Bedside

Physician educators dedicated to bedside teaching and improving physical examination and diagnostic skills.

[Bedside @Bedsidemedicine]

Have a project idea in bedside medicine? SBM Bedside Scholars Program is accepting LOI's for 25-26! Apply for funding by 12/18/24. More info here: https://t.co/v343KBeHaQ

[Bedside @Bedsidemedicine]

Ways of Knowing through Museum-based Health Professions Education https://t.co/XaHnwzwI4V

A collaborative effort of leaning between #bedmed skills of #physicalexam @StanfordMed25 @OslerResidency @uabimres @HopkinsBayview from @UABMedPeds Professor @HarvardMacy #mbme fellowship

[Bedside @Bedsidemedicine]

Ways of Knowing through Museum-based Health Professions Education https://t.co/XaHnwzwI4V

[Bedside @Bedsidemedicine]

SBM Co-president @RussellAuthor and @uabmedicine reflects on #bedsidemedicine #MedEd from experiences @HarvardMacy Fellowship and partnership @bhamcivilrights @bhammuseum @AEIVAuab @UABLHL

https://t.co/XaHnwzwI4V

[Bedside @Bedsidemedicine]

The presence of effort syncope (passing out while exercising) in a patient with a systolic murmur effectively rules in aortic stenosis

[Bedside @Bedsidemedicine]

Abdominal pain: A patient who appears reluctant to change positions and keeps still is likely to have peritoneal irritation, whereas a patient with obstruction is often restless.

[Bedside @Bedsidemedicine]

Abdominal pain: The likelihood of small bowel obstruction is significantly increased by visible peristalsis and abdominal distention

[Bedside @Bedsidemedicine]

Coaching is an amazing approach to help with medical education. Coaching helps individuals optimize their professional performance, their professional potential and their overall well-being. It is time that coaching is consistently integrated into medical education.

[Bedside @Bedsidemedicine]

Heart murmurs
All holosystolic murmurs are pathologic
All diastolic murmurs are pathologic
All continuous murmurs are pathologic

[Bedside @Bedsidemedicine]

A heart murmur's timing, quality and location are among the most important differentiating features.
Ejection murmurs: Harsh, loudest at the base, radiate into the neck and apex
Regurgitation murmur: high pitches, well localized to the apex or left sternal border.

[Bedside @Bedsidemedicine]

Tinnitus
Likely primary Tinnitus --> Bilateral, non pulsatile
Possibly secondary Tinnitus --> Any of: unilateral, pulsatile, conductive hearing loss, abnormal physical exam

[Bedside @Bedsidemedicine]

What is a Mallet finger?
Most common tendon injury of the finger. It happens when an object strikes the tip of an extended finger, causing a forced flexion at the DIP joint. The patient present with pain at the dorsal DIP joint and the inability to actively extend the joint

[Bedside @Bedsidemedicine]

Fingernails can tell you a lot. You can tell if a patient had a severe systemic illness by Beau’s lines, which are horizontal, deep grooved lines in the nails caused by a temporary arrest in the cell division in the nail matrix. The lines will grow out as the nail grows.

[Bedside @Bedsidemedicine]

A patient presents with a sore throat ,fever, problems speaking (hot potato voice) and problems swallowing. What are you worried about?
Peritonsillar abscess: The most common deep neck infection in young adults. Exam findings: extremely swollen tonsil with deviation of the uvula.

[Bedside @Bedsidemedicine]

Even though feedback in medical education is not only important for the learner but also for the wellbeing of the patient it remains something that we all struggle with. How can we get better at this?

[Bedside @Bedsidemedicine]

Neurological causes of weakness:
Upper motor neuron disease --> e.g. Stroke, MS, Brain tumor
Lower motor neuron disease --> e.g. Polyneuropathy, Trauma
Neuromuscular junction --> e.g. Myasthenia gravis
Muscle disease --> e.g. Drug induced myopathy, Thyroid disease, Polymyositis

[Bedside @Bedsidemedicine]

In a patient with excess linear growth of the long bones and joint laxity think Marfan’s syndrome. Marfan’s syndrome is quite common. Incidence is 1 in 3000-5000 individuals. Undiagnosed and untreated Marfan’s syndrome is frequently associated with aortic dissection.

[Bedside @Bedsidemedicine]

LOI deadline extended to Jan 15!
The Society of Bedside Medicine, with the Gordon and Betty Moore Foundation and Johns Hopkins, sponsors a Bedside Medicine Fellows Program! The one-year fellowship provides a $35,000 stipend to support a project in diagnostic excellence.

[Bedside @Bedsidemedicine]

A rash on the eyelids is very rare. If your patient has a rash on the eye lids (can look like pink eye shadow) think Dermatomyositis or DRESS syndrome.

[Bedside @Bedsidemedicine]

Upper motor neuron:
Brain --> mental status
Brain stem --> cranial nerves
Cerebellum --> coordination
Spinal cord --> Reflexes
Lower motor neuron:
Root/Nerve
Neuromuscular junction
Muscle