A white oral patch with burning, ulceration, or peeling gums is not a lesion to dismiss. This episode earns a high place because it separates classical oral lichen planus from oral lichenoid lesions and makes biopsy, history, and surveillance feel clinically immediate.

A rib hump or shoulder asymmetry is not just poor posture in a growing child. Use Adams forward bend testing, arrange standing full-spine imaging for suspected scoliosis, and escalate sooner when pain, neurological signs, bowel or bladder change, or milestone regression are present.