Archives for September 2013

Can you diagnose the cause of the patient’s lymphedema?

Lymphedema can have a number of causes. See if you can figure out this patient’s reason after we show you these clinical findings (scroll down for answer): Correct! We’re sure you got this right! Neurofibromatosis Type-1 (NF-1) can have a number of clinical exam findings. A hallmark of NF-1 are the tumors that can be

Can you guess the cause of the patient’s bleed?

A 75 year old woman comes in with an acute gastrointestinal bleed and a history of recurrent nose bleeds. Based on these pictures, do you know the cause? (scroll down for the answer) This is a patient with hereditary hemorrhagic telangiectasia (Osler-Weber-Rendu syndrome) and both bleeds have been caused by telangiectasia throughout her upper airways

The History of Pulsus Paradoxus

Given our recent post and Stanford 25 session on pulsus paradoxus, we wanted to continue the theme with a historical perspective: According to this article, cardiac tamponade was first noted by the Cornish physician Richard Lower in the following quote: “The envelope becomes filled in hydrops of the heart; the walls of the heart are

Do you know how to measure pulsus paradoxus?

Pulsus paradoxus is an exaggeration of the normal drop in blood pressure that occurs during inspiration. It’s seen in disease states such as cardiac tamponade and less commonly constrictive pericarditis. Watch the video below or visit our website to learn more! Today’s Stanford Medicine 25 session was about Pulsus Paradoxus. Thanks to Dr. Ronald Witteles