Lower Limb Neurological Examination - Clinical Skills

Lower Limb Neurological Examination - Clinical Skills - Dr Gill

Рет қаралды 371,484

Күн бұрын

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

Пікірлер: 261

@waffleox Ай бұрын

The magicly appearing and disappearing socks

@DrJamesGill Ай бұрын

Shhhhhhhh

@matthewrayner11 Ай бұрын

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

@grf15 Ай бұрын

You beat me to it!

@gabrielesimionato1210 Ай бұрын

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 Ай бұрын

I only have the disappearing variety 😂

@malteschaper3782 Ай бұрын

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

@shadey7277 Ай бұрын

Yup. This one wins it for me

@user-uq7tv8nj9b Ай бұрын

Yes 😂😂

@jonahblock Ай бұрын

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

@LadyMephistopheles Ай бұрын

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

@NewCandyCane Ай бұрын

A very pleasant side effect @@LadyMephistopheles

@bartparet 29 күн бұрын

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

@k1ng0fqu33n5 29 күн бұрын

@@bartparet Indeed. Unintentional ASMR is the best.

@markmcdonnell Ай бұрын

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

@Omni315 14 күн бұрын

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

@turtlesallthewaydown8831 21 сағат бұрын

The truth is out there!

@roland969 Ай бұрын

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 Ай бұрын

He is a real doctor.

@AbeLuvsTheatres 5 күн бұрын

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!

@teddownum7428 Ай бұрын

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.)

@ProperSauce Ай бұрын

Megan demonstrating being an excellent patient!

@pumpkinknight5732 Ай бұрын

"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 Ай бұрын

Seems a little harsh, doesn’t it?

@pumpkinknight5732 Ай бұрын

@@smo0ve209 Science is a demanding mistress.

@yousra4770 29 күн бұрын

You're funny @@pumpkinknight5732

@I666U Ай бұрын

Thanks Dr. G, always the best.

@Caltash Ай бұрын

Yay our Dynamic Duo!

@christian7061 29 күн бұрын

Amazing work from both of you

@kylegross9923 Ай бұрын

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

@ViceroyIcarus Ай бұрын

Big help! Thank you!!!

@jjar2561 Ай бұрын

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

@siriusphantom Ай бұрын

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

@DrJamesGill Ай бұрын

Best of luck!

@brianinc9294 Ай бұрын

Super Doctor, Super Patient.

@timmysamecphd 20 күн бұрын

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?

@samir5118 Ай бұрын

I enjoyed watching thanks dokter

@zoefofo7769 12 күн бұрын

Very relaxing

@thatleeburton Ай бұрын

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

@TenkoBerry Ай бұрын

This be Good Keep It Up Doctor 👍

@gtafans93 Ай бұрын

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

@ladynotron8304 2 күн бұрын

This is one of dan shnider's favorite video

@nnhk0056 19 күн бұрын

I enjoyed this field sobriety test

@omartorres5626 11 күн бұрын

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

@MEATHOOKMANOR 29 күн бұрын

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.

@markmccallum475 Ай бұрын

This Roadhouse remake is different to what I expected.

@turtlesallthewaydown8831 21 сағат бұрын

Much, much shorter and almost no punching.

@benjaamin 10 күн бұрын

Nice to see Quentin Tarantino was directing this one 🤠

@TheTattedGinger 19 күн бұрын

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.

@uhejnjd 9 күн бұрын

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.

@andyk9414 Ай бұрын

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

@X-13-X Ай бұрын

Check if your legs are the same length afterwards.

@andyk9414 Ай бұрын

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

@ericpiacenti9610 24 күн бұрын

…….and god is working through me………

@palimpalim.411 Ай бұрын

magic socks✨

@HighlandsLuke 21 күн бұрын

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

@StephEGroff 20 күн бұрын

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

@omartorres5626 11 күн бұрын

🤨

@ars4455 Ай бұрын

Megan is my fav

@guilhermenunes4275 Ай бұрын

She's more gorgeous every video ❤

@JulyFourth1776 Ай бұрын

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

@DrJamesGill Ай бұрын

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

@rebelmc33 Ай бұрын

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?

@derrickw5204 Ай бұрын

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

@vjr4763 Ай бұрын

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!

@MoefoeAhole-gy9vd 5 сағат бұрын

I AGREE 😉 FANTASTIC!!

@misunderstoodcomedian947 Ай бұрын

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

@phils1018 Ай бұрын

Gill!!!!!❤

@bennisbranch6976 Ай бұрын

Dr. Gill! What brand are your glasses?

@DrJamesGill Ай бұрын

Specsavers

@Wintersky136 Ай бұрын

Megan superenjoyed that one 😂😅

@erikmaster3 13 күн бұрын

What’s up with the socks

@standol Ай бұрын

Do Megan Strugles ?

@rodneyboulton6410 Ай бұрын

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

@ericwalstrand3512 Ай бұрын

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

@ProperSauce Ай бұрын

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

@starfishgurl1984 Ай бұрын

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 😂😂😂.

@vince9292 Ай бұрын

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

@DrJamesGill Ай бұрын

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

@tinysnapz6499 9 күн бұрын

This new better call Saul episode is great

@aj_aka_alan 29 күн бұрын

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

@Bad_Wolf788 Ай бұрын

The continuity with socks, no socks is really distracting

@r.h.0101 Ай бұрын

yup

@samc784 Ай бұрын

Love the sock trick

@benjaminthishandleistaken 24 күн бұрын

This video completely socks!

@chadsmith1200 Ай бұрын

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 Ай бұрын

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 Ай бұрын

Dr James Kelly

@chadsmith1200 Ай бұрын

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

@dmkoz1665 Ай бұрын

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

@mattiaspersson3846 Ай бұрын

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.

@luked5001 21 күн бұрын

Post instructional compliment final boss

@boskabiker Ай бұрын

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

@avocadotoast9489 Ай бұрын

With that videotape

@EuanBCFC Ай бұрын

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

@lolololollo5377 Ай бұрын

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

@chrisrearick6120 Ай бұрын

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

@shadey7277 Ай бұрын

I am adamant the socks thing was on purpose 😂

@maetalica Ай бұрын

Schrödinger's socks!

@DrJamesGill Ай бұрын

😂

@andrewmcdonald481 Ай бұрын

No sandwich breath

@Gooner333333333 Ай бұрын

What sports does she do?

@hazelnicholson Ай бұрын

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 Ай бұрын

True, forgot to record the fresh on this time

@hugheszie Ай бұрын

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

@ShinigamiAUS 28 күн бұрын

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

@amandajay9058 16 күн бұрын

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

@DrJamesGill 16 күн бұрын

@sp00kyMerBabe Ай бұрын

I want to send this video to my mom. She’s 69 and has been to a million doctors because she has this weird cold numbness in her toes 24/7 and no one can come up with an answer for her of what’s going on. 🥺

@DrJamesGill Ай бұрын

Sometimes I find it’s less important to underarm the why and more to try and help the patients symptoms. Although KNOWING the why makes it easier to get the best treatment

@Vibemaker68 Ай бұрын

Luckily at 4:45 the space time continuum is restored

@sexydadee Ай бұрын

are we witnessing a 3 body problem event with the socks?

@yidarmy123 20 күн бұрын

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

@connorcosgrove2240 29 күн бұрын

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

@DrJamesGill 29 күн бұрын

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

@gabrielesimionato1210 Ай бұрын

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

@christian0405 Ай бұрын

Why suspicious?

@k-asmr4248 17 күн бұрын

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.

@iliutacristian8322 Ай бұрын

The socks are a paid actor!

@leee3760 28 күн бұрын

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

@davefeeley1 29 күн бұрын

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

@8UTTSTUFF69 Ай бұрын

Yo this edit is wild

@canadiankid42 13 күн бұрын

"No it's not ok, Dr Gill"

@datboibobby7637 Ай бұрын

“Yep. Yep. Yep. Yep”

@user-wv1ww6ii6s Ай бұрын

Some say the socks are still airborne

@FursAndMasksMusic Ай бұрын

What the heck is papal foot?

@Gmc833 25 күн бұрын

“Just going toputabitofpaper on your feet”

@kaleta036 29 күн бұрын

5:42 shatters wrist bone

@mkotechno3972 Ай бұрын

Hope you find Red John soon

@DrJamesGill Ай бұрын

@ML-jk4dg Ай бұрын

@@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 Ай бұрын

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

@baggybinny 2 күн бұрын

Doctor- I am seeing things, they then disappear and reappear. What’s the matter with me?

@khayyamkhan7794 Ай бұрын

I wish I had those socks

@bgg5090 Ай бұрын

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

@vjr4763 20 күн бұрын

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

@macaconoturno4843 12 күн бұрын

"I got a bit of a painful foot"

@arnaldofernandez Ай бұрын

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

@michaelleeson6789 Ай бұрын

2.1k people have confirmed their name and date of birth!

@Aguseze39 Ай бұрын

You are very handsome Doc!!

@gabrielesimionato1210 Ай бұрын

Aka legs

@IvanSantosMalpica 9 күн бұрын

5:42, man, that hurts 🤣

@janela424 7 күн бұрын

For your next trick, switch out doctors between takes.

@SAABTURBO1986 Ай бұрын

No babinski?

@seyara1 7 күн бұрын

I didn't even notice the sock fiasco until I came to the comments 😅