Approach to the Patient with Anxiety John J. Worthington III Anxiety disorders are prevalent (the estimated lifetime prevalence is 29% in the general population) and a frequent precipitant of visits…

Evaluation and Management of Temporomandibular Disorders Edward T. Lahey III It is estimated that disorders of the temporomandibular joints (TMJs) affect over 10 million US individuals. Primary care physicians will…

Approach to the Patient with Aphthous Stomatitis Aphthous stomatitis (canker sores) is a common self-limited ulcerative condition of the oral mucosa. About 20% of the population is affected at one…

Approach to the Patient with Excessive Snoring Neil Bhattacharyya Snoring is essentially a lay term for the vibratory sounds produced by turbulent airflow moving the soft tissues of the upper…

Approach to the Patient with Chronic Nasal Congestion and Discharge Neil Bhattacharyya It is estimated that 15% to 20% of the US population suffers from chronic or recurrent nasal congestion….

Approach to the Patient with Hiccups Hiccup is usually a transient, innocuous symptom, but when persistent, it may become an exhausting and disabling problem. Intractable hiccup has been attributed to…

Approach to the Patient with Pharyngitis William A. Kormos A wide variety of organisms may be responsible for pharyngitis, ranging from viruses and streptococci to gonococci and Candida. The most…

Approach to the Patient with Sinusitis William A. Kormos Sinusitis is an inflammation of one or more of the four paired paranasal sinuses surrounding the eyes. It is an extremely…

Approach to the Patient with Otitis Neil Bhattacharyya Ear discomfort from otitis media accompanying an upper respiratory tract infection is one of the more common complaints encountered in primary care…

Evaluation of Tinnitus Neil Bhattacharyya Tinnitus is an important but nonspecific symptom of otologic disease. “Ringing,” “buzzing,” and “roaring” are terms used to describe the sensation, which can be extremely…