A 29-year-old woman who has struggled with maintaining a healthy weight for most of her life has decided to tackle her New Year’s resolution. On several different occasions, she has attempted to lose weight; however, she has never been successful. Every year, eager to begin her weight loss journey, she reads self-help books, joins exercise […]

Jack is a 6 week old infant presenting with his mother with continued concerns for spitting up after feedings. He has been in the office every 3-4 days for the spitting up. Mom has changed his formula four times since his birth without any changes in the spitting up. You had prescribed a trial of […]

Your 17 year old patient presents following a syncopal episode. His pulse and blood pressure reflect orthostasis with a change in pulse by 40 points from lying to standing. Based on his weight chart, he is down 15 pounds from his last visit 2 months ago. He is complaining of a change in the color […]

Ben is a 15-year-old seen in the clinic because of acne. You note that his face and neck are covered with comedones and inflamed pustules. He states that he has had a problem with acne for two years but has taken care of it at home by scrubbing his face 4-5 times per day and […]

Mr. Richard Pilgrim is a personal trainer who was referred to your dental office by one of his clients. New to your practice, his chief complaint is “brown spots that show when I smile.” • In examining Mr. Pilgrim’s teeth, you note that the brown spots are calculus deposits that are stained (superficial, extrinsic stain). […]

Mrs. Villarreal (79) drives her husband, Francisco (82), to the hospital after demonstrating an inability to speak, difficulty breathing and grabbing his chest. Mr. Villarreal dies at the hospital of a massive heart attack. Mrs. Villarreal is frantic, begins wailing, and throws herself to the floor asking God, “why?” The social worker is called to […]