Journal of Urgent Care Medicine

Journal of Urgent Care Medicine

Practice Management

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Images Challenge

A 16-Year-Old Female with Neck Pain After Swallowing

A 16-Year-Old Female with Neck Pain After Swallowing

The patient is a 16-year-old female with right-side neck pain after inadvertently swallowing a chicken wing.  She has not eaten and has imbibed minimal fluids for more than 24 hours. View the x-ray taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.

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Ashley Blachford November 15, 2022November 15, 2022 Images Challenge Read more
A 10-Year-Old Boy Who Twisted His Knee in the Backyard

A 10-Year-Old Boy Who Twisted His Knee in the Backyard

The patient is a 10-year-old boy who presents after twisting his right knee while playing a backyard game of badminton. The pain is such that he is unable to bear weight on the leg. View the image taken (Figure 1) and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.

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Ashley Blachford September 20, 2022September 20, 2022 Images Challenge Read more
A 35-Year-Old with Neck Pain After an Auto Accident

A 35-Year-Old with Neck Pain After an Auto Accident

The patient is an otherwise healthy 35-year-old male who presents with posterior neck pain after a motor vehicle accident. View the image taken and consider what your diagnosis and next steps would be.

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Ashley Blachford August 16, 2022August 16, 2022 Images Challenge Read more
A 100-Year-Old Female Presents with Right Foot Pain

A 100-Year-Old Female Presents with Right Foot Pain

Images and case presented by ECG Stampede View the ECG taken and consider the questions below when determining your diagnosis and next steps. KEY QUESTIONS What is the pacemaker mode? What are the indications for pacemaker insertion?

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Ashley Blachford July 19, 2022July 19, 2022 Images Challenge Read more
A 31-Year-Old Male Complaining of Weakness

A 31-Year-Old Male Complaining of Weakness

KEY QUESTIONS What Electrolyte disturbances cause the interval problem seen in this ECG? Which dysrhythmia is this patient at risk for?

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Ashley Blachford May 17, 2022May 17, 2022 Images Challenge Read more
A 22-Year-Old with Chronic Foot Pain

A 22-Year-Old with Chronic Foot Pain

The patient is a 22-year-old male who presents for a pre-employment physical. During the exam, he mentions foot pain of several years’ duration, the origin of which he has no explanation. View the image taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.

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Ashley Blachford April 19, 2022April 19, 2022 Images Challenge Read more
A 37-Year-Old Female Presents with Sharp, Pleuritic Chest Pain

A 37-Year-Old Female Presents with Sharp, Pleuritic Chest Pain

KEY QUESTIONS What features differentiate acute pericarditis from ST-elevation myocardial infarction? What are the criteria for diagnosing acute pericarditis? What are the treatment options?

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Ashley Blachford April 12, 2022April 13, 2022 Images Challenge Read more
A 21-Year-Old Male Presents with Altered Mental Status After a Vehicle Accident

A 21-Year-Old Male Presents with Altered Mental Status After a Vehicle Accident

KEY QUESTIONS What phenomenon explains the ST elevations in this ECG? What are the features of this condition? What is the clinical significance of this phenomenon?

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Ashley Blachford March 29, 2022March 29, 2022 Images Challenge Read more
A Young Man with Acute Ankle Injury

A Young Man with Acute Ankle Injury

The patient is a 27-year-old man who complains of severe ankle pain and immobility after stumbling while on a hike. He fell approximately 1 foot onto a rock, landing with his foot in a forced flexion position.  View the image taken and consider your next steps, along with possible diagnoses.

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Ashley Blachford March 15, 2022March 15, 2022 Images Challenge Read more
A 77-Year-Old Man Presents with Dyspnea

A 77-Year-Old Man Presents with Dyspnea

KEY QUESTIONS What diagnosis explains the widened QRS? What are the electrocardiographic criteria for making this diagnosis? What rule(s) can help diagnose acute myocardial infarction with an ECG like this?

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Ashley Blachford February 15, 2022February 22, 2022 Images Challenge Read more
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The Journal of Urgent Care Medicine® (JUCM) is the official journal of the Urgent Care Association (UCA). Each issue contains a mix of peer-reviewed clinical and practice management articles that address the distinct clinical and
practice management needs of those who are working in today’s busy urgent care centers. JUCM’s reach of over 42,000 includes qualified clinicians, business and administrative professionals working in urgent care facilities nationwide

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