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'You lose one tooth for every baby you have' is a commonly held myth regarding pregnancy and oral health. Although women receive basic prenatal counseling on proper nutrition, exercise, and [...]

Complex regional pain syndrome (CRPS) is a debilitating neuropathic disease that affects not only the body but also the patient's social life. In addition to agonizing pain and crippling body [...]

Entrapment of the median nerve as it passes through the carpal tunnel can result in pain, paresthesia, and numbness and tingling in the hand. Half of cases are idiopathic. Carpal [...]

Early childhood caries (ECC) have been on the rise, with the prevalence of ECC in children aged 2 to 5 years increasing from 24% in 1988-1994 to 280/o in 1999-2004.(1) [...]

An estimated 16.9% of children 2 to 19 years old in the United States are obese. (1) In addition, the number of overweight and obese children has increased in almost [...]

In February 2010, Michelle Obama announced the 'Let's Move' initiative. The goal of this comprehensive program is to eliminate childhood obesity. (1) Her goal may seem ambitious, but achieving it [...]

One of the most frequently encountered patient complaints is vertigo or disequilibrium. Reasonably, the evaluation of this complaint often creates anxiety in the clinician because of both the seemingly endless [...]

Patients with lacerations are frequent visitors to the emergency department (ED) and account for approximately 11 million visits yearly. (1), (2) Blunt force trauma, sharp instruments, glass, wooden objects, and [...]

Venous thromboembolism (VTE) is a frequent complication in patients with cancer. Its occurrence worsens quality of life and adds to the management challenges for clinicians who treat these patients. The [...]

In the early 1990s, postexposure prophylaxis (PEP) was used solely in health care workers who had been occupationally exposed to the human immunodeficiency virus. Since then, however, providing antiretroviral (ARV) [...]

More than 15,000 new cases of trigeminal neuralgia are diagnosed each year. (1,2) This condition is exceedingly painful, which makes it all the more important that health care providers be [...]

Stress is a growing public health concern. It can have both physical and psychological affects on many people. According to the American Psychological Association (APA), the nation's declining economy is [...]

More than 100 years ago, unexplainable, non-healing bone exposures were seen on the jaws of phosphate miners and match workers in the United States and Great Britain. At that time, [...]

Head and neck cancer is diagnosed in approximately 650,000 patients each year worldwide. (1) The term head and neck cancer refers to a group of biologically similar cancers originating from [...]

A 55-year-old male presents to your office for a routine physical examination. He tells you that he has been feeling fired and his bones are achy, but he attributes this [...]

Commonly considered a women's health issue, osteoporosis is increasingly being recognized as a significant cause of morbidity and mortality in men. (1,2) In 2002, more than 14 million men had [...]

LEARNING OBJECTIVES * Identify the risk factors for oral cancer * Describe signs and symptoms commonly associated with oral cancer * List the steps performed in a comprehensive oral examination [...]

* CASE A 9-month-old male presented to the emergency department (ED) with guarding of his right arm and shoulder. The sitter had stepped out of the room to get a [...]

* CASE A 23-year-old male presented to the emergency department for evaluation after being struck on the right side of his pelvis by a slow-moving car 2 days earlier. He [...]

>CASE A 21-year-old male was riding on his skateboard when he sustained a mechanical fall. He complained of right forefoot swelling and pain along the dorsolateral aspect of his midfoot. [...]

CASE During recess, a 12-year-old boy was running across wet grass when he suddenly slipped. He fell forward and twisted his right ankle. The school nurse examined him briefly and [...]

* CASE A 37-year-old man noted intermittent decreased sensation in his chin and lower lip with associated pain and swelling in his left lower jaw. He was planning to see [...]

* CASE A 13-year-old female presented with a 4-day history of left knee pain. The pain had come on suddenly. The patient stated that after she walked home from school, [...]

* CASE A 55-year-old male complained of a blistering rash that had been present on his chest and both arms for 2 days. He described the worsening rash as extremely [...]

Caffeine, a mild neurostimulant, is the most popular pharmacologically active substance consumed worldwide. (1) Although not addictive, withdrawal of caffeine may cause symptoms such as fatigue, drowsiness, weakness, and headaches. [...]

CASE A 58-year-old male presented with an asymptomatic lesion on his right upper gum (Figure 1). The patient noticed the slowly growing mass in the area but attributed it to [...]

I was told at the start of my career that clinicians are involved in a lawsuit once every 5 years. I didn't believe this at first, but after 9 years [...]

CASE A 34-year-old woman presented with a 1-month history of a slightly pruritic rash on her left axilla. She first noticed the small bumps 4 weeks earlier. Believing she may [...]

* CASE A 40-year-old female found a small but growing red lump under her tongue (see Figure 1). She did not smoke tobacco or drink alcohol, nor did she have [...]

* CASE A 21-year-old Hispanic woman, 29 weeks pregnant, presents to the emergency department (ED) with a persistent headache and subsequent seizures. Her headache began 1 week earlier with pain [...]

* CASE A 16-year-old female presented with a painless lesion on her upper gingiva. She reported that about 4 weeks ago, her gums began to bleed while she was brushing [...]

CASE The patient was a 7-year-old boy who presented with painful sores in his mouth. Three days before presentation, the patient complained to his mother that his mouth felt extremely [...]

>CASE A 74-year-old woman presented with a 5-day history of chills, head congestion, sinus tenderness, sore throat, and a productive cough with yellow-colored sputum. She stated that for the past [...]

> CASE The patient is a &year-old boy who noticed a small red bump on his knee before going to bed. The next morning, he found redness and swelling around [...]

CASE A 56-year-old woman presents to the urgent care clinic believing she has a stomach virus or the flu. She had an episode of diarrhea about an hour after eating [...]

A 46-year-old man presents with mildly painful white spots on his tongue. He first felt pain 1 week earlier. The patient denies having hypertension, hypercholesterolemia, autoimmune disease, or diabetes and [...]

A 24-year-old woman presents to the clinic with a 2-month history of discoloration on her tongue. She says it 'almost looks like there is fur' on the center of her [...]