<div id="article-content-body"><p>The next time you need to perform a routine oral examination in a patient with a severe gag reflex, try this: have the patient use the tongue blade to...
<div id="article-content-body"><p>When patients' deep tendon reflexes in the ankle and knee are diminished, have them clasp their hands together and pull outward with both...
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<p>The sudden appearance of a pruritic confluent erythematous rash on the anterior neck and upper back prompted a 30-year-old woman to seek medical...
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<p>Depression is a common, recurrent, often debilitating, and potentially lethal disorder. About 1 in 10 outpatients have clinical, or major,...
<div id="article-content-body"><p>Apologies and appreciation can work wonders for both patient and physician. One afternoon at our noon-to-5 clinic, a flood of patients arrived all at...
<p>Young children are prone to scrapes and bruises. I recommend to their parents keeping a tray of miniature party-type ice cubes in the freezer.</p>
Donald Wickline, MD; Jonathin Siff, MD; Janet Poponick, MD
A 67-year-old woman arrived via ambulance in ventricular tachycardia. She had been experiencing crushing substernal chest pain and shortness of breath that had worsened over the past several hours. She...
<div id="article-content-body"><p>Should I prescribe niacin for a patient whose lipoprotein(a) (Lp[a]) level is 65 mg/dL?</p></div>
John Bower, MD; David Effron, MD; Michael D. Smith, MD
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<p>A 42-year-old man presents with severe pain, decreased vision, photophobia, and purulent discharge in his right...
<div id="article-content-body"><p>As a teacher of medical students and residents in an academic medical center hospital, I am more and more concerned about the increasing distance...
Dr Henry Schneiderman invited readers to examine the photograph of a man with severe obstructive airways disease and psoriasis and offer additional observations.
<div id="article-content-body"><p>Heart failure is prevalent in both primary care and cardiology practices. It develops in about 1 in 5 persons during their lifetime and in about 1 in...
<div id="article-content-body"><p>This 33-year-old Guatemalan man presented to a medical mission camp with generalized bilateral knee pain and inability to extend his leg without...
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<p>At a routine blood pressure check, a 63-year-old woman has 2 readings of 165/100 mm Hg. The patient has had essential hypertension since age 41...
