JUCM, The Journal of Urgent Care Medicine December 2006

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JUCM ™ THE JOURNAL OF URGENT CARE MEDICINE™ www.jucm.com | The Official Publication of the Urgent Care Association of America DECEMBER 2006 VOLUME 1, NUMBER 2 FEATURES 10 Urticaria and Angioedema: A Case- Based Discussion 29 A Delicate Balance: Managing Your Practice, Caring for Your Patients DEPARTMENTS 16 Abstracts in Urgent Care 20 Insights in Images 34 Health Law 35 Occupational Medicine 38 Coding Q&A 40 Developing Data A BRAVEHEART PUBLICATION INSIGHTSIN IMAGES: CASE REPORT Acute Pericarditis in a 12-Year-Old Girl Figure 1. M .J. is a 12-year-old African American female who present- ed with trouble “taking a breath” which was abrupt in o <a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 22" href="http://viewer.zmags.com/publication/2307a32c?page=22">INSIGHTSIN IMAGES: CASE REPORTAcute Pericardit</a> INSIGHTSIN IMAGES: CASE REPORTAcute Pericardit<a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 33" href="http://viewer.zmags.com/publication/2307a32c?page=33">A DELICATE BALANCE: MANAGING YOUR PRACTICE, CARIN</a> A DELICATE BALANCE: MANAGING YOUR PRACTICE, CARIN<a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 14" href="http://viewer.zmags.com/publication/2307a32c?page=14"></a> <a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 1" href="http://viewer.zmags.com/publication/2307a32c?page=1">JUCM</a> JUCM<a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 31" href="http://viewer.zmags.com/publication/2307a32c?page=31">A Delicate BalanceManaging Your Practice,Carin</a> A Delicate BalanceManaging Your Practice,Carin<a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 11" href="http://viewer.zmags.com/publication/2307a32c?page=11">FROM THE EXECUTIVE DIRECTORcenter, or are alr</a> FROM THE EXECUTIVE DIRECTORcenter, or are alr<a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 8" href="http://viewer.zmags.com/publication/2307a32c?page=8">JUCM CONTRIBUTORS</a> JUCM CONTRIBUTORS<a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 7" href="http://viewer.zmags.com/publication/2307a32c?page=7">JUCM EDITOR-IN-CHIEFLee A. Resnick, MDCase Wes</a> JUCM EDITOR-IN-CHIEFLee A. Resnick, MDCase Wes<a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 39" href="http://viewer.zmags.com/publication/2307a32c?page=39">A DELICATE BALANCE: MANAGING YOUR PRACTICE, CARIN</a> A DELICATE BALANCE: MANAGING YOUR PRACTICE, CARIN<a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 23" href="http://viewer.zmags.com/publication/2307a32c?page=23">INSIGHTS IN IMAGESum. It is more common in mal</a> INSIGHTS IN IMAGESum. It is more common in mal<a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 36" href="http://viewer.zmags.com/publication/2307a32c?page=36">A DELICATE BALANCE: MANAGING YOUR PRACTICE, CARIN</a> A DELICATE BALANCE: MANAGING YOUR PRACTICE, CARIN<a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 18" href="http://viewer.zmags.com/publication/2307a32c?page=18">ABSTRACTS IN URGENT CAREOn Injured Skaters, Di</a> ABSTRACTS IN URGENT CAREOn Injured Skaters, Di<a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 43" href="http://viewer.zmags.com/publication/2307a32c?page=43">Career Opportunities Rapid expansion of sout</a> Career Opportunities Rapid expansion of sout<a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 35" href="http://viewer.zmags.com/publication/2307a32c?page=35">A DELICATE BALANCE: MANAGING YOUR PRACTICE, CARIN</a> A DELICATE BALANCE: MANAGING YOUR PRACTICE, CARIN<a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 27" href="http://viewer.zmags.com/publication/2307a32c?page=27">INSIGHTS IN IMAGESCLINICAL CHALLENGE: CASE</a> INSIGHTS IN IMAGESCLINICAL CHALLENGE: CASE<a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 4" href="http://viewer.zmags.com/publication/2307a32c?page=4"></a> <a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 42" href="http://viewer.zmags.com/publication/2307a32c?page=42">OCCUPATIONAL MEDICINEstrata, common segments in</a> OCCUPATIONAL MEDICINEstrata, common segments in<a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 13" href="http://viewer.zmags.com/publication/2307a32c?page=13">URTICARIA AND ANGIOEDEMA: A CASED-BASED DISCUSSIO</a> URTICARIA AND ANGIOEDEMA: A CASED-BASED DISCUSSIO<a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 15" href="http://viewer.zmags.com/publication/2307a32c?page=15">URTICARIA AND ANGIOEDEMA: A CASED-BASED DISCUSSIO</a> URTICARIA AND ANGIOEDEMA: A CASED-BASED DISCUSSIO<a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 32" href="http://viewer.zmags.com/publication/2307a32c?page=32">A DELICATE BALANCE: MANAGING YOUR PRACTICE, CARIN</a> A DELICATE BALANCE: MANAGING YOUR PRACTICE, CARIN<a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 3" href="http://viewer.zmags.com/publication/2307a32c?page=3">LETTER FROM THE EDITOR-IN-CHIEFThe Power of Re</a> LETTER FROM THE EDITOR-IN-CHIEFThe Power of Re<a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 37" href="http://viewer.zmags.com/publication/2307a32c?page=37">A DELICATE BALANCE: MANAGING YOUR PRACTICE, CARIN</a> A DELICATE BALANCE: MANAGING YOUR PRACTICE, CARIN<a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 17" href="http://viewer.zmags.com/publication/2307a32c?page=17">URTICARIA AND ANGIOEDEMA: A CASED-BASED DISCUSSIO</a> URTICARIA AND ANGIOEDEMA: A CASED-BASED DISCUSSIO<a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 10" href="http://viewer.zmags.com/publication/2307a32c?page=10"></a> <a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 6" href="http://viewer.zmags.com/publication/2307a32c?page=6">BeachRESORT • DAYTONA BEACH, FLNATIONAL CONFER</a> BeachRESORT • DAYTONA BEACH, FLNATIONAL CONFER<a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 28" href="http://viewer.zmags.com/publication/2307a32c?page=28">INSIGHTS IN IMAGES: CLINICAL CHALLENGEFIGURE</a> INSIGHTS IN IMAGES: CLINICAL CHALLENGEFIGURE<a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 41" href="http://viewer.zmags.com/publication/2307a32c?page=41">OCCUPATIONAL MEDICINEOcc Med Programs NeedBus</a> OCCUPATIONAL MEDICINEOcc Med Programs NeedBus<a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 9" href="http://viewer.zmags.com/publication/2307a32c?page=9">FROM THE EXECUTIVE DIRECTORSyn·chro·nic·i·ty (</a> FROM THE EXECUTIVE DIRECTORSyn·chro·nic·i·ty (<a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 25" href="http://viewer.zmags.com/publication/2307a32c?page=25">INSIGHTS IN IMAGESCLINICAL CHALLENGE: CASE</a> INSIGHTS IN IMAGESCLINICAL CHALLENGE: CASE<a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 29" href="http://viewer.zmags.com/publication/2307a32c?page=29">When cough shows up inyour urgent care center...</a> When cough shows up inyour urgent care center...<a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 48" href="http://viewer.zmags.com/publication/2307a32c?page=48">Indications:* LEVAQUIN is indicated for adults</a> Indications:* LEVAQUIN is indicated for adults<a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 45" href="http://viewer.zmags.com/publication/2307a32c?page=45">CODING Q&Aproviders in order to avoid financial</a> CODING Q&Aproviders in order to avoid financial<a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 20" href="http://viewer.zmags.com/publication/2307a32c?page=20">Coming soon.From the makers of PATANOL® solution</a> Coming soon.From the makers of PATANOL® solution<a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 16" href="http://viewer.zmags.com/publication/2307a32c?page=16">URTICARIA AND ANGIOEDEMA: A CASED-BASED DISCUSSIO</a> URTICARIA AND ANGIOEDEMA: A CASED-BASED DISCUSSIO<a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 44" href="http://viewer.zmags.com/publication/2307a32c?page=44">CODING Q&AS Codes (S9088 and S9083)in Urgent</a> CODING Q&AS Codes (S9088 and S9083)in Urgent<a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 40" href="http://viewer.zmags.com/publication/2307a32c?page=40">HEALTH LAWProtecting Yourself AgainstMedical</a> HEALTH LAWProtecting Yourself AgainstMedical<a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 34" href="http://viewer.zmags.com/publication/2307a32c?page=34">A DELICATE BALANCE: MANAGING YOUR PRACTICE, CARIN</a> A DELICATE BALANCE: MANAGING YOUR PRACTICE, CARIN<a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 46" href="http://viewer.zmags.com/publication/2307a32c?page=46">DEVELOPING DATAU CAOA’S Survey Committee</a> DEVELOPING DATAU CAOA’S Survey Committee<a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 21" href="http://viewer.zmags.com/publication/2307a32c?page=21">ABSTRACTS IN URGENT CARECOPD, asthma and alle</a> ABSTRACTS IN URGENT CARECOPD, asthma and alle<a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 12" href="http://viewer.zmags.com/publication/2307a32c?page=12">Urticaria and AngioedemaA Cased-based Discussio</a> Urticaria and AngioedemaA Cased-based Discussio<a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 19" href="http://viewer.zmags.com/publication/2307a32c?page=19">ABSTRACTS IN URGENT CAREtomography (CT) and c</a> ABSTRACTS IN URGENT CAREtomography (CT) and c<a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 30" href="http://viewer.zmags.com/publication/2307a32c?page=30">Tussionex</a> Tussionex<a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 24" href="http://viewer.zmags.com/publication/2307a32c?page=24"></a> <a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 38" href="http://viewer.zmags.com/publication/2307a32c?page=38">A DELICATE BALANCE: MANAGING YOUR PRACTICE, CARIN</a> A DELICATE BALANCE: MANAGING YOUR PRACTICE, CARIN<a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 26" href="http://viewer.zmags.com/publication/2307a32c?page=26">INSIGHTS IN IMAGES: CLINICAL CHALLENGEFIGURE</a> INSIGHTS IN IMAGES: CLINICAL CHALLENGEFIGURE<a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 5" href="http://viewer.zmags.com/publication/2307a32c?page=5">The Official Publication of the Urgent Care Assoc</a> The Official Publication of the Urgent Care Assoc<a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 2" href="http://viewer.zmags.com/publication/2307a32c?page=2">Coming soon.From the makers of PATANOL® solution</a> Coming soon.From the makers of PATANOL® solution<a title="JUCM, The Journal of Urgent Care Medicine December 2006 page 47" href="http://viewer.zmags.com/publication/2307a32c?page=47">LEVAQUIN® (levofloxacin) TABLETS</a> LEVAQUIN® (levofloxacin) TABLETS