Ace Your Respiratory Examination OSCE - With This Clinical Skills Master Class - Dr Gill

Respiratory Examination Master Class - Medical School OSCE Revision - Clinical Skills - Dr Gill

This video details each step of the respiratory exam, highlighting why each step is being taken to maximise your clinical skills OSCE revision.

In this video, we demonstrate how to perform a clinical examination of the RESPIRATORY SYSTEM for your medical school Clinical Skills OSCE. As the chest exam is sure a core skill when it comes to examining patients, students should assume that a respiratory assessment is a high-yield station for any clinical exams or clinical assessments.

For a passing grade in your Clinical Skills OSCE, for Respiratory exam follow the approach of:
- Inspection
- Palpation
- Percussion
- Auscultation

We will also address why "ninety-nine" should not be used in tactile vocal resonance

HOWEVER, a respiratory examination OSCE station does not just involve pressing around the chest, this video also demonstrates some of the specialised examination techniques required in examining patients such as checking the apex beat, chest expansion, chest auscultation and percussion as an example.

COUGH, Shortness of breath and general concerns about the chest are common reasons for patients to see a doctor, and in any speciality is probably the most commonly performed patient examination

This video has three other RESPIRATORY system-focused videos associated with it:

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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.

#clinicalskills #drgill #abdomen
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.

[DolfoLicks]

A couple of videos ago this patient was diagnosed DEAD! Dr. Gill trully is a remarkable professional. 👏👏👏

[amyr]

I am a professional coder in the United States. I read operative reports and also evaluation & management notes, then I “translate” them into diagnosis and procedure codes to bill the insurance companies. Watching your videos has really helped me understand better what I am reading in my physicians’ documentation. Thank you so much!

[seekerofknowledge]

Inspection
Pattern of breathing
Symmetry
Hands:
Fine tremors
Flapping tremors
Nails koilonychia leukonychia splinter hemorrhage
Capillaries refill time
Fingertips cyanosis
Clubbing shamroth window test
Nodes osler Heberdon bouchards
Palms:
Palmer erythema
Dupuytren contracture
Thenar hypothenar eminence
Pulse Rate 15 × 4 rhythm rebounding pulse
Temp thermometer in axilla
Bp palpatory and then auscultatry method
Eyes:
Anemia jaundice

Tongue:
hydration
Anemia
Central cyanosis on upper surface of tongue
Anemia on lower surface of tongue
Oral hygiene
Chest scar marks

Palpation:
Ask for pain
Tracheal deviation
Tracheal tug
Tracheal crepitus
Cricosternal distance
Lymph nodes palpation
Apex beat
Chest expansion by hands
(Below axilla, in middle chest)
Measure also chest expansion

Percussion:
Normal resonant
Dull on right sides at 6th ICS due to upper border of liver
Above clavicle
On medial third of clavicle
2 more sides below ( on both sides)
In axilla 2 sites ( on both sites)

Auscultation:
Normal vesicular breath sounds
Check
Wheeze strider
Crackles
Pleural rub
Bronchial breath sounds in lungs
Post chest:
Scar marks
Kyphosis
Scoliosis
Crossing the patients hands on shoulders
Same as in ant chest +
Vocal resonance
Sacral edema
Pedal edema

Thanks patient

[viperboy]

"we're going to take a piece of paper" You know darn well that's not how you say it! I want a refund

[jimkreider]

I like these videos by Dr. Gill. I try to do the tests on myself. But I go to my GP twice a year and all this is done. Of course he's not as polite as Dr. Gill but spends as much time with me as needed. I love the guy. Wouldn't change for anything.

[Ibelikemj]

Honey! Come quick, new Dr Gill is on!

[largehenne]

I started vocational training in medical technical lab work a couple months ago, now I'm able to understand much more things watching your videos which makes me happy :)
Maybe I'll go to med school after my apprenticeship is complete

[josephjordan]

Always a pleasure to see an upload doc, Keep up the good work!

[lizzieandmocha]

Love these. I'm no doctor or medical practitioner, but I've always had a fascination with medicine and anatomy. I love to learn as much as I can, even if I'd never be able to use these.

[quinnthadiva]

Thanks to your clinical videos, I Aced my Nursing Exams, Thank you doc!!

[loadventureslife]

Oh snap he has on the vest so u know it's gonna be another banger.

[mo]

Perfect timing! Was planning to practise cardiac & respiratory examination this weekend for my osce, thank you!

[herosbreath]

My ONE critique of these videos is that everyone is always healthy. Is there any chance you could get someone on the table that actually has some of the symptoms or presents with some of the signs mentioned?

[gemmahamilton]

I'm always amazed by your medical knowledge, I honestly don't know how you remember it all! Thank you for these educational videos. Not only does it relax me but I learn so much from them.

[seang]

Dr Gill, I tried this exam on my dog. He demanded belly rubs and fell asleep on me. You ever have that problem with patients?

[MATSULEIGO]

Amazing explanation, fellow doctor. Regards from Brazil 🇧🇷

[matthewmersin]

A charming British accent is also a requirement for every examination.

[abducens]

Wonderful video, as always, Dr Gill!
Minor correction: at 23:57, wheeze is expiratory and stridor is inspiratory (or actually can be both). Keep up the good work!

[ProjectTokyo]

8:26 "Patient showing signs of drowsiness during examination attempts to stay conscious not succeeding"

[yelha]

Yo veo todos sus videos y ni siquiera soy doctor :D saludos desde México <3