The phrase originates from nautical vocabulary, referring to the front and back of a vessel. He knew his boat from stem to stern, every nook and cranny.
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Metaphorical Use
Used metaphorically, it describes thoroughness in tasks or descriptions. The event planner arranged the venue from stem to stern.
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Visual Imagery
It evokes a strong visual image of something being filled or covered completely. The garden was in full bloom, colorful from stem to stern.