A patient presents with painful swelling in the mouth and i…

 A patient presents with painful swelling in the mouth and increased pain at mealtimes, feels otherwise well. On exam, patient is afebrile, and the provider notes a mass in the oral cavity near the sublingual salivary gland region. What is the most likely cause of these symptoms?

Your next patient has been having intermittent reflux sympto…

Your next patient has been having intermittent reflux symptoms, worse with certain foods, and if eating right before bed. Noted that initially had good relief with TUMs and has been using famotidine (Pepcid) BID with modest improvement, but notes “breakthrough” symptoms. No weight loss, dysphagia, or change in voice. At this point, which would be the next best step in management of this patient’s symptoms? 

A 2 year old child is brought to the clinic for an acute vis…

A 2 year old child is brought to the clinic for an acute visit related to a cough, the history and physical findings reveal the following: A child who is well nourished, appropriate height and weight for age, with moderate intercostal retractions, lung sounds are clear and air moving well throughout with the exception of a stridor that can be heard on auscultation, the patient is calm throughout the assessment;  mom denies any change in color or change in level of consciousness. Utilizing the below Westley Croup Scoring System and the history and physical information provided above, what is your next best course of action?