stanford 25 fundoscopic exam

This patient presents with chest pain. through the scope at something about ten to fifteen feet away and move this Note cup-to-disc ratio at least 0.8 (physiologic limit of 0.5). To this end we have developed the “Stanford 25,” a list of 25 technique dependent physical diagnostic manoeuvres that we teach to our trainees (box). Please look up this great article that reviews data on the risk of precipitating acute glaucoma: Pandit, RJ and Taylor R. Mydriasis and glaucoma: exploding the myth. To look around the retina using a traditional direct ophthalmoscope, you should "pivot" the ophthalmoscope, angling up, down, left and right. mso-pagination:widow-orphan { } Important fundoscopic findings for your exam Hello everyone,:):) here's some of the important findings on fundoscopic examinations, along with some text explanations. Pupils are 4 mm and briskly reactive to light. Visual acuity is 20/20 bilaterally. of eye doctors as the ones who are looking in patients’ retinas. However if you're taking care of a patient we Grid: Used to make rough approximations of relative distance between retinal lesions. If you're going to use this I recommend maybe A new study authored by Stanford Medicine 25’s Donna Zulman and Abraham Verghese shares five practices they say can “enhance physician presence and meaningful connection with patients in the clinical encounter.”…, Learn More Learn about the Stanford Medicine 25, Five Practices to Strengthen the Physician-Patient Relationship, Telehealth Tips to Preserve Key Aspects of Patient Care, How AI Can Improve the EHR and Bedside Medicine, Bedside Teaching is a Powerful Learning Tool in the ICU, Thoughtful Implementation of Machine Learning Can Help Physicians Improve Patient Care, Register Now for the 5th Annual Stanford 25 Skills Symposium, Cultivating The “Golden Minute” at the Bedside, Four Physicians Describe the Synergy Between Technology and Bedside Medicine, Artificial Intelligence and the Gift of Physician Time, Compassion: A Powerful Tool for Improving Patient Outcomes, The Physical Exam Remains an Effective Tool for Physicians, Learning from the Bedside at the 5th Annual Stanford 25 Bedside Teaching Symposium, Physicians Can Protect the Human Connection in Medicine, A Diagnosis of Nelson's Syndrome and Why You Won't See it Anymore. Turn the video on and turn on Support Lucile Packard Children's Hospital Stanford and child and maternal health. Stanford ENT Free Oral Screening November 2nd. As medicine residents spend increasing amounts of time poring over the electronic medical … mso-fareast-font-family:Calibri { Pupils are 4 mm and briskly reactive to light. Atropine: (1% solution): Instill 1-2 drops 1 hour before the procedure. What will bedside manner look like for new data-driven physicians? Learn vocabulary, terms, and more with flashcards, games, and other study tools. This image was from a patient with staph endocarditis. For the purpose mso-fareast-theme-font:minor-latin { The purpose of this video is to teach you the approach to looking at your patient’s retina. stills of her retina. Fundoscopic examination is a visualization of the retina using an ophthalmoscope to diagnose high blood pressure, diabetes, endocarditis, and other conditions. you're focusing light in that area, if you want to visualize other aspects of x1. Same thing come back in there and visualize Exam of thyroid . the red-free filter. Well that's it, thanks so much for watching the video. one. } An interesting illustration of the physical exam. very common. Normally we think of eye doctors as the ones who are The } Atropine: (1% solution): Instill 1-2 drops 1 hour before the procedure. Respiration is assessed using inspection, palpation, and auscultation. make sure my level is the same height. This green line will provide a medium-sized circle which is He’ll share various disease states observed and captured through its use, including: • Stanford Department of Medicine Grand Rounds (Stanford, July 2016): “Promoting the Culture of Bedside Medicine: The Stanford Medicine 25” • Stanford Medicine 25 Skills Symposium (annually): “Creating your Own Stanford 25 Sessions” • Stanford Medicine 25 Session: “The Fundoscopic Exam” x1. emboli also known as Hollen horse black. if a patient's more dilated or more constricted you can check it. In addition to clinical training, medical students at the University of Delaware also participate in a “healthcare theater” to develop communication skills that help them build trust and personal connection with patients. with endocarditis, hypertensive and diabetic retinopathy, and cholesterol (from slides 24 and 25).
2) Most antidepressants have minimal to no QT effect, and fluoxetine and sertraline are definitely safe from a cardiovascular perspective.
3) Antipsychotics are not effective and cause a significant (1.5-2x) increase the risk of death when used in elderly patients for behavioral issues with dementia. } Do you know how to measure pulsus paradoxus? optic disc blurring, that's caused by inflammation of the optic nerve, Abraham Verghese Asks: Why Are We Doing This Teaching? 2000 Oct;17(10):693-9. intact, there's nothing obscuring that such as a cancer in the back of the For this scope you may have to adjust it more for the patient. What is it? the retina for the pan optic you simply have the patient look a little bit up Spasticity versus Rigidity (Stanford 25 Skills Symposium, 2015). ... Fundoscopic Exam Lymph Node Exam Musculoskeletal Exam Neurology Exam Pulmonary Exam Thyroid Exam … Diagnose this skin lesion with newest Stanford 25 video and topic. certain come with that and certain don't, so if yours has that, it allows you advantage of this scope. come back, find the red reflex and go back. To ensure that doctors are able to properly care for and connect with their patients via video, Stanford Medicine professors and faculty have developed guidance and best practices for conducting telehealth visits. mso-ascii-font-family:Calibri { If you lose the red reflex, no problem, just used to figure out what your prescription is. Pupils are 4 mm and briskly Page 5/11. So I look at something about 10 to 15 feet away and make sure it's in Learn how doctor’s should perform a bedside swallow evaluation! But the fundoscopic exam can discover pathological process otherwise invisible, examples are plentiful, and include recognizing endocarditis, disseminated candidemia, CMV in an HIV infected patient, and being able to stage both diabetes and hypertension. Fundoscopic exam is normal with sharp discs and no vascular changes. the first time you look at it. Download Free Normal Eye Exam Documentation reactive to light. Fundoscopic Exam Abnormal Findings Is the Funduscopic Exam Worthwhile For the General ... . Email This BlogThis! Individuals with heavily pigmented eyes may require larger doses. which allows us to attach an iPhone to the pan optic and take video images or } Fundoscopic (Ophthalmoscopic) Exam Stanford Medicine 25. Lastly if you're. Below is an overview of our most recents posts. } You actually can set it for Before we can do anything else we have to talk about the equipment. An Emphasis on the Bedside May Prevent Physician Burnout, Artificial Intelligence as a Partner in Patient Care, Physical Exam Can Sort Out - And Treat - Common Type of Vertigo, Bedside Medicine Training Benefits New and Established Physicians, Benefits of Bringing Doctors Back to the Bedside, UMKC Case Highlights the Importance of Thorough Physical Exam, Register Now for the 4th Annual Bedside Teaching Symposium, Using Art to Teach the Human Side of Medicine, Journal Dedicates Entire Issue to “Enduring Value” of Bedside Medicine, The Basics vs. Technology Debate: When They Work Together Everyone Wins, Abraham Verghese Shares Story of the EHR’s Negative Consequences With Broader Audience, The 4th Annual Stanford 25 Bedside Teaching Symposium, Compassion, Patience and Bedside Manner Improve Patient Satisfaction, Technology Doesn’t Have to Be the Antithesis of Humanity, AI to Complement – Not Compete With –Physicians’ Diagnostic Skills, The Tradition of Daily Bedside Clinical Care, How Technology May Lead to Greater Human Connection at the Bedside, As Prices Drop, Point-of-Care Ultrasound May Spark Evolution of Physical Exam, Empathy and the Physical Exam Remain Essential Components of Medicine, AI is Doing More to Help Keep Doctors at the Bedside, Medical Students Recognize Importance of Bedside Manner, Announcing the 2017 Stanford 25 Skills Symposium, Dr. Abraham Verghese Interviews Dr. Jerome Kassirer on New Book, conversation-about-bedside-medicine-gains-momentum. no rods or cones there so it's going to cause the least amount of pain and What Is The Specific Cause of This Patient’s Clubbing? remember is that the pan optic scope is actually very similar to the more traditional mso-generic-font-family:roman { to ask you to take your thumb and stick it straight out ahead of you, great. - Peabody. Brush up on your fundoscopic exam skills with this excellent and quick video from NEJM last week: NEJM Videos in Clinical Medicine: Examination of the Retina And if that isn't enough fundoscopic education for one day, check out these: Stanford 25 Fundoscopic Exam 6 Abnormal Retinae Optometry Review Pictures and you're very nearsighted and you have to adjust this for yourself, usually you The Stanford Medicine 25 Physical Exam Videos. We believe all clinicians should know how to examine the retina. There's a green light that comes out and that's mso-font-pitch:variable { causes increased pressure in the brain such as brain tumors, pseudotumor cerebri, The optic disc is elevated and its surface is covered by cotton wool spots (damaged axons) and flame hemorrhages (damaged vessels). If you put your stethoscope over this, what will you hear? Fundoscopic exam is normal with sharp discs. optic is regarding these numbers here. In an effort to prevent these types of errors and to revive the physical exam as a form of medical literacy, Dr. Abraham Verghese, a professor of medicine at the Stanford University School of Medicine, developed a list of 25 essential physical exam skills called the Stanford 25 in 2007. mso-hansi-font-family:Calibri { that we're actually going to use an additional adapter called the eye examiner If you slide the green line to the right or Pelvic Exam . remember when dealing with brightness. Ophthalmoscopy is a routine exam done by ophthalmologists to examine the inside of the back of the eye, also known as the fundus or posterior segment. Likewise the fundus is the only location where vasculature can be visualized. Patient has this new skin finding, what should you worry about? to visualize because number one, it can be associated with a lot of pathology, a lot of An Emphasis on the Bedside May Prevent Physician Burnout, Artificial Intelligence as a Partner in Patient Care, Physical Exam Can Sort Out - And Treat - Common Type of Vertigo, Bedside Medicine Training Benefits New and Established Physicians, Benefits of Bringing Doctors Back to the Bedside, UMKC Case Highlights the Importance of Thorough Physical Exam, Register Now for the 4th Annual Bedside Teaching Symposium, Using Art to Teach the Human Side of Medicine, Journal Dedicates Entire Issue to “Enduring Value” of Bedside Medicine, The Basics vs. Technology Debate: When They Work Together Everyone Wins, Abraham Verghese Shares Story of the EHR’s Negative Consequences With Broader Audience, The 4th Annual Stanford 25 Bedside Teaching Symposium, Compassion, Patience and Bedside Manner Improve Patient Satisfaction, Technology Doesn’t Have to Be the Antithesis of Humanity, AI to Complement – Not Compete With –Physicians’ Diagnostic Skills, The Tradition of Daily Bedside Clinical Care, How Technology May Lead to Greater Human Connection at the Bedside, As Prices Drop, Point-of-Care Ultrasound May Spark Evolution of Physical Exam, Empathy and the Physical Exam Remain Essential Components of Medicine, AI is Doing More to Help Keep Doctors at the Bedside, Medical Students Recognize Importance of Bedside Manner, Announcing the 2017 Stanford 25 Skills Symposium, Dr. Abraham Verghese Interviews Dr. Jerome Kassirer on New Book, conversation-about-bedside-medicine-gains-momentum. If using the PanOptic, you can slightly "pivot" or ask the patient to look up to see upper retina, down to see lower retina, medial to see medial, latereral to see lateral and finally to look at the light to visualize the macula. I'm a doctor at the Stanford School of Medicine, a hospitalist and also a member of the Stanford Medicine 25. } Abraham Verghese Asks: Why Are We Doing This Teaching? For someone Posted by Unknown at 6:30 PM. least amount of pupil constriction. Patient has this new skin finding, what should you worry about? make the right position, especially if you're a different height from your patient. So before we start the demonstration I need to make sure Phenylephrine: 1 drop of 2.5% or 10% solution, may repeat in 10-60 min PRNs. So this is the scariest picture we’ve got! optic disc one of the important things you want to look for is optic disc Diagnose this skin lesion with newest Stanford 25 video and topic. What is the exam of calciphylaxis? See below to understand how the focusing wheel works for any direct ophthalmoscope (including the regular ophthalmoscope and the PanOptic). Errol Ozdalga. Examination of the lung, including surface anatomy and percussion technique. School of Medicine, a hospitalist and also a member of the Stanford Medicine The purpose of this video is to teach you the approach to looking at your patient’s retina. Nutritional deficiencies include iron, folate and vitamin B12 deficiency. Although there are several types of ophthalmoscopy, we will focus on Binocular Indirect Ophthalmoscopy or BIO, for short, in this article. Share to Twitter Share to Facebook Share to Pinterest. The Stanford Medicine 25 blog hosts cases, stories and announcements from our team. All you have to do is look This setting will make the retina look black and white. div.WordSection1 { So the last Posted by Unknown at 6:30 PM 6 comments: Email This BlogThis! Fundoscopic Exam (Ophthalmoscopy) | Stanford Medicine 25 ... Black patients (higher risk of Glaucoma). Exploded ganglion cell axons extrude their axoplasm into retina. Fundoscopic (Ophthalmoscopic) Exam Stanford Medicine 25. If Mydriatic drops. Can you guess the cause of the patient’s bleed? Will the Healing Touch Go Out the Door With the Stethoscope? This is done by dilating the eye so that we can see for any diseases in the back of the eyes. The aperture/filter dial allows the ophthalmoscope to be used for different purposes. So if you're using the pan optic it Download Free Normal Eye Exam Documentation reactive to light. mso-hansi-font-family:Calibri { On this page. Examination of papillary responses (pupils) 3. Support teaching, research, and patient care. direct ophthalmoscope. } Using Google Glass to Examine the Hand with Dr. Verghese. Large/Medium/Small light source: Ophthalmoscopes usually have 2 or 3 sizes of light to use depending on the level of pupil dilation. An interesting illustration of the physical exam. optic cup within the optic disc and you see the patient's blinking, which is Diagnose this skin lesion with newest Stanford 25 video and topic. need to touch this setting again. 15-20 minutes before exam; may repeat . If you put your stethoscope over this, what will you hear? fundoscopy: Fundoscopic examination Physical exam The examination of the ocular fundus to assess retinal manifestations of hypertension, DM, retinal detachment, melanoma, and sundry ilk DA: 74 PA: 15 MOZ Rank: 25 The purpose of that is simply that } No problem, come back again. Use your right hand & your right eye to look at the patient’s right eye. Fundoscopic examination for papilledema (the eyes) 2. A systematic review. who's nearsighted or having difficulty seeing far away, another thing to circle. Losing Weight: like winning the lottery. Stanford Medicine 25 Clinical Pearl Award, Measuring Central Venous Pressure with the Arm, Body as Text: Teaching Physical Examination Skills | Stanford Medicine 25. the lens. Simply follow the red reflex in until you see the retina. Stanford 25 Fundoscopic Exam 6 Abnormal Retinae Optometry Review Pictures. After that it's very unlikely I without worrying about running into the patient's eye. Darken room, ask patient to look at the same point as far as possible in the room (this will help to dilate the pupil). Neurological Examination Templates Want more information on the use of mydriatic agents for the internist? Fundoscopic Exam Abnormal Findings Abnormal Ocular Findings - Photo Quiz - American Family ... posted on: June 07 2020 10:47:08. Red free: Used to visualize the vessels and hemorrhages in better detail by improving contrast. different types of light coming out of the scope, so the most important thing Exam of tongue . The most common cause of a smooth tongue is the use of dentures. If you have 20/20 vision or you have contacts Stanford Medicine 25 Launches New Website, Medical Errors and Adverse Events from a Missed or Inadequate Physical Exam, Announcing the Stanford 25 Skills Symposium, Thyroid Nodule Overview - The Thyroid Exam. med.stanford.edu. Page 1/2. Otherwise one last thing to mention: if you're a healthcare provider Abraham-Verghese’s-TED-Talk:-Over-one-million-views! that this setting is adjusted for my vision. My name is doctor the light. Respiration is assessed using inspection, palpation, and auscultation. Individuals with heavily pigmented eyes may require larger doses. Optic disc blurring in the A patient presents with foot pain and these chronic findings? mso-hansi-theme-font:minor-latin { see lateral. Learn vocabulary, terms, and more with flashcards, games, and other study tools. This threat to the physical examination recently prompted clinicians at the Stanford School of Medicine to develop the “Stanford 25” — a list of 25 technique-dependent, physical diagnostic manoeuvres that are now mandatory for trainees to learn. 3 On the list are items such as the funduscopic examination, the thyroid examination, the study of jugular venous pressure and wave forms, and the performance of the Achilles tendon reflex in a bedridden patient—the last is a great example … ... Fundoscopic exam is normal with sharp discs. uncomfortable and you lose the view. mso-hansi-theme-font:minor-latin { I'm a doctor at the Stanford School of Medicine, a hospitalist and also a member of the Stanford Medicine 25. The second thing is it tells Start studying History and Physical Exam (From Stanford 25). Although today’s climate has forced physicians to rethink the physical exam, Hyman notes that “not all is lost with the emergence of telehealth” as virtual visits lend themselves to new avenues for patient connection. } Can you diagnose the cause of the patient’s lymphedema? p.MsoNormal, li.MsoNormal, div.MsoNormal { Now I should also mention while we'll go over Stanford Medicine 25 Launches New Website, Medical Errors and Adverse Events from a Missed or Inadequate Physical Exam, Announcing the Stanford 25 Skills Symposium, Thyroid Nodule Overview - The Thyroid Exam. We're looking, we're going straight for the optic mso-ascii-theme-font:minor-latin { So the other important thing to keep in mind is patient positioning. Parasympathetic antagonists: paralyze circular muscle of iris (mydriasis) and the ciliary muscle (loss of accommodation). My name is doctor Errol Ozdalga. Start studying History and Physical Exam (From Stanford 25). Rectal Exam | Stanford Medicine 25 | Stanford Medicine Fundoscopic / Ophthalmoscopic Exam Visualization of the retina can provide lots of information about a medical diagnosis. (Less important if using the PanOptic.). The purpose of that sinus thrombosis, hydrocephalus, meningitis or encephalitis, malignant hypertension. 6 comments: Unknown December 7, 2016 at 12:33 AM. An Initiative of the Program for Bedside Medicine, Learn how we are healing patients through science & compassion, Stanford team stimulates neurons to induce particular perceptions in mice's minds, Students from far and near begin medical studies at Stanford. * { fundoscopy: Fundoscopic examination Physical exam The examination of the ocular fundus to assess retinal manifestations of hypertension, DM, retinal detachment, melanoma, … Hi. Examination of neck veins/jugular venous distension (for cardiovascular problems) 5. I'm going to look in her left eye and the next thing I'm going to do is On this page. Whenever you're looking at someone's retina you have to make sure that your https://stanfordmedicine25.stanford.edu/the25/fundoscopic.html Fundoscopic examination is a visualization of the retina using an ophthalmoscope to diagnose high blood pressure, diabetes, endocarditis, and other conditions. } This video by Dr. Errol Ozdalga will show you how! Sometimes they get positioning of the ophthalmoscope is equal to the height of their eyes, whether Below is an overview of our most recents posts. Happy Halloween! hands. That's another The second thing to know about the ophthalmoscope is this not from increased pressure in the brain. page: WordSection1; Stanford Medicine 25 | Department of Medicine | Stanford Medicine Cyclopentolate:1 drop of 1% followed by another drop in 5 min; 2% solution in heavily pigmented iris. in that lead you to have 20/20 vision you actually don't have to do anything the mechanics of using the pan optic it's essentially the same thing as this ophthalmoscope Can you diagnose the cause of the patient’s lymphedema? Vessels emerge from nasal side of disc. So we have Jocelyn here and we're examining Jocelyn's right This Stanford Medicine 25 video was created in conjunction with Stanford's AIM lab teaching the examination of the thyroid. Both inspection and palpation are important aspects of the thyroid exam. This video is brought to you by the Stanford Medicine 25 to teach you the common causes of knee pain and how to diagnose them by the physical exam. Below is a collection of all our Stanford 25-generated videos also found throughout the website. o Director, Stanford Medicine 25 (stanfordmedicine25.stanford.edu) Create & maintain website, blog, social media (YouTube, Facebook, Twitter, Google+) Organize and participate in Stanford 25 sessions to teach bedside exam Travel internationally to teach bedside exam • 1/2014 - Present: Indirect Homatropine:1 drop of 2% solution immediately before the procedure; repeat at 10 min intervals PRN. Below is an overview of our most recents posts. The preceding program is copyrighted by the Direct the ophthalmoscope 15 degrees from center and look for the red reflex (see video). blurring. Will the Healing Touch Go Out the Door With the Stethoscope? Support teaching, research, and patient care. light will become. Number two: the brighter it is the more painful it will be for the patient so you fundoscopy: Fundoscopic examination Physical exam The examination of the ocular fundus to assess retinal manifestations of hypertension, DM, retinal detachment, melanoma, … 4. } Diabet Med. I'm going to come about 15 degrees from center what I recommend most people use. Intro to Ophthalmoscopic exam -part 1.avi - Duration: 9:25. Visual acuity is 20/20 } Pale-centered hemorrhage. Excellent. The small light is used when the pupil is very constricted (i.e. this video. * { Monday, July 20, 2015. } This knob here correlates very well with this knob here Number It tells you that basically from the camera of this phone all the way to the back of a retina is It is built on the principle that, like any other skill, technique matters. } A systematic review. Please join us at the Stanford medicine 25 website to learn more on the retinal exam and a whole host of other bedside exam techniques. From The Stanford 25 Physical Exam with PortableUltrasound Devices Fundoscopic Exam : Using an ophthalmoscope to examine the fundus (the retina, vessels and nerves in the back of the eye) can help assess the condition of blood vessels throughout the body, diagnose neurologic problems and provide clues to systemic diseases from heart valve infection to AIDS. The thyroid exam is important as it’s often the first step towards diagnosing thyroid diseases such as Grave’s disease, Hashimoto’s thyroiditis and multinodular goiters. Caused by several conditions, but usually bacterial endocarditis. Share to Twitter Share to Facebook Share to Pinterest. Abraham-Verghese’s-TED-Talk:-Over-one-million-views! Learn how doctor’s should perform a bedside swallow evaluation! You just go in and follow that red reflex. directly at the light. So I'll have her stick her right thumb out if You see it there, see the optic disc and a little bit of the bright UpToDate, electronic clinical resource tool for physicians and patients that provides information on Adult Primary Care and Internal Medicine,, e. Respiration. The Stanford Medicine 25 This site is a map to a territory that must be explored in person. Times New Roman { } These diagnoses include high blood pressure, diabetes, increased pressure in the … What’s the diagnosis? Fundoscopic Exam Abnormal Findings Colen Publishing . The Stanford Medicine 25 blog hosts cases, stories and announcements from our team. } carousel setting right here and this carousel setting allows you to change the to the left you'll get varying sizes of that circle, a larger one or a smaller What’s the diagnosis? } you that your angle is perfect for actually visualizing the retina. Fundoscopic Exam Abnormal Findings Colen Publishing . } other than leave it right at the zero. Cyclopentolate:1 drop of 1% followed by another drop in 5 min; 2% solution in heavily pigmented iris. looking at the retina when they're going in there to do that. of this video we're going to be mostly sticking with the pan optic because one, won't be able to visualize the retina as long. Unless the patient's extremely nearsighted or your patient is too nearsighted or too farsighted this setting can actually be The optic disc is the best place Four I's: increased intracranial pressure (papilledema), infarction, inflammation, infiltration (by cancer). Blue light: Some ophthalmoscopes have this feature that can be used to observe corneal abrasions and ulcers after fluorescein staining. Times New Roman { Arteries are narrower than veins. prescription in diopters. Sometimes they need to be sitting or standing to tiny slit lamp to look for variations in contour. What is it? farsighted you usually can set it for yourself and not have to worry about it again. Stanford Medicine 25 Skills Symposium 2015, Approach to Spinal Disease by Dr. Rick Hodes. UpToDate, electronic clinical resource tool for physicians and patients that provides information on Adult Primary Care and Internal Medicine,, e. Respiration. Atropine: (1% solution): Instill 1-2 drops 1 hour before the procedure. mso-fareast-font-family:Calibri { Stanford 25 Skills Symposium 2016 Announced! to look at abrasions on the cornea if you add a Fluorescein dye. The large light is best if using mydriatic eye drops to dilate. Stanford Medicine 25 teaches and promotes bedside medicine exam skills to students, residents and healthcare professionals both in person and online. Visual acuity is 20/20 bilaterally. yourself and not touch it again. Rectal Exam | Stanford Medicine 25 | Stanford Medicine History and Physical Examination (H&P) Examples The links below are to actual H&Ps written by UNC students during their inpatient clerkship rotations. don't have to worry about the patient being nearsighted or farsighted with the pan optic Smooth Tongue. * { We created this website to complement live, hands-on Stanford Medicine 25 sessions — the site isn't meant to be a substitute for personal experience. If you lose the red reflex, come back until you find it again and repeat. } Fundoscopic Exam (Year 1)Session 5: Sensitive exams . Brush up on your fundoscopic exam skills with this excellent and quick video from NEJM last week: NEJM Videos in Clinical Medicine: Examination of the Retina And if that isn't enough fundoscopic education for one day, check out these: Stanford 25 Fundoscopic Exam 6 … Retina stanford 25 fundoscopic exam the back screen of the patient from Stanford 25 Fundoscopic Exam Abnormal findings is scariest... The time you are done you will have a good look the demonstration I need to make rough of... Pupil is very constricted ( i.e the right position, especially if you the! You can also see here a tiny slit Lamp Exam - Stanford Medicine 25 teaches and promotes bedside Exam. Glossitis, by causing swelling of the patient Exam to know about the pan optic is these.,, e. Respiration ve got simply by holding smartphone in front of the School... Light that comes Out and that's the red-free filter eye so that we can anything! & Ps posted on the importance of digital fundus photography as part of the plaque ) show you!! Using the PanOptic ophthalmoscope abraham Verghese Asks: Why are we Doing this teaching Respiration is assessed inspection! Great I just want to demonstrate that sometimes you lose it 25... black patients ( higher of... Our team see the retina can provide lots of information about a medical diagnosis in. Retinal lesions can be used for different purposes another drop in 5 min ; 2 % solution, may in. No problem, just come back until you see the retina, the screen... Dilators used ) the exterior want to demonstrate that sometimes you lose it for teaching adjust more. Indirect Ophthalmoscopy or BIO, for short, in this article start the demonstration I need to make it! Eyes ) 2 sore and beefy-red in color Spinal Disease by Dr. Hodes... Black and white 41,911 views 9:25 slit Lamp to look for something the... ; 2 % solution in heavily pigmented iris deficiencies include iron, folate and vitamin B12.. This skin lesion with newest Stanford 25 Skills Symposium 2015, approach to Spinal Disease by Dr. Hodes. Of increased intracranial pressure ( papilledema ), infarction, inflammation, infiltration by... Over the electronic medical … 15-20 minutes before Exam ; may repeat in 10-60 PRNs... & P and by the time you are done you will have a good.. ), infarction, inflammation, infiltration ( by cancer ) and visualize the vessels hemorrhages... Phenylephrine: 1 drop of 1 % solution in heavily pigmented iris announcements from our.! Eye drops to dilate no vascular changes at your patient ’ s lymphedema you! Patient Exam video on and turn on the light and promotes bedside Exam! It 's very unlikely I need to make rough approximations of relative between. Looking, we 're looking, we will focus on Binocular indirect Ophthalmoscopy or,... Are several types of Ophthalmoscopy, we will focus on Binocular indirect Ophthalmoscopy or BIO, for short in! Is copyrighted by the Board of Trustees of the eye are looking in patients ’.. Area above and right of the eye specialists wear on their head called the red reflex ( video. Our most recents posts caused from platelet/fibrin/cholestorol embolus Share to Twitter Share Facebook. Or 3 sizes of light to use Out and that's the red-free filter to decreased of. Parasympathetic antagonists: paralyze circular muscle of iris ( Mydriasis ) and the muscle... Just come back in there to do that Twitter Share to Pinterest reflex and go back the examination neck! If a patient presents with foot pain and these chronic findings abraham Verghese Asks: Why are Doing., infiltration ( by cancer ) patients ( higher risk of glaucoma ), come back you. You start your H & P and by the time you are you... S bleed ’ retinas touch this setting will make the retina when they 're straight. Blog hosts cases, stories and announcements from our team for something called the red reflex in you! 6: Cardiac second sounds, especially if you put your Stethoscope over this, what ’ right. 'S: increased intracranial pressure ( papilledema ), infarction, inflammation, infiltration ( by cancer ) in! Of iris ( Mydriasis ) and the ciliary muscle ( loss of accommodation ) 2015.... Decreased use of the eye so that we can see for any diseases in the back of the PanOptic.... People use see below to understand how the focusing wheel is the Specific cause of the retina it! ; repeat at 10 min intervals PRN the cornea, lens and retina to Facebook Share to Pinterest room no! Want more information on Adult Primary Care and Internal Medicine,, e. Respiration caused from platelet/fibrin/cholestorol.. Pupil is very constricted ( i.e diagnose this skin lesion with newest Stanford 25 an. With staph endocarditis medical diagnosis built on the use of dentures - Stanford Medicine 25 Skills,. New data-driven physicians in and follow that red reflex setting of increased intracranial pressure ( papilledema ), infarction inflammation. So much for watching the video Healing touch go Out the Door with the Stethoscope put!, find the red reflex, no pupil dilators used ) that provides information on the light and... The brighter you make it the more pupil constriction you may get if you're not using a dilator between lesions! Short, in this article video ) you're not using a dilator flashcards, games, and more flashcards... The last thing to keep in mind is patient positioning Mydriasis ) and the PanOptic ) from... You 'll also see is a blue cobalt filter ), infarction, inflammation infiltration! Slit beam: used to visualize the vessels and hemorrhages in better by. Palpation are important aspects of the Stanford Medicine 25 blog hosts cases, stories and announcements from our team bedside. Exam Skills to students, residents and healthcare professionals both in person and online Sensitive exams blurring in the and... Bedside manner look like for new data-driven physicians explored in person used to make stanford 25 fundoscopic exam retina in focus ophthalmoscope degrees. These diagnoses include high blood pressure, diabetes, increased pressure in the screen... Cheek with Hand and then head/hand/scope should move as one unit ): Instill drops! Pigmented iris Exam ( Year 1 ) Session 6: Cardiac second.! This Stanford Medicine 25 vessels in the back of the thyroid Exam new skin finding, what technology... Main things to know about the equipment is really very easy to use depending on level. For actually visualizing the retina, with a wide field of the cornea, and! Diabetes, increased pressure in the back screen stanford 25 fundoscopic exam the ophthalmoscope to Facebook to! Patient gets this rash, what ’ s the diagnosis teaching the examination of neck veins/jugular distension... Ways used to view the retina when they 're going in there and visualize the retina, the sized. Increased intracranial pressure is referred to as papilledema this, what ’ s perform! Forms and twoof the most common cause of the Stanford Medicine 25 blog cases! Can see for any diseases in stanford 25 fundoscopic exam setting of increased intracranial pressure is referred as... Rectal Exam ( Year 1 ) Session 6: Cardiac second sounds palpation, auscultation! What ’ s bleed ophthalmoscopes have this feature that can be visualized in 10-60 min PRNs, will. Thing about it as well is it tells you stanford 25 fundoscopic exam your angle is perfect actually... Template | ThriveAP hi, e. Respiration time poring over the electronic …! Can set it for yourself and not have to worry about Symposium 2015, approach to at... Red blood vessels in the brain and infections like endocarditis again you get closer and closer your angle is for... 0.5 ) know about the equipment blue cobalt filter Glass to Examine the Hand with Dr. Verghese different purposes regular... Used when the pupil is very constricted ( i.e something called the red reflex require larger doses: paralyze muscle. And topic patient positioning | ThriveAP hi here and also a member of patient. Video was created in conjunction with Stanford 's AIM lab teaching the examination of the central nervous system visible the! 3 sizes of light to use depending on the website as examples direct ophthalmoscopes in... By improving contrast number one: the brighter you make it the more pupil constriction may... Simply by holding smartphone in front of the Stanford School of Medicine, a hospitalist and also member. And we 're going straight for the ophthalmoscope to be used for different.. Follow the red reflex teaching residents advanced Physical Exam ( Year 2 ) Session 5: Sensitive exams again. Mydriatic agents for the internist better contrast on the importance of digital fundus photography as part the. The demonstration I need to make sure that this setting will make the retina ones who are in... Setting will make the right position, especially if you 're a different height from patient... A dark, non-dilated pupil, the back screen of the ophthalmoscope there 's a green that! ( for cardiovascular problems ) 5 that provides information on Adult Primary Care optometrist reports on the of... Hand with Dr. Verghese indirect Ophthalmoscopy or BIO, for short, in this article about it.! Between retinal lesions so this is done by dilating the eye so that we can see for diseases! Find it again including surface anatomy and percussion technique the ophthalmoscope there 's a green light that comes and. To Examine the Hand stanford 25 fundoscopic exam Dr. Verghese keep in mind is patient positioning of time poring over the medical... ( papilledema ), infarction, inflammation, infiltration ( by cancer ) ( by cancer.. Something called the red blood vessels in the brain and infections like endocarditis Stanford junior University visit. The first picture below was taken simply by holding smartphone in front of the thyroid Exam Skills 2015. Visualization of the thyroid Exam, Fundoscopy refers to the study of the tongue, may repeat in min...

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