Stanford Medicine 25 Blog

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

A patient can’t swallow. These nails tell you why.

A patient can’t swallow. These nails tell you why.

A middle aged woman presents with difficulty swallowing. She has a history of  menometrorrhagia for 10 years, secondary to uterine fibroids. She endorses fatigue and shortness of breath. What’s the cause of her dysphagia and why? Answer: Esophageal webs in the setting of iron deficiency anemia. This is seen in Plummer-Vinson syndrome. This syndrome usually has: dysphagia

Name this abdominal mass?

Name this abdominal mass?

A 78 year woman presents with weight loss, lethargy and abdominal pain. Clinical examination showed abdominal distention and a firm, non-tender, irregular 1 cm nodule within the umbilicus.   What is this finding called? Sister Mary Joseph nodule (also called Sister Mary Joseph node or sign)   What does is represent? This is a palpable nodule

What the cause of this enlarged nose? Visit our latest dermatology page!

What the cause of this enlarged nose? Visit our latest dermatology page!

This 42 year old male give a history of a chronic “skin rash” of his face. He notes he’s had it for many years and never sought treatment. While it comes and goes on its own, it seems to get worse with alcohol consumption. What’s the name of this finding and was diagnosis does he

What’s the name of this sign? What does it tell you?

What’s the name of this sign? What does it tell you?

A patient presents for routine screening, including a skin exam. What’s the name of this sign and what does it tell you. (Scroll below for the answer and more info.) Answer: The Ugly Duckling Sign The ugly duckling sign refers to one mole among many that sticks out and looks different (“the ugly duck”) and should

Diagnose this skin lesion with newest Stanford 25 video and topic.

Diagnose this skin lesion with newest Stanford 25 video and topic.

Presenting the first of our dermatology series. Every skin exam starts with a description. Can you accurately describe the below lesion and make the diagnosis? If you need help, visit our newest Stanford 25 page: “The Dermatology Exam: Learning the Language”. (The answer can also be found there.) As promised, the Stanford 25 is expanding

Can you diagnose this rare skin condition?

Can you diagnose this rare skin condition?

Case presentation: A 49 year-old obese man with non-alcoholic steatohepatitis and cirrhosis, complicated by hepatorenal syndrome not on dialysis, was admitted for expedited liver transplant workup. On admission, he was found to have the lower extremity skin lesions shown below. He noted that these slowly-enlarging lesions had developed over the past 2 months and were

Medical Errors and Adverse Events from a Missed or Inadequate Physical Exam

Medical Errors and Adverse Events from a Missed or Inadequate Physical Exam

In the last 20 years the knowledge base for a physician has grown exponentially. Meanwhile technological advances, combined with a growing healthcare system and greater demands on the physician have left the need to find more ways to overcome these challenges. The physical exam, once regarded in the medical profession and the litmus test to