How to Perform A Thyroid Exam - Clinical Skills - Dr Gill
Рет қаралды 628,371
Күн бұрынThyroid Medical Examination - Thyroid OSCE Station - Medicine Explained - Clinical Skills - Dr Gill
This Thyroid Exam Deep Dive looks at the details of how to establish the thyroid status of a patient, whilst highlighting what is being checked for during special tests and examination findings
We’re going to focus on WHAT we’re doing during the exam, HOW we’re doing it, and crucially WHY you need to #putabitofpaper on the patient's hands!
In this video, we demonstrate how to perform a clinical examination of the thyroid for your medical school Clinical Skills OSCE. Endocrine examinations are quite common for medical finals
For a passing grade in your Clinical Skills OSCE, in a Thyroid exam follow the approach of:
- Inspection
- Palpation
- Percussion
- Auscultation
- Other tests
This video has two other thyroid assessment videos associated with it:
• Thyroid Clinical Exam ... - Thyroid Assessment Demo
• Thyroid Assessment - M... - Thyroid Examination Deep Dive
Some people may experience an ASMR effect from this video
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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 recognised standard textbook for clinical skills.
#DrGill #thyroid #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 - Preparing for the Thyroid Examination
01:47 - Hand Examination for Thyroid Symptoms
04:00 - Checking Pulse and Blood Pressure
05:56 - Facial Examination for Thyroid Indicators
07:01 - Eye Movement and Symptoms of Hyperthyroidism
09:07 - Assessing the Thyroid Gland and Neck Examination
13:16 - Reflex Tests and Physical Examination
15:15 - Closing Thoughts and Next Steps
@mariap3617 2 жыл бұрын
Putapitopaper feels like an old friend you haven't seen in years when social media didn't exist yet
@DrJamesGill 2 жыл бұрын
🤣🤣 honestly, I have no idea why people notice it. In my head I have so many verbal quirks, that isn’t one!
@mariap3617 2 жыл бұрын
@@DrJamesGill it's all part of the legend of unintentional asmr, embrace it!
@deodivvi862 2 жыл бұрын
I miss the "any double vision" family though, just one of them this time
@Berengier817 2 жыл бұрын
@@DrJamesGill I never heard someone refer to a piece of paper as pit of paper. American here. So I think it's the way you say it quickly without enunciation. If I said "put a piece of paper" there would be more enunciation in "piece of paper" than "pit of paper" That's my interpretation of why everyone loves it.
@KSakamoto 2 жыл бұрын
@@Berengier817 he’s saying “bit of paper,” people are saying “pit” as kind of a cutesy way of phonetically spelling what it sounds like.
@thegirlwiththatface 2 жыл бұрын
I’m convinced Dr Gill is the Bob Ross of medicine
@Extaco 2 жыл бұрын
True! 😅
@TheGreenDee 2 жыл бұрын
Definitely!
@raiynen 2 жыл бұрын
and right over here we have a happy little spleen
@thoughtsurferzone5012 2 жыл бұрын
I was thinking a new Dr. Who.
@simondb99 2 жыл бұрын
Happy little examinations.
@katelund4152 2 жыл бұрын
This is actually such an informative video. Came for the asmr, stayed for the info.
@benwing19877 2 жыл бұрын
“Abby Tutt, 7th December 1996” I feel like that sentence is branded onto my brain and I announce it out loud every time I see her in a video. True star if the show
@fabriziopomponi5394 2 жыл бұрын
Video really starts at 1:13
@thrasius8856 2 жыл бұрын
Word to the wise: Remember Pearl Harbor!
@kiely4561 2 жыл бұрын
Just don’t accidentally say it to your GP if they ask that question, you may get a strange look
@MrHardGod 2 жыл бұрын
I'm no expert in medicine but i always liked when doctors explained me what they were doing, not in a technical way but just so we can understand what they were searching for, you doc are a perfect example of this, i believe it's a good thing, just like when I'm taking my car to the mechanic, i really don't understand what they did to the car but at least they try to get some sort of basic knowledge to the basic client
@albertofernandez6062 2 жыл бұрын
I cant believe today i was able to listen a new putabitopaper. I feel like today is Christmas Day. Thanks Doc
@rageagainstthebath 2 жыл бұрын
I absolutely admire this new format of explaining what is going on during the examination. Thank you again!
@DrJamesGill 2 жыл бұрын
It seems to be working well 😊
@rageagainstthebath 2 жыл бұрын
@@DrJamesGill Indeed it is way more interesting when the audience knows what is going on!
@spencerbrice5483 2 жыл бұрын
“I’m the bearer of a very small brain so I like to work in straight lines” 😂 don’t we all doc
@rangerjaython8227 2 жыл бұрын
i thought i had misheard him when he first said that! it definitely got me to giggle
@IgnoranceIsNotCute 2 жыл бұрын
I feel like I'm half way to my Md watching Dr Gill's detailed and relaxing videos
@tressacaperton8051 2 жыл бұрын
Abby always has the most infectious smile! Good to see her and the doctor again!
@starfishgurl1984 2 жыл бұрын
As someone with anxiety from sensory issues I totally appreciate this video 1,000%! I need to be aware of when/where and how deep I’ll be touched by others because although I have a high pain tolerance I’m also very sensitive to certain types of touches so I love that you warn her that you’re about to touch her from behind, great job!
@paulosborne6517 2 жыл бұрын
If you notice any 'Lid Lag', it is customary to apologise for your 'sandwich breath'.
@undertaker11ism 2 жыл бұрын
Chevrolete, zebra, honesty
@kiarona. 2 жыл бұрын
@@undertaker11ism the stopwatch, the TV, and this particular book
@thatabu 2 жыл бұрын
Set the hands at ten past eleven
@undertaker11ism 2 жыл бұрын
@@thatabu Fight fight fight fight fight
@patrickansell4533 2 жыл бұрын
@@undertaker11ism the doctor patient are supposed to get red in the face
@seang2012 2 жыл бұрын
I thought I was literally loosing my mind before they diagnosed my thyroid wasn't working. raging panic attack/anxiety, weight gain, not sleeping, etc. Synthroid is a hell of a drug!
@EughhBrothereughh 2 жыл бұрын
Sounds super scary , thank god at least you were diagnosed. In my country doctors would tell you it's menopause
@genericwhitemale5616 2 жыл бұрын
@@EughhBrothereughh Russia?
@the_vuke 2 жыл бұрын
it took me almost a decade to be diagnosed with Hashimoto's disease. My thyroid has been through the ringer.
@matthewgilster4035 2 жыл бұрын
Wonderfully well done in depth exam
@DrJamesGill 2 жыл бұрын
👍 hopefully it helps people understand what is going on 😊
@gregsmith4817 2 жыл бұрын
Saw the piece of paper on the examination table and knew what was coming 🤣
@monorailsystem 2 жыл бұрын
Abby is in immaculate condition he never finds a single thing wrong
@IronDragon1337 2 жыл бұрын
Mint condition
@TheseBitchesWantNikes 2 жыл бұрын
I love that you're still out here dispensing medical facts. You've become something of an ASMR legend.
@erethjallsen8819 2 жыл бұрын
100 thousand Doctor Gill! Congrats, thanks for being such a fantastic educator!
@user-xt6fh3fr8y 2 жыл бұрын
abby, your shirt is delightful! dr. gill, this is my favorite format for these videos by far. i wonder if you’ll ever do one with an SP that is trained to “have” certain symptoms that will indicate some diagnosis? i do realize that’s not possible with more “visible” signs and symptoms, but it would be an interesting exercise to “test” the viewers’ knowledge as you go about the exam.
@simplychaotic1029 2 жыл бұрын
I love this way of explaining the examination. The why and how in the same video with a demonstration. Brilliant!
@elguille878 2 жыл бұрын
Abby is my favorite patient. Great partner of doctor Gill.
@jamesfearn7757 2 жыл бұрын
Worked with this young lass when she was a second year? med student at the George Eliot Nuneaton a few years ago. Hope she's doing well
@DrJamesGill 2 жыл бұрын
Honestly she has done so well. She’ll be an exceptionally good doctor
@MedbeeMedic 2 жыл бұрын
No Way !! Hello again ! Small world !
@vicklemiss 2 жыл бұрын
Abbie’s shirt is really very wonderful 😍
@starbw1 2 жыл бұрын
i will never EVER get tired of watching dr full content
@rouzegb917 2 жыл бұрын
Fantastic duo is back! Thanks for these didactic and relaxing videos.
@DrJamesGill 2 жыл бұрын
Hope they help 😊
@michaelhagler7381 2 жыл бұрын
Been watching these looking for unintentional ASMR, but I have to say I have learned quite a bit along the way.
@wildcat9090 2 жыл бұрын
Yes! Putapitopaper! I saw the paper sitting there but had doubts he’d do a callback to the old video. I shouldn’t have doubted.
@charjabugman1336 2 жыл бұрын
The Return of the Jedi of Thyroid Exams
@snorgonofborkkad Жыл бұрын
The bumblebee socks are FIRE.
@stacyedelprete5477 2 жыл бұрын
I have hypothyroidism, but my doctor has only ever checked my TSH so all of this examination was fascinating.
@deancox8634 2 жыл бұрын
Why am I happier with Dr. Gill and Abby in my you tube world? don't know and don't care. Just am.
@Asummersdaydreamer14 2 жыл бұрын
Calm and informative video; thanks, you two!
@bomjur 2 жыл бұрын
The most useful asmr on KZfaq as always) I'm very interested in medicine, as someone who is not related to it can be. And it's kinda sad that my level of English do not allow me to easily understand all the content of the video, so I might both relax and learn simultaneously. I'm definitely can relax to these videos and hope I can have some bits of useful information while doing so) p.s. a bit of paper returned!
@ML-jk4dg 2 жыл бұрын
The good 3:43 Putapitopaper, but what about Loose and Floppy 14:15 ❤️
@BubaShrilanki 2 жыл бұрын
Man like James Gill. Pure relaxation in your voice, man was fuming until I listened to it. I’m a big fan, keep doing these videos it stops me from having Psychotic Episodes
@1984margolcia 2 жыл бұрын
Feel proud to be a part of this family 🤗
@TheOriginalMaudlin 2 жыл бұрын
This is very timely for me since I'll be going for a CT scan of my chest on Thursday since a cyst was discovered near my thyroid during an unrelated MRI scan of my spine
@orlanskimer 2 жыл бұрын
Good luck on your exams, Abby!
@davidchristian4417 2 жыл бұрын
Love watching Dr Gill.
@mryan1114 Жыл бұрын
Looks like you're killing it as always.
@darrentomlinson4191 2 жыл бұрын
Much appreciation for Abbie as well as Dr Gill for these vids , good luck for the future 😊
@Alibrahimelaf 4 күн бұрын
Well demonstrated thank you
@gabrielesimionato1210 2 жыл бұрын
14:20 many years ago, in 1998 or so, we were hanging out in a pub and we started talking about this reflex. Each one wanted to try on his own, so we ordered like fifteen glass bottles of coke, which we drank in a gulp. When the waitress returned at our table she found fifteen people quietly hitting their knees with empty bottles. We explained why, and she joined.
@MATSULEIGO 2 жыл бұрын
Well, u all could order 1 bottle and take turns
@eznf98 2 жыл бұрын
@@MATSULEIGO where is fun with that
@seanmahoney7722 2 жыл бұрын
I love fictional stories.
@neptunepirate1981 2 жыл бұрын
Thyroid disease is common in my family. Have an unrelated appointment next week but I’m going to ask some more questions about a goiter that was found. All because I watched this video!
@sensudubs4421 Жыл бұрын
It always makes me more comfortable to know what the doctor is doing to me. I'd love to have this person as my doctor.
@marcocasalbore 2 жыл бұрын
Godlike quality, as always.
@davidromero1884 2 жыл бұрын
Brilliant video and explanation!
@davidrhysroberts3641 2 жыл бұрын
Putabit of papers back. Woop woop 🥳
@mallekadalov7276 2 жыл бұрын
So good to see abbey and doctor Gil 🥰
@nickmitchell5150 2 жыл бұрын
Brilliant stuff, all in one take too!
@DrJamesGill 2 жыл бұрын
🤣🤣🤣 I wish
@sweettea4192 2 жыл бұрын
@@DrJamesGill I imagine there was a lot of giggling here. She has a cute shy smile that suggests a bit of giggling from just having a good time and like you mentioned a bit of anxiety. Fantastic video as always the both of you.
@darrentomlinson4191 2 жыл бұрын
Spiffing job sir , bravo , very well done video , be having a pleasant day now 😀
@latinocreamking9125 2 жыл бұрын
Thank you Dr. Gill, you put me at ease when going to my regular medical checkups.
@DrJamesGill 2 жыл бұрын
That’s very positive to hear. Is there any other ways we can help?
@MedbeeMedic 2 жыл бұрын
I like this idea about swapping places 👀👀👀
@DrJamesGill 2 жыл бұрын
You are busy… with finals for like… ever now
@MedbeeMedic 2 жыл бұрын
If abbie passes her finals bonus episode 👀 😅
@nickmitchell5150 2 жыл бұрын
Or Derek? 🤔
@DrJamesGill 2 жыл бұрын
We’ll certainly do something !
@gabrielesimionato1210 2 жыл бұрын
That would be fun 😊
@sketchlehem 2 жыл бұрын
Legendary duo!
@silviosil436 2 жыл бұрын
Putapitofpaper and and Abby smiles mischievously. I think she knows exactly why 🤗🤗❤️😀😘😎
@MedbeeMedic 2 жыл бұрын
I genuinely have to bite the inside of my lip because I will laugh
@silviosil436 2 жыл бұрын
@@MedbeeMedic 🤗🤗❤️
@kiely4561 2 жыл бұрын
She knows what up lol
@Lucas.Oliveira98 2 жыл бұрын
Would It be so nice If you bring an pharmacist friend to talk about some cool stuff about the drugs used on the treatment of the conditions you talk about in your videos. Keep doing this amazing work 👊
@TrialsFox 2 жыл бұрын
Revising for my final year isce atm. It is in a months and I’m panicking but your videos are really good and helpful. Very clear and you explain why you’re doing each part of the examination. Thank you so much
@eveninglyric687 Жыл бұрын
idk if you've done your tests yet but if so I hope it went well ♡ if not best of luck and good vibes babe
@alejandrocastillo5771 Жыл бұрын
Thank you for the great video, Dr. Gill. Who would of thought that my best professor is across the pond and my class is at home. Very grateful to your knowledge, explanation, demeanor, and hard work. I've become a better RN for it 👍 grateful from Texas.
@DrJamesGill Жыл бұрын
👍
@brandyyolidio4213 2 жыл бұрын
Incredibly relaxing, helped me sleep, thanks Doc 😴😴
@kittybala7951 2 жыл бұрын
Excellent video. Interesting
@jacktailorpatirzon6306 2 жыл бұрын
Exelen video,ya los extrañabamos
@blackbeardbarkbark 2 жыл бұрын
10/10. Great stuff
@talmorean6573 2 жыл бұрын
Congrats on 100k
@Fraser142 2 жыл бұрын
i know these videos arent for medical use(real life situations) but i keep it in mind just incase awesome channel and digestible information keep these going!
@jp5125 2 жыл бұрын
He said the thing!
@Cypppp 2 жыл бұрын
More jokes this time... I like the laid back Dr. G! Great and informative (and funny) video!
@dewanhassan7320 13 күн бұрын
Crazy how this is an actual medical informative video. But I'm always here for the ASMR. 😅
@Zanyotaku 2 жыл бұрын
Clicked for curiosity and got info and asmr, your soft voice is perfect to relax to and what you’re saying and showing is interesting. Congrats on your possibly unexpected fandom sir if the asmr is unintentional 🤣
@DrJamesGill 2 жыл бұрын
If you benefited, learned something, and perhaps understand a little more about your own body, I’m over the moon!
@juliaesposito7359 4 ай бұрын
Thank you
@XX-gy7ue Жыл бұрын
excellent
@josemerino7894 2 жыл бұрын
Dr gills,The Jay z of doctors🙌🔥💯🙏💪
@raising.my.miraclesandrea5578 2 жыл бұрын
Hope you're feeling better Abby.
@craigsykes6199 2 жыл бұрын
Welcome Back Abby!
@kiwipics Жыл бұрын
Well, Dr. Gill I need to book you for a thyroid examination, as I haven't had one as thorough as you did in this video.
@pedrobispo7878 2 жыл бұрын
Good Video, Congratulations ! 🇧🇷
@Abaddonscodpiece785 2 жыл бұрын
Superb.
@omicsonic 2 жыл бұрын
Gill and Tutt 12: Thyroid Rage Against The Machine
@Dr..90 Жыл бұрын
Exellent explaint and practice thank you
@DrJamesGill Жыл бұрын
👍👍 Any other areas you’d like us to cover?
@michaelw2263 2 жыл бұрын
I guess EMT school wasn't enough cuz here I am binge watching all of these medical videos from Dr. Gill
@babarilyas6296 7 ай бұрын
Must check for proximal myopathy too.
@williamhagood 2 жыл бұрын
Yes. 👏 Bravo!
@carmenhomer1965 Жыл бұрын
Enjoyed the episode
@DrJamesGill Жыл бұрын
👍
@UCONN_HUSKIES 2 жыл бұрын
Best volunteer and doctor 😂❤
@ED-yz6jn 2 жыл бұрын
Littlebitofpaper is back !!!
@finssonicclash8564 2 жыл бұрын
James “ the voice “ Gill
@kellyinawheeliebin9096 Жыл бұрын
I love Abby's shirt!!
@carolinagilniebla4705 Жыл бұрын
I was diagnosed with hyperthyroidism almost 3 years ago and I’ve been in treatment since then. This medical exam is what my doctor does in my periodic check ups, I wasn’t sure what she was checking in my hands but now I know 🤓 The only part of the exam my doctor does not check is the part of the tongue. This video is very informative, I had almost all of the symptoms mentioned for hyperthyroidism, we found out about it because I got tired real quick with just some steps, my vision used to numb black and started to have tachycardia, at first I went to a cardiologist think I had heart issues and he diagnosed me with hyperthyroidism. While in treatment I had just one eyeball with back inflammation, it was really tough because my face looked really asymmetrical, I went trough a 10 week treatment and got a little chubby but then I lost the weight. I’ve been weighting 36-38 kg since I was 15 and I got to 40 kgs for the first time last year with almost 2 years in treatment and I’m 25 years old now. I’m not a doctor but I really enjoy these videos as they help me to understand a lot of exams and get to know what symptoms can show through these conditions. Thank you!!
@DrJamesGill Жыл бұрын
I’m really glad you’ve had good care! Where were you looked after?
@carolinagilniebla4705 Жыл бұрын
@@DrJamesGill Thank you so much, I’m from México, I was treated here by a really good cardiologist Dr Luis Eng, and he sent me with an also really good endocrinologist Dr Verna Mendez. Since I was a teen I went through a lot of medical appointments for years because of my very low weight and they used to tell me it was hereditary because of my parents weight until I was 23 and was properly diagnosed. My thyroid was really inflamed and sometimes it hurt. I started taking 4 and 1/2 pills of 10mg thiamazole daily, now I take 1/2 of 5mg 1 day and 1 day not, and my thyroid is not swollen anymore, I’m gaining weight, I don’t have heart/pressure issues anymore, and I sleep really well now, I have a little of double vision, I take a daily pill of selenium (my doctor says it’ll help) but my double vision was worse so I think I’m getting better 😎👍🏻
@MallorieMooney Жыл бұрын
Number one, as an aspiring PA, I love your videos. They're really going to help me out in the future. Number two, I've been concerned about my thyroid and when I went to the doctor, she wasn't nearly as thorough as this. That's concerning, I kinda want a second opinion now.
@DrJamesGill Жыл бұрын
Did they do any bloods? That would be an effective second
@MallorieMooney Жыл бұрын
@@DrJamesGill yes they did do some blood work
@Ahmett2000 Жыл бұрын
As Dr Gill pointed out you get the diagnosis from thyroid function tests/history. You'd be hard pressed to find a doctor that examined for every rare extra thyroid sign
@chemicalX1977 2 жыл бұрын
I wonder if there will be a thyroid exam 4?The return of Lucy Brown!
@sebastianradkowski2035 2 жыл бұрын
When doing the examination of the lymph nodes could would a scooping motion with your hand be appropriate to see if you can trap any inflamed nodes
@daviddunn4922 Жыл бұрын
I have Graves and still found this very informative
@DrJamesGill Жыл бұрын
glad it was helpful, hopefully your symptoms are well controlled?
@daviddunn4922 Жыл бұрын
@@DrJamesGill on and off with plenty of blood test and a course of propranolol and carbimazole . Will see if I need further treatment after a 12 month period . Did lose a lot of weight very quickly and had heart palpitations and sweats
@poet279 2 жыл бұрын
The trilogy is complete.
@Draedaja Жыл бұрын
I cannot tell you how many times I've watched this video already (don't ask why), but I JUST noticed that Abbie magically puts on shoes and a different pair of socks there for a few seconds ;D
@DrJamesGill Жыл бұрын
🤫
@arwua 2 жыл бұрын
ASMR is like exploding with this one
@chuckoneill2023 2 жыл бұрын
So, the late Marty Feldman's famous "pop eye'd" look was due to hyper thyroid issues? Is that sort of thing treatable with modern therapies?
@mattcarter78 2 жыл бұрын
The DGCU returns!
@timpenner3452 Жыл бұрын
Happy birthday Abby!
@Macsimus75 2 жыл бұрын
Lovely shirt Abby!
@penguinkaiser 2 жыл бұрын
By this point I don’t think you need to confirm Abby’s name and date of birth, you must have it fresh in your memory
@johantenhove7770 2 жыл бұрын
Question: in an earlier video Dr. Gill held the arm up and tapped with the tendant. One arm moved to her body while her other arm moved outwards. Why is that? The place where one strikes?
@DrJamesGill 2 жыл бұрын
Honestly just minor personal variations.
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