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

Dr. Mindie Nguyen Provides Advice on the Abdominal Exam

Thank you to Dr. Mindie Nguyen, one of our wonderful Stanford gastroenterologists and liver specialists, for teaching our last Stanford 25 session on the abdominal exam. Dr. Nguyen focused on practical methods of diagnosing liver and spleen enlargement. She provides us with some follow-up tips when conducting the exam of the abdomen: “Prior to palpating

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

Learn how doctor’s should perform a bedside swallow evaluation!

It’s important to be sure that your patient’s food is going down the right tube! We created this video to teach healthcare professionals how to perform an initial bedside swallow evaluation. Thank you to one of our own Stanford Speech Therapists, Jennifer Kizner MEd CCC/SLP BRS-S, for volunteering to help us! *|YOUTUBE:x_sssJErd6U|*

Abdominal Wall Pain

Ever take care of a patient with abdominal wall pain? Sure you have (or will)! Don’t miss diagnosing pain coming from the abdominal wall with this simple and quick exam maneuver! *|YOUTUBE:p0lZSa_IFu0|*