A memorable patient: The benefits of attending the dentist

doi:10.1136/bmj.322.7287.667

BMJ 2001;322:667 ( 17 March )

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A memorable patient

The benefits of attending the dentist

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I had only recently given an undergraduate lecture on endocrine disorders when I was asked to see him. He had been referredby his dentist to the professor of prosthodontics because theprovision of partial dentures was proving difficult. His mandiblewas long and his tongue was large, but it was the chatting aboutgolf that made the difference. He blamed his golf handicap onhis shoes as they were increasingly cramping his feet, and hecommented that on recently buying a new pair, he found he hadgone up a whole shoe size. The professor's sixth sense told himthat something may be amiss and I was asked to see the patient.An inability to get his wedding ring on his finger, a change infacial appearance, and an increase in collar size all soundedsuspicious. Further questioning revealed a history including hypertension,late onset diabetes, arthralgia, and bilateral . . . [Full text of this article]

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Maintaining older people's dignity and autonomy in healthcare settings: A J D Macdonald, Phillip Malouf, and Felik Paulus
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