Peripheral Vascular Examination OSCE - Clinical Skills - Dr Gill

Name: Peripheral Vascular Examination OSCE - Clinical Skills - Dr Gill
Uploaded: 2025-02-16T12:13:29.270Z
Duration: 7 min 54 s
Channel: Dr James Gill

Dr James Gill

3 Video Views·Feb 16, 2025 #PeripheralVascular #ClinicalSkills #DrGill

Peripheral Vascular Examination OSCE - Clinical Skills - Dr Gill

In the cardiovascular examination, particularly in the case of an OSCE station, we conclude the examination often by stating that the examiner would want to perform:
- An ECG
- Check full blood count
- and "do a peripheral vascular examination

In this video, we demonstrate that oft-talked about, but comparatively less common examination.

Starting off, with the examination of the hands, the radial, brachial and carotid pulses. before moving down to assess for a AAA, checking the femoral and popliteal pulses, before wrapping up around the ankle with the posterior tibial and dorsalis pedis pulses

For completeness, the cardiovascular examination is demonstrated here
https://www.youtube.com/watch?v=ECs9O5zl6XQ&t=2s

#PeripheralVascular #ClinicalSkills #DrGill

You can now consult via video or in person with Dr Gill at Dr Finlay’s Private Practice - https://www.drfinlays.co.uk/services/video-consultation/

00:00 - Introduction and Overview
00:21 - Patient Identification
00:35 - Hand Examination: Visual Inspection and Pulse Check
01:23 - Blood Pressure Measurement
03:47 - Neck Examination: Visual Check and Pulse Listening
05:06 - Stomach Examination: Visual Inspection and Palpation
06:00 - Groin and Leg Vascular Check
07:12 - Foot Examination and Final Checks

My name's Dr Gill. I've been asked to do an examination of your peripheral vascular system today. That's going to mean having a look at your hands and feet, having a look at your neck, but also examining your tummy and your legs. Would that be okay? Yeah, that's fine. Super. So, before we start, could you please confirm your name and date of birth, please? Yeah, please. Oliver Burton, 23rd April 1996. Thank you. So, to start off with, do you have any problems with your hands or feet? No. Excellent. Okay, so if we could start off. If you could put your hands out in front, please. Just having a look to see if there's any problems there. Everything looks okay. I'm going to squeeze over the fingertips. I'm going to check the temperatures. That's good. That's fine. If you could turn your hands over, please. Again, everything looks good there. So, I'm just going to take your pulse on both sides. So, relax one slightly. So, we've got normal rate and rhythm, and both are coming through at the same time. I'm just going to go slightly further up and check the pulse here. That's good, and relax, please. I'm going to check the same on this side. Now, we need to see your blood pressure. Do you have any problems with either of your arms? No. Okay. So, are you right or left-handed? Right-handed. Okay, so we'll start off that side first. Just relax down from there. We're going to do this first off without the stethoscope. So, I'm going to take your pulse manually. Okay. Now, I'll just confirm that. That's excellent. Good blood pressure. We're going to do the same again on the opposite side. Excellent. We're just going to confirm this with the stethoscope. So, both blood pressures are nice and normal at 105. Over 80 on both sides. So, no problems there. Right. So, let's move the bed up. I'll just get you to lean back. If you could take your shirt off, please. Okay, lean back for me. Now, we're just having a quick look. I can't see anything, obviously, worrying. So, if you could lean your head back on the bed for me. And if you just turn your head over that way for me. So, I'm just going to check your pulse. That's good. Turn back this way for me. And we're just going to do the same again on the opposite side. Super. Now, we need to listen over that pulse. So, if I could get you to just relax back and turn your head to face the wall. We're just going to put the stethoscope. We're going to breathe together. So, deep breath in. And hold it. And breathe normally again. And if you could turn over this way, please. And we'll do the same again. Do a deep breath in. And hold it. That's fine. You can breathe normally, please. Okay. So, we'd now like to just examine your stomach. Do you have any problems with your back? No. Okay. So, we're going to lie you flat if I'm right. So, I'm going to put my hands either side of your umbilicus. Okay. So, I can't see any visible pulsations. I'm just going to put my hands on your stomach if you don't mind. I'm going to push down a little bit deeply. Tell me if there's any problems with that. So, nothing abnormal there. We just need to have another quick listen as well. That's all fine. What I'd like to check now is I'd like to check the blood vessels in your groin. So, I'm going to press down over the top of your shorts. And if we can find the pulse, then we'll move on. If we can't, we may have to look underneath your shorts, the boxes. Okay. So, we've got a normal pulse on that side. And there as well. That's excellent. So, I'm going to move down the leg if I could. If you could lift this leg up in the air for me, please. Okay. No problems here. Nothing under the heel. I'll do the same again. No problems under the calf or the heel. Relax down for me. Okay. So, I'm just going to check the temperatures on your legs. That's all fine. I'm just going to pick up your leg slightly. I'm going to press the back of your knee. Okay. Can't feel anything there. And back down again. I'll do the same on this side. So, I'm just going to press up. And inside your knee. Okay. That's fine. Okay. So, just having a look at the very bottoms of your feet. So, there's no obvious bruises or ulcers there. Just going to check between the toes. That's all fine. And finally, our two pulses behind. Checking posterior tibial. And the sinus PDS. Okay. That's all good. I'll give you a shirt back. So, we didn't find any abnormalities there. Do you have any questions for myself? No. Super. Well, thank you very much for your time. Thank you.