarrassed to get a DRE, a PSA blood check or even a pelvic CT stan/MRI, those exams can save your life! Please take care of yourselves and your loved ones 💙
@I666U
@I666U Ай бұрын
good video and great information, much thanks Dr. G.
@MrPecksniff
@MrPecksniff Ай бұрын
He didn’t forget about DRE
@zk9823
@zk9823 29 күн бұрын
Extremely informative video. Thank you Dr Gill.
@borge2014
@borge2014 Ай бұрын
A masterclass of a video. Thank you!
@misswilde3054
@misswilde3054 Ай бұрын
Very interesting! I'm not a doctor, but i feel like i have learned important stuff!
@gael-L
@gael-L Ай бұрын
Thanks for butting into the subject!
@enfenry
@enfenry Ай бұрын
Thank you for demonstrating this seriously, it could change lives. Anyone making a joke out of this is really scraping the bottom of the barrel.
@tchaiamnajdust
@tchaiamnajdust 26 күн бұрын
I always tell my doctor to take his time and do a thorough examination. And, always insist on having at least four other people there in the room....It won't be a party otherwise...
@truman1158
@truman1158 25 күн бұрын
“Where should I put my pants, Dr?” “Over on the chair next to mine.” Wrong answer!
@user-vb8iq1bs2v
@user-vb8iq1bs2v 21 күн бұрын
😂 I lolled
@dark2k10
@dark2k10 Ай бұрын
I’ve already dreaded the thought that someday I’ll need to have this done
@outsidebk1848
@outsidebk1848 Ай бұрын
I’ve had so much anxiety about getting this exam someday and this video helped a lot. Thanks dr gill! Legend
@twobins2060
@twobins2060 Ай бұрын
I've had quite a few and it's nothing to worry about. If you can, get a female doctor to do it. They have thinner fingers, are more gentle and more sympathetic. Due to the shortage of male GPS, the female doctors do these all the time. A female doctor did mine 8 years ago and I was diagnosed with prostate cancer. I'm on active surveillance with an mri each year. I had initially gone to see the gp about a sore foot but I told her it had been over a decade since my last dre and she offered me one there and then. She offered a chaperone but I declined and within minutes it was all done and dusted.
@outsidebk1848
@outsidebk1848 29 күн бұрын
@@twobins2060 thanks much for sharing and happy to hear it was caught and being surveilled
@JumpingMagikarp
@JumpingMagikarp 26 күн бұрын
I have no idea why this video was suggested to me, but great work regardless. Very respectfully done and I'm glad the comments are tame.
@jdos5643
@jdos5643 25 күн бұрын
Maybe you are of age where you need to consider doctor visits? Perhaps that’s why you are getting this?
@lamecasuelas2
@lamecasuelas2 Ай бұрын
This Is very informativa for the general públic. I didn't know that we needed this. Thanks again Dr.!
@ZacharyReese
@ZacharyReese Ай бұрын
This is insane. The music in the intro makes it so surreal. This is the best video on KZfaq.
@agentdreyer2
@agentdreyer2 Ай бұрын
I bet Dr Gill’s pleased this one’s now in the rear view mirror!
@teddownum7428
@teddownum7428 Ай бұрын
If the good Dr Gill can make *this* procedure sound soothing (which he has), he can make *any* procedure sound soothing.
@kevinellis1232
@kevinellis1232 25 күн бұрын
You'd love nothing more than Gill performing this procedure on you.., All of your loud moaning, Deeper Doctor Deeper... would cause quite the disturbance
@walpurgisnight7
@walpurgisnight7 26 күн бұрын
If you aren't comfortable with someone checking you in this way, it's important to monitor yourself. Stay safe and healthy. ❤
@greggoreo6738
@greggoreo6738 24 күн бұрын
Thank you. For your insights.
@shanetaylor3814
@shanetaylor3814 26 күн бұрын
Thank you for this informative presentation. I have had a couple as an adult. I still remember as a young child having one, petty sure mum was not in the room that I can remember. I have no memory of why I needed this. I was between 4 and 10 years old. It still bothers me today. Was this an untoward exam. I will never know. This was some 40 to 45 years ago.
@kohinarec6580
@kohinarec6580 Ай бұрын
I've had my share of recurring prostatitis and urinary incontinence etc. This exam os unpleasant but very necessary.
@skylerbryant2172
@skylerbryant2172 Ай бұрын
Excellent video, Dr. Gill. Informative videos like these are vital and extremely helpful for us students preparing for upcoming exams. Although it may be unpleasant type of examination, you executed it very well with the highest profesionalism. Thank you for all you do.
@cenifh
@cenifh Ай бұрын
This guy 's a legend!
@TenkoBerry
@TenkoBerry Ай бұрын
This was quite Interesting but I couldn’t help but laugh at first but Keep Up The Great Work Dr Gills👌
@tbip2001
@tbip2001 Ай бұрын
So you know of any companies that allow the rental of these mannequins especially prostate simulators?
@GK222_
@GK222_ 23 күн бұрын
Interesting
@user-do9op6wk8d
@user-do9op6wk8d Ай бұрын
That intro was wild
@yagarida
@yagarida 27 күн бұрын
Tell patient to inhale, then exhale As they exhale, Insert finger. Don’t move finger. Ask patient to inhale again. Once I shake allow finger to go back up a little. Ask patient to focus on breathing while you examine.
@sortbum
@sortbum Ай бұрын
Well, at least we don’t have to worry about sandwich breath with this one.
@matt8043
@matt8043 27 күн бұрын
Where uh can I uh get one of those models? Asking for a friend
@yessir-kk8oy
@yessir-kk8oy 23 күн бұрын
Why was this recommended to me 😨😭
@-Chunk
@-Chunk Ай бұрын
The British Dr. DRE 👌🏻
@Caltash
@Caltash Ай бұрын
I love how you stress the importance of consent in the patient understanding the procedure. I wish more doctors are like that. I have to ask though, what's with the apron? Are you expecting splashback?
@acceptableinformation
@acceptableinformation 13 күн бұрын
informative
@OpinionatedChicken59
@OpinionatedChicken59 22 күн бұрын
We all made the right decision clicking on this video.
@gf328
@gf328 19 күн бұрын
Was looking for ASMR... Stumbled upon ARSE
@Mcfreddo
@Mcfreddo 26 күн бұрын
I didn't know that the prostate had that two distinct lobes of. And also, the doc can wipe one's bottom- that's better, because he/she can see.
@londri9967
@londri9967 Ай бұрын
That finger went in deeper than I thought
@JulioMam
@JulioMam Ай бұрын
😅😅😅😅😅
@charliefunboy5210
@charliefunboy5210 Ай бұрын
That’s what she/he said…
@jdos5643
@jdos5643 25 күн бұрын
Sorry to break it to you but some doctors might have thick sausage fingers. Just a heads up for you when it’s your time.
@charliefunboy5210
@charliefunboy5210 24 күн бұрын
@@jdos5643 The bigger the better... the male g-spot loves it!!
@PineapplePizzaBiS
@PineapplePizzaBiS Ай бұрын
I'm definitely hitting unknown portions of my bucket list with this one.
@jdos5643
@jdos5643 25 күн бұрын
It’s on your bucket list you just didn’t know that.
@asheyoung5976
@asheyoung5976 Ай бұрын
Waiting for the "men of culture" guys to post on this one 😉
@KineticRhythm21
@KineticRhythm21 Ай бұрын
When is David coming back as a patient in a video, we haven’t seen him in ages.
@Belasaurius
@Belasaurius Ай бұрын
I've had enough of these, I could probably demonstrate it
@AndroidSon
@AndroidSon 23 күн бұрын
The impressiin to be for life!
@JackButcher-tm3hz
@JackButcher-tm3hz Ай бұрын
Hey James, even though it’s not about this exam hahah did you ever watch the Adam Kay this is going to hurt series and if so what did you think of the series?
@vexingwinstones2644
@vexingwinstones2644 24 күн бұрын
Twisted both ankles running to the comments
@yoyosha3384
@yoyosha3384 24 күн бұрын
Sounds like a good time to me
@Wafaloo
@Wafaloo Ай бұрын
Couldn’t find any volunteers for this video?
@kimfry4019
@kimfry4019 29 күн бұрын
Us women were used to intimate exams after we've had a few kids.
@zandrishepherd5073
@zandrishepherd5073 24 күн бұрын
I don't know what's wrong with me but I kept expecting him to lick the finger afterwards. I'm assuming that's frowned upon though.
@chadsmith1200
@chadsmith1200 Ай бұрын
What's the general consensus on the age men should get this done? Every year starting at 50? 55?
@DrJamesGill
@DrJamesGill Ай бұрын
If they get symptoms. It’s not a screening tool. So a 20 yr old may need the exam, or a 70 y/o
@chadsmith1200
@chadsmith1200 Ай бұрын
@@DrJamesGill I understand. Thank you for replying.
@canadiankid42
@canadiankid42 Ай бұрын
Welp. I'm here for the show
@Paberu85
@Paberu85 23 күн бұрын
oh, oh no, that's not my regular asmr with Dr. Gill
@tigergreg8
@tigergreg8 25 күн бұрын
I’d never even get this exam if I had to bring someone along for it. Guess I’d just die from whatever.
@tommac21
@tommac21 27 күн бұрын
Yeah I think not !! Exit only.
@heyitsdeniz
@heyitsdeniz Ай бұрын
Well.. here we all are!
@user-vb8iq1bs2v
@user-vb8iq1bs2v 21 күн бұрын
😂Which hell brought me to this video in the middle of the night... Well, if so, let me learn a bit out of it😂
@wendyannemiller
@wendyannemiller 26 күн бұрын
It cracks me up how he says it's important to make the male so comfortable because for us women were just in and out lmao😅
@DrJamesGill
@DrJamesGill 26 күн бұрын
It’s important that everyone feels comfortable in a consultation. It’s important to highlight that men are typically more hesitant to proceed with the exam, perhaps as men tend to engage less with their health than women ?
@jrl1664
@jrl1664 23 күн бұрын
tanto tiempo y no han sacado otra forma?
@johnathanleonardo912
@johnathanleonardo912 Ай бұрын
Even tho it may look uncomfortable it is very important because cancers/disease's can occur there just as well as other places
@jen_sen8508
@jen_sen8508 27 күн бұрын
This is what my dreams look like and sound like
@Backwoodstails
@Backwoodstails Ай бұрын
The algorithm has spoken
@fadeskywards1245
@fadeskywards1245 20 күн бұрын
What is a chaperone, in this case?
@mango2538
@mango2538 Ай бұрын
I'm sure the comments section will be mature and respectful...
@jdos5643
@jdos5643 25 күн бұрын
This is not the planet jokes.
@victoradriandicamillo9671
@victoradriandicamillo9671 Ай бұрын
well...open wide!!!
@kaviyaneskandari2316
@kaviyaneskandari2316 22 күн бұрын
Dr performs DRE Dr. DRE
@ericowensnyc
@ericowensnyc 24 күн бұрын
5 seconds????! the first time I got a rectal exam 15 yrs ago it was over 10 minutes. I thought something was wrong. 😳😳😳
@charliejones4590
@charliejones4590 18 күн бұрын
👍🏻
@Ellio1862
@Ellio1862 Ай бұрын
The one time when you don't ask for a second opinion 👉 😳
@jamesmetzger1678
@jamesmetzger1678 Ай бұрын
Oh my word what a thumbnail to appear at the top of my feed! 🙈
@mach5jeep
@mach5jeep Ай бұрын
No live model? SMH
@wheredoigo1420
@wheredoigo1420 24 күн бұрын
You forgot to do CPR
@user-oo2og4yn9e
@user-oo2og4yn9e 22 күн бұрын
Do doctors do a analog exam along with a digital exam?😊
@20shourya
@20shourya 18 күн бұрын
would that involve the tongue?
@TheInselaffen
@TheInselaffen Ай бұрын
Doesn't look very digital to me Doc, seems quite analogue.
@Kowabrass
@Kowabrass Ай бұрын
Digitus is Latin for finger, hence the name.
@Enoch-Root
@Enoch-Root Ай бұрын
​@@KowabrassI suspect they knew that and were making a joke.
@JRB41
@JRB41 Ай бұрын
HA!
@elitedangeroustheworldnext9086
@elitedangeroustheworldnext9086 Ай бұрын
🥱
@JohnWilson-wg4gk
@JohnWilson-wg4gk 22 күн бұрын
I took this seriously. Until 4:07 😂
@ThatCho
@ThatCho Ай бұрын
Usually, your videos help me to fall asleep, but this one gave me anxiety. LOL
@danfrakes7346
@danfrakes7346 29 күн бұрын
I thought this was dr Dre’s new album imagine my surprise
@lobachevscki
@lobachevscki Ай бұрын
Im a mature adult.
@goldroger6151
@goldroger6151 19 күн бұрын
Hey doc, curious on why u become that type of doc
@db7610
@db7610 16 күн бұрын
Theres alot of stigma for the males about this. Personally i could not imagine going to my gp for this.
@KoalaBeer.
@KoalaBeer. 25 күн бұрын
Last time doc did that to me, I lite up a cigarette outside.
@ensabahnur3104
@ensabahnur3104 26 күн бұрын
Huh...gloves... I have seen an apron... that's new to me
@KnightsAndDarths
@KnightsAndDarths 24 күн бұрын
Ruptured hemorrhoids could shoot blood all over the doctor.
@2aminitials
@2aminitials Ай бұрын
Dr Gill should've putabitoftoiletpaper to troll the audience.
@b.jr.7816
@b.jr.7816 Ай бұрын
somewhere in the world goatse is watching this going “just a couple digits? hold my beer”
@yutatutukyta7190
@yutatutukyta7190 Ай бұрын
Ahahahahah cool video
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