Stanford Medicine 25 Blog

What is this sign?

What is this sign?

Written by Kai Swenson, MD Edits and video by Alex Perino, MD A 45 year old woman with a past medical history of Hodgkin’s lymphoma treated with mantle field radiation whose neck veins were incidentally noted on a thorough physical exam. The patient was in sinus rhythm on telemetry throughout the exam. What is the

Abraham Verghese Asks: “Why Are We Doing This Teaching?”

Abraham Verghese Asks: “Why Are We Doing This Teaching?”

Errol Ozdalga, MD; @eozdalga Clinical Assistant Professor, Stanford School of Medicine We teach bedside medicine. We emphasize the importance of the physical exam and how it can help care for your patient and also create an environment where the person you are caring for develops trust. We have taught this now for over 6 years (when the

Shoulder pain and shortness of breath. Shoulder exam is normal. Diagnosis?

Shoulder pain and shortness of breath. Shoulder exam is normal. Diagnosis?

A 78 year old man with no significant past medical history presents to his primary care physician with 4 days of right shoulder pain. The pain is located over the acromioclavicular joint. The pain is worse at night with lying down and associated with shortness of breath.  He states that the pain is better during the

Will the Healing Touch Go Out the Door With the Stethoscope?

Will the Healing Touch Go Out the Door With the Stethoscope?

As technology advances – putting many valuable tools right in our smartphones and transforming ultrasound machines into portable, handheld devices – some are beginning to question what’s in store for the stethoscope. NPR Health’s “Shots” blog asked recently if the stethoscope was a “timeless tool or outdated relic.” Medical students still use stethoscopes to learn,

Spasticity versus Rigidity (Stanford 25 Skills Symposium, 2015)

Spasticity versus Rigidity (Stanford 25 Skills Symposium, 2015)

Can you differentiate between spasticity versus rigidity? This is our first video release from our 2015 Stanford 25 Skills Symposium. This video is a part of a larger group of videos that were created during the symposium. In this short excerpt, Dr. Steve McGee talks about the approach to differentiating spasticity versus rigidity at the bedside.

Fevers, mild confusion and this retinal finding… Diagnosis?

Fevers, mild confusion and this retinal finding… Diagnosis?

A 42 year old female presents to Stanford hospital with fevers, chills and mild confusion. You perform a fundoscopic examination and see this (image below). What is the diagnosis?     Answer: Roth spot What is a Roth Spot? A Roth spot, seen most commonly in acute bacterial endocarditis is a red spot (caused by hemorrhage)

Stanford 25 Skills Symposium 2016 Announced!

Stanford 25 Skills Symposium 2016 Announced!

The Program for Bedside Medicine at Stanford is proud to announce registration is open for the Stanford 25 Skills Symposium 2016! Date: August 27th and 28th 2016 (Saturday & Sunday) Location: Stanford University School of Medicine Visit this link for registration. You can also learn more about last year’s symposium and our upcoming event here. The Symposium is designed for early

Every Patient Has a Story Worth Hearing

Every Patient Has a Story Worth Hearing

Earlier this year, Canadian newspaper The Globe and Mail commemorated the anniversary of the death of neurologist Oliver Sacks by taking a look at his legacy. The piece, by author Norman Doidge, aptly reminds us that “the world’s most famous neurologist believed that every patient had a story worth hearing.” And indeed, his work proves

Diagnose the cause of sepsis from one cell in the blood…

Diagnose the cause of sepsis from one cell in the blood…

Okay so we’re usually focusing on the physical exam but in this case, we’re demonstrating how taking the time to look at a patient’s blood under a microscope can help you diagnose and treat a sick patient. In the end, it’s all about good care for your patient right? The case: A 45 year old woman

What will bedside manner look like for new data-driven physicians?

What will bedside manner look like for new data-driven physicians?

Earlier this year, Managed Care magazine published a cover story on young doctors. Praising them for their ability to collaborate, their openness to measurement and consciousness related to cost-effective care, the article advanced the idea that these “newly minted” physicians are just what health care needs. However, it had one main question: “How well will