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™ DECEMBER 2009<br />
VOLUME 4, NUMBER 3<br />
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THE JOURNAL OF URGENT CARE MEDICINE®<br />
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www.jucm.com | The Official Publication of the Urgent Care Association of America<br />
I N T H I S I S S U E<br />
F E A T U R E S<br />
11 Identifying and Treating<br />
Superficial Fungal Infec-<br />
tions in the Urgent Care<br />
Setting<br />
21 Bouncebacks: The Case of a<br />
36-Year-Old Man with Cough<br />
25 Case Report: A 12-year-old Girl with<br />
Back Pain<br />
<br />
D E P A R T M E N T S<br />
27 Abstracts in Urgent Care<br />
29 Insights in Images:<br />
Clinical Challen<a title="JUCM, The Journal of Urgent Care Medicine December 2009 page 1" href="http://viewer.zmags.com/publication/221e8229?page=1">™ DECEMBER 2009 VOLUM</a> ™ DECEMBER 2009 VOLUM<a title="JUCM, The Journal of Urgent Care Medicine December 2009 page 2" href="http://viewer.zmags.com/publication/221e8229?page=2"></a> <a title="JUCM, The Journal of Urgent Care Medicine December 2009 page 3" href="http://viewer.zmags.com/publication/221e8229?page=3">Q “I’m a physician. I’ve paid my dues. Isn’t it en</a> Q “I’m a physician. I’ve paid my dues. Isn’t it en<a title="JUCM, The Journal of Urgent Care Medicine December 2009 page 4" href="http://viewer.zmags.com/publication/221e8229?page=4">Provide your patients with convenience andpeace </a> Provide your patients with convenience andpeace <a title="JUCM, The Journal of Urgent Care Medicine December 2009 page 5" href="http://viewer.zmags.com/publication/221e8229?page=5">The Official Publication of the Urgent Care Associ</a> The Official Publication of the Urgent Care Associ<a title="JUCM, The Journal of Urgent Care Medicine December 2009 page 6" href="http://viewer.zmags.com/publication/221e8229?page=6">JUCM EDITOR-IN-CHIEFLee A. Resnick, MDCase We</a> JUCM EDITOR-IN-CHIEFLee A. Resnick, MDCase We<a title="JUCM, The Journal of Urgent Care Medicine December 2009 page 7" href="http://viewer.zmags.com/publication/221e8229?page=7">Call for ArticlesJUCM, the Official Publicatio</a> Call for ArticlesJUCM, the Official Publicatio<a title="JUCM, The Journal of Urgent Care Medicine December 2009 page 8" href="http://viewer.zmags.com/publication/221e8229?page=8">MEET THE JUCM BOARDSJUCM has been very fortunate</a> MEET THE JUCM BOARDSJUCM has been very fortunate<a title="JUCM, The Journal of Urgent Care Medicine December 2009 page 9" href="http://viewer.zmags.com/publication/221e8229?page=9">Sometimes, patient discomfort trumps prevailing de</a> Sometimes, patient discomfort trumps prevailing de<a title="JUCM, The Journal of Urgent Care Medicine December 2009 page 10" href="http://viewer.zmags.com/publication/221e8229?page=10">FROM THE EXECUTIVE DIRECTORHands Across the Wate</a> FROM THE EXECUTIVE DIRECTORHands Across the Wate<a title="JUCM, The Journal of Urgent Care Medicine December 2009 page 11" href="http://viewer.zmags.com/publication/221e8229?page=11">Being out of theoffice doesn’t meanbeing out o</a> Being out of theoffice doesn’t meanbeing out o<a title="JUCM, The Journal of Urgent Care Medicine December 2009 page 12" href="http://viewer.zmags.com/publication/221e8229?page=12"></a> <a title="JUCM, The Journal of Urgent Care Medicine December 2009 page 13" href="http://viewer.zmags.com/publication/221e8229?page=13">ClinicalIdentifying and TreatingSuperficial Fun</a> ClinicalIdentifying and TreatingSuperficial Fun<a title="JUCM, The Journal of Urgent Care Medicine December 2009 page 14" href="http://viewer.zmags.com/publication/221e8229?page=14">Identifying and Treating Superficial Fungal Infect</a> Identifying and Treating Superficial Fungal Infect<a title="JUCM, The Journal of Urgent Care Medicine December 2009 page 15" href="http://viewer.zmags.com/publication/221e8229?page=15">Keep influenza under control…Make the cha</a> Keep influenza under control…Make the cha<a title="JUCM, The Journal of Urgent Care Medicine December 2009 page 16" href="http://viewer.zmags.com/publication/221e8229?page=16"> </a> <a title="JUCM, The Journal of Urgent Care Medicine December 2009 page 17" href="http://viewer.zmags.com/publication/221e8229?page=17">SUPERFICIAL FUNGAL INFECTIONS IN THE URGENT </a> SUPERFICIAL FUNGAL INFECTIONS IN THE URGENT <a title="JUCM, The Journal of Urgent Care Medicine December 2009 page 18" href="http://viewer.zmags.com/publication/221e8229?page=18">Table 2. Pharmacotherapy for BDTC and GPTCDose* </a> Table 2. Pharmacotherapy for BDTC and GPTCDose* <a title="JUCM, The Journal of Urgent Care Medicine December 2009 page 19" href="http://viewer.zmags.com/publication/221e8229?page=19">common dermatophytic infection seen in practice. I</a> common dermatophytic infection seen in practice. I<a title="JUCM, The Journal of Urgent Care Medicine December 2009 page 20" href="http://viewer.zmags.com/publication/221e8229?page=20">infection onto dorsal and plantar foot, usually co</a> infection onto dorsal and plantar foot, usually co<a title="JUCM, The Journal of Urgent Care Medicine December 2009 page 21" href="http://viewer.zmags.com/publication/221e8229?page=21">Diagnosis is clinical but can be confirmed by pota</a> Diagnosis is clinical but can be confirmed by pota<a title="JUCM, The Journal of Urgent Care Medicine December 2009 page 22" href="http://viewer.zmags.com/publication/221e8229?page=22">NOW AVAILABLEARE YOU PREPARED?The Institut</a> NOW AVAILABLEARE YOU PREPARED?The Institut<a title="JUCM, The Journal of Urgent Care Medicine December 2009 page 23" href="http://viewer.zmags.com/publication/221e8229?page=23">BouncebacksThe Case of a 36-Year-Old Man with </a> BouncebacksThe Case of a 36-Year-Old Man with <a title="JUCM, The Journal of Urgent Care Medicine December 2009 page 24" href="http://viewer.zmags.com/publication/221e8229?page=24">EXAM:Constitutional: Alert and oriented X3, well</a> EXAM:Constitutional: Alert and oriented X3, well<a title="JUCM, The Journal of Urgent Care Medicine December 2009 page 25" href="http://viewer.zmags.com/publication/221e8229?page=25"> · 21:33 – Tamiflu 75mg per NG iv</a> · 21:33 – Tamiflu 75mg per NG iv<a title="JUCM, The Journal of Urgent Care Medicine December 2009 page 26" href="http://viewer.zmags.com/publication/221e8229?page=26">influenza, do not need antiviral medications for t</a> influenza, do not need antiviral medications for t<a title="JUCM, The Journal of Urgent Care Medicine December 2009 page 27" href="http://viewer.zmags.com/publication/221e8229?page=27">Case Report A 12-year-old Girlwith Back Pain </a> Case Report A 12-year-old Girlwith Back Pain <a title="JUCM, The Journal of Urgent Care Medicine December 2009 page 28" href="http://viewer.zmags.com/publication/221e8229?page=28">Table 1. Findings in Urgent CareBP: 114/70P: 8</a> Table 1. Findings in Urgent CareBP: 114/70P: 8<a title="JUCM, The Journal of Urgent Care Medicine December 2009 page 29" href="http://viewer.zmags.com/publication/221e8229?page=29">ABSTRACTS IN URGENT CAREOn Wheezing Children,</a> ABSTRACTS IN URGENT CAREOn Wheezing Children,<a title="JUCM, The Journal of Urgent Care Medicine December 2009 page 30" href="http://viewer.zmags.com/publication/221e8229?page=30">that did and did not have chest pain when the norm</a> that did and did not have chest pain when the norm<a title="JUCM, The Journal of Urgent Care Medicine December 2009 page 31" href="http://viewer.zmags.com/publication/221e8229?page=31">CLINICAL CHALLENGE: CASE 1In each issue, JUCM wi</a> CLINICAL CHALLENGE: CASE 1In each issue, JUCM wi<a title="JUCM, The Journal of Urgent Care Medicine December 2009 page 32" href="http://viewer.zmags.com/publication/221e8229?page=32">FIGURE 2In this case, the x-ray was directed t</a> FIGURE 2In this case, the x-ray was directed t<a title="JUCM, The Journal of Urgent Care Medicine December 2009 page 33" href="http://viewer.zmags.com/publication/221e8229?page=33">CLINICAL CHALLENGE: CASE 2The patient is a 2½-</a> CLINICAL CHALLENGE: CASE 2The patient is a 2½-<a title="JUCM, The Journal of Urgent Care Medicine December 2009 page 34" href="http://viewer.zmags.com/publication/221e8229?page=34">A globus of the urinary bladder was suspected base</a> A globus of the urinary bladder was suspected base<a title="JUCM, The Journal of Urgent Care Medicine December 2009 page 35" href="http://viewer.zmags.com/publication/221e8229?page=35">So Here's What I've Learned…JOHN SHUFELDT, MD,</a> So Here's What I've Learned…JOHN SHUFELDT, MD,<a title="JUCM, The Journal of Urgent Care Medicine December 2009 page 36" href="http://viewer.zmags.com/publication/221e8229?page=36">Share Your InsightsAt its core, JUCM, The Journa</a> Share Your InsightsAt its core, JUCM, The Journa<a title="JUCM, The Journal of Urgent Care Medicine December 2009 page 37" href="http://viewer.zmags.com/publication/221e8229?page=37">Using Fallback Options to Your AdvantageFRANK </a> Using Fallback Options to Your AdvantageFRANK <a title="JUCM, The Journal of Urgent Care Medicine December 2009 page 38" href="http://viewer.zmags.com/publication/221e8229?page=38">Splint Applications by Staff, and Proper Use of Mo</a> Splint Applications by Staff, and Proper Use of Mo<a title="JUCM, The Journal of Urgent Care Medicine December 2009 page 39" href="http://viewer.zmags.com/publication/221e8229?page=39">Q. If I bill an E/M with 96360 (Intravenous infu</a> Q. If I bill an E/M with 96360 (Intravenous infu<a title="JUCM, The Journal of Urgent Care Medicine December 2009 page 40" href="http://viewer.zmags.com/publication/221e8229?page=40">URGENT CARE OPPORTUNITY - Seeking BC/BE primar</a> URGENT CARE OPPORTUNITY - Seeking BC/BE primar<a title="JUCM, The Journal of Urgent Care Medicine December 2009 page 41" href="http://viewer.zmags.com/publication/221e8229?page=41">Career OpportunitiesFamily Practice or Eme</a> Career OpportunitiesFamily Practice or Eme<a title="JUCM, The Journal of Urgent Care Medicine December 2009 page 42" href="http://viewer.zmags.com/publication/221e8229?page=42">In each issue on this page, we report on research </a> In each issue on this page, we report on research <a title="JUCM, The Journal of Urgent Care Medicine December 2009 page 43" href="http://viewer.zmags.com/publication/221e8229?page=43">UCAOA Webinar SeriesUCAOA Webina S i sUCAO</a> UCAOA Webinar SeriesUCAOA Webina S i sUCAO<a title="JUCM, The Journal of Urgent Care Medicine December 2009 page 44" href="http://viewer.zmags.com/publication/221e8229?page=44">PRACTICE VELOCITY®Urgent Care Solutions®</a> PRACTICE VELOCITY®Urgent Care Solutions®