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?