Giant Pilomatrix Carcinoma of the Face.

This case report describes an unusually large facial pilomatrix carcinoma (PC) in a 60-year-old man. This PC had been growing slowly for 11 months and had recently ulcerated. It measured 9 cm × 7 cm × 5 cm.

Scombrotoxinism: Protracted Illness following Misdiagnosis in the Emergency Department.

Background. Scombrotoxinism is an acute toxin-induced illness caused primarily by bacterial synthesis of histamine in decomposed fish. Case Report.

Septic Arthritis of the Temporomandibular Joint--Unusual Presentations.

This report describes 2 patients whose septic arthritis of the temporomandibular joint (SATMJ) presented atypically, resulting in treatment delay and complications. A 49-year-old man developed left-side facial allodynia, which was first treated unsuccessfully as trigeminal neuralgia. On day 21, the patient sustained facial trauma from a fall and presented to the emergency department (ED).

Errors in Patient History in Hospital Records.

Conflict Of Interest: Ghan-Shyam Lohiya MD provided medico-legal opinions as a Qualified Medical Evaluator (Occupational Medicine & Toxicology) supporting a related workers' compensation death claim. Dr G. Lohiya received partial payments for his services from Gallagher Bassett Services Company (workers' compensation insurance adjuster for the patient's employer).

Domestic violence dilemma in the dental clinic.

A case is presented where a dentist recognizes physical abuse of a patient. Although legally the dentist must report such cases, the patient asks that this not be done. Statistics are presented regarding the prevalence and consequences of abuse, and one potential response is suggested.

Human bites: bloodborne pathogen risk and postexposure follow-up algorithm.

Human bites may transmit bloodborne pathogens (BPs) by exposing the biter's oral mucosa to the bitee's blood and the bite wound to biter's saliva. Consequently, bites may require postexposure follow-up per the Occupational Safety and Health Administration (OSHA) BP standard. Literature reveals that BP transmission via bites is rare.

A simple stratification & storage system for samples and supplies.

Expiration dates on drug samples are often cumbersome to check due to their poor legibility and variable location on the containers. Consequently, many samples remain unused past their expiration dates and must be discarded. Timely use of samples can be facilitated by legibly writing their expiration dates on the top surface of their containers, stratifying all samples by their expiration dates in chronologically labeled shelves and reviewing the stock monthly.

Pharmaceutical advertisements in medical journals received in a medical clinic: are we having "too much of a good thing"?

A convenience sample of all medical journals found in a medical clinic was reviewed for pharmaceutical advertisements. Ads were present in 25 (96%) of the 26 journals. Ad space varied from 0-34% (mean 12) in research, and 9-48% (mean: 36) in nonresearch journals.