14 yom, small pink bump on back of tongue. No pain, just no | Figure 1

14 yom, small pink bump on back of tongue. No pain, just noticed recently.

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Cases

7-month-old female with 1 month history of recurrent solitary lesion to left anterior aspect of tongue resulting in decreased volumes of feeding when present. Resolves over 5-7 days. Has recurred 3 times in past month. Clinically well and otherwise asymptomatic. No skin changes. Pictures are in order of evolution (not all taken from same occurrence). What is it? How do you manage it?

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27 year old male with no PMHx. Burning sensation of tongue for past 2 weeks, minimal in the mornings then gets worse as day goes on. He takes no medications. Exam of tongue and mouth normal.

An unusual finding in routine dental examination..Enlarged circumvallate papille of tongue..Patient aware and asymptomatic..Possible causes..??

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4 year old girl presenting with this tongue mass of unknown origin. Mom states it's been there since birth. Growing a bit, then falling off and growing back. No pain, no bleeding. Otherwise totally healthy kid. Living in Germany. Any ideas of what this is and how to treat? Thanks a lot.

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A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

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A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

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A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.

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Patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this EKG that would warrant further work-up or is this just a pediatric EKG?

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