Spine Medical Examination - Spine OSCE - Medicine Explained - Clinical Skills - Dr Gill
1,304,475
Published 2021-12-12
This Spine Exam Deep Dive looks at the details of the examination of a patient with back issues, highlighting what is being checked for during special tests and examination findings
In this video, we demonstrate how to perform a clinical examination of the spine for your medical school Clinical Skills OSCE. As orthopaedic exams are core skills when it comes to examining patients, students should assume that a spinal assessment is a high yield station for any clinical exams or clinical assessments.
For a passing grade in your Clinical Skills OSCE, in a spine exam follow the approach of:
- Look
- Feel
- Move
HOWEVER, a spine examination OSCE station does not just involve pressing around the back, this video also demonstrates some of the specialised examination techniques required in examining patients such as Schober's test for ankylosing spondylitis, and checking sciatic nerve stretch
Reduction in movement, pain and general concerns about the back is a common reason for patients to see a doctor, and in general practice is probably the most commonly performed patient examination
This video has three other spine demonstration videos associated with it:
• Spine Examination - Back Pain Assessm... - Spine assessment Demo
• GALS Screen - Gait, Arms, Legs and Sp... - Gait, Arms, Legs, Spine - GALS screen
• Rectal Examination and Prostate Exam ... - How to perform a DRE - digital rectal examination
------------
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.
Some people viewing this medical examination video may experience an ASMR effect
Kayser-Fleischer ring - Herbert L. Fred, MD, Hendrik A. van Dijk - commons.wikimedia.org/wiki/File:Kayser-Fleischer_r…
Map - commons.wikimedia.org/wiki/File:United_Kingdom_loc…
Ascites - James Heilman, MD - Own work
Angular stomatitis - en.wikipedia.org/wiki/Angular_cheilitis#/media/Fil…
Cold Sore - en.wikipedia.org/wiki/Herpes_simplex#/media/File:H…
B12 - www.health.harvard.edu/staying-healthy/the-a-list-…
Glottis - en.wikipedia.org/wiki/Glossitis#/media/File:Scharl…
Gynaecomastia - en.wikipedia.org/wiki/Gynecomastia#/media/File:Gyn…
Spleen - en.wikipedia.org/wiki/Spleen
#clinicalskills #abdominalexamination #DrGill
You can now consult via video or in person with Dr Gill at Dr Finlay’s Private Practice - www.drfinlays.co.uk/services/video-consultation/
All Comments (21)
-
Dr Gill training the ASMR community to be doctors.
-
"You've joined us for a demonstration and explanation of the spine examination." Dr. Gill spittin' BARS! 🔥🔥🔥🔥
-
I wish I had a Doctor like Dr. Gill near me. Someone who actually explains whats wrong and doesn't just tell you that your joint pain is caused by stress. I think Dr. Gill is the only Dr. I still trust.
-
I know this is educational, but dayum, the young guy in the video got cakeeeee
-
This is a good idea doc..having a patient with a complaint and trying to locate what the problem is..looking forward to more videos like this
-
I like the blended style! I'm not a med student, but as a patient I always appreciate when doctors explain to me what they are doing and looking for in an examination, or even a conversation. I think most people are interested enough to have an examination on them performed exactly like this (minus looking off to a non-existent camera maybe) Greetings from Vienna
-
Bro is caked up fr lol
-
0:10 Doc Gilly spitting bars
-
I am no longer a med student due to complications with COVID, but after finding your channel recently, I feel at home watching your videos. They really allow me to keep some of my skills sharp and in the front of my mind, so thank you!
-
I really appreciate the new approach to these demos, the additional commentary is really valuable. Thank you!
-
All those years they tried to force me to classes in the morning when it turns out I learn more after midnight on YouTube
-
The patient is quite the specemin!
-
Ah he is back! The GOAT in speed shirt removing
-
The Winnie the Pooh reference while being a fully qualified doctor in a snazzy waistcoat. swooooooooon
-
This doctor is quite a catch. I love his soothing voice, the way he dresses, his accent, everything about him.
-
Every medical school needs to have Dr James Gill's world class clinical skills demos!
-
An educational video + a soft spoken man = Dr. James Gill
-
Sometimes i think how much this would actually help me academically if i was studying medical. Kudos to Dr Gill
-
In my opinion it becomes even more interesting when the patient actually reports an issue and we can see that "process of elimination", concerning the complaint/diagnose. So going from one test to another, noting any positive findings and building the diagnosis. I can imagine that being rather difficult to do, without getting too much into detail but even the slight discomfort on this patient was already very interesting. I enjoyed this video very much :)
-
This is exactly what I wanted! So happy that it is a mix of the two!!
.jpg){kind=link}
