JUCM, The Journal of Urgent Care Medicine October 2007

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™ OCTOBER 2007 VOLUME 2, NUMBER 1 THE JOURNAL OF URGENT CARE MEDICINE® www.jucm.com | The Official Publication of the Urgent Care Association of America IN THIS ISSUE FEATURES 13 Evaluation, Identification, and Treatment of Urinary Tract Infections 22 Case Report: Supra- ventricular Tachycardia in a Child with Williams Syndrome after Nebulized Albuterol DEPARTMENTS 25 Insights in Images: Clinical Challenge 33 Insights in Images: Derm Diagnoses 34 Abstracts in Urgent Care 36 Health Law 39 Coding Q&A 43 Occupational Medicine 48 Developing Data A BRAVEHEART PUBLICATION INSIGHTS IN <a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 32" href="http://viewer.zmags.com/publication/781e0022?page=32">INSIGHTS IN IMAGES: CLINICAL CHALLENGETHE RE</a> INSIGHTS IN IMAGES: CLINICAL CHALLENGETHE RE<a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 8" href="http://viewer.zmags.com/publication/781e0022?page=8"></a> <a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 40" href="http://viewer.zmags.com/publication/781e0022?page=40">Urgent Care Medicine MedicalProfessional </a> Urgent Care Medicine MedicalProfessional <a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 28" href="http://viewer.zmags.com/publication/781e0022?page=28">INSIGHTS IN IMAGES: CLINICAL CHALLENGE 1THE</a> INSIGHTS IN IMAGES: CLINICAL CHALLENGE 1THE<a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 45" href="http://viewer.zmags.com/publication/781e0022?page=45"> OCCUPATIONAL MEDICINEEffective Occupational Me</a> OCCUPATIONAL MEDICINEEffective Occupational Me<a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 46" href="http://viewer.zmags.com/publication/781e0022?page=46">CareerOpportunitiesUrgent Care Physician Oppor</a> CareerOpportunitiesUrgent Care Physician Oppor<a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 9" href="http://viewer.zmags.com/publication/781e0022?page=9">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 October 2007 page 41" href="http://viewer.zmags.com/publication/781e0022?page=41"> CODING Q&AProper Coding for Removalof Foreig</a> CODING Q&AProper Coding for Removalof Foreig<a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 35" href="http://viewer.zmags.com/publication/781e0022?page=35"> INSIGHTS IN IMAGESDERM DIAGNOSES■ MARC R.</a> INSIGHTS IN IMAGESDERM DIAGNOSES■ MARC R.<a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 31" href="http://viewer.zmags.com/publication/781e0022?page=31">Do You Want to Manage YourFinancials More Succes</a> Do You Want to Manage YourFinancials More Succes<a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 12" href="http://viewer.zmags.com/publication/781e0022?page=12"> JUCM CONTRIBUTORSA Note of Thanks to OurPeer</a> JUCM CONTRIBUTORSA Note of Thanks to OurPeer<a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 22" href="http://viewer.zmags.com/publication/781e0022?page=22">EVALUATION, IDENTIFICATION, AND TREATMENT OF URIN</a> EVALUATION, IDENTIFICATION, AND TREATMENT OF URIN<a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 17" href="http://viewer.zmags.com/publication/781e0022?page=17">EVALUATION, IDENTIFICATION, AND TREATMENT OF URIN</a> EVALUATION, IDENTIFICATION, AND TREATMENT OF URIN<a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 19" href="http://viewer.zmags.com/publication/781e0022?page=19">EVALUATION, IDENTIFICATION, AND TREATMENT OF URIN</a> EVALUATION, IDENTIFICATION, AND TREATMENT OF URIN<a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 10" href="http://viewer.zmags.com/publication/781e0022?page=10"> JUCM CONTRIBUTORST he fact that a presen</a> JUCM CONTRIBUTORST he fact that a presen<a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 42" href="http://viewer.zmags.com/publication/781e0022?page=42">CODING Q&Athe specific code for “removal of for</a> CODING Q&Athe specific code for “removal of for<a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 39" href="http://viewer.zmags.com/publication/781e0022?page=39"></a> <a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 18" href="http://viewer.zmags.com/publication/781e0022?page=18">URINARY TRACT INFECTIONS It is also imp</a> URINARY TRACT INFECTIONS It is also imp<a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 1" href="http://viewer.zmags.com/publication/781e0022?page=1">™ OCTOBER 2007 </a> ™ OCTOBER 2007 <a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 50" href="http://viewer.zmags.com/publication/781e0022?page=50"> DEVELOPING DATAU CAOA’s Survey Committe</a> DEVELOPING DATAU CAOA’s Survey Committe<a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 11" href="http://viewer.zmags.com/publication/781e0022?page=11"> FROM THE EXECUTIVE DIRECTORHappy Anniversary</a> FROM THE EXECUTIVE DIRECTORHappy Anniversary<a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 16" href="http://viewer.zmags.com/publication/781e0022?page=16">EVALUATION, IDENTIFICATION, AND TREATMENT OF URIN</a> EVALUATION, IDENTIFICATION, AND TREATMENT OF URIN<a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 21" href="http://viewer.zmags.com/publication/781e0022?page=21"></a> <a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 38" href="http://viewer.zmags.com/publication/781e0022?page=38"> HEALTH LAWHiring an Employee■ JOHN SHUFELD</a> HEALTH LAWHiring an Employee■ JOHN SHUFELD<a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 20" href="http://viewer.zmags.com/publication/781e0022?page=20">EVALUATION, IDENTIFICATION, AND TREATMENT OF URIN</a> EVALUATION, IDENTIFICATION, AND TREATMENT OF URIN<a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 4" href="http://viewer.zmags.com/publication/781e0022?page=4">(moxiﬂoxacin hydrochloride ophthalmicsolution) 0</a> (moxiﬂoxacin hydrochloride ophthalmicsolution) 0<a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 49" href="http://viewer.zmags.com/publication/781e0022?page=49"> EMERGENCY MEDICINE/URGENT CARE </a> EMERGENCY MEDICINE/URGENT CARE <a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 15" href="http://viewer.zmags.com/publication/781e0022?page=15">ClinicalEvaluation, Identification, and Treatme</a> ClinicalEvaluation, Identification, and Treatme<a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 27" href="http://viewer.zmags.com/publication/781e0022?page=27"> INSIGHTS IN IMAGESCLINICAL CHALLENGE: CASE </a> INSIGHTS IN IMAGESCLINICAL CHALLENGE: CASE <a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 6" href="http://viewer.zmags.com/publication/781e0022?page=6">4(% 2)'(4 4//, &/2 4(% */" 34)8 I</a> 4(% 2)'(4 4//, &/2 4(% */" 34)8 I<a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 14" href="http://viewer.zmags.com/publication/781e0022?page=14">Tussionex </a> Tussionex <a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 7" href="http://viewer.zmags.com/publication/781e0022?page=7">™The Official Publication of the Urgent Care A</a> ™The Official Publication of the Urgent Care A<a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 29" href="http://viewer.zmags.com/publication/781e0022?page=29"></a> <a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 44" href="http://viewer.zmags.com/publication/781e0022?page=44"></a> <a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 36" href="http://viewer.zmags.com/publication/781e0022?page=36"> ABSTRACTS IN URGENT CAREOn Steroids for Bronch</a> ABSTRACTS IN URGENT CAREOn Steroids for Bronch<a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 5" href="http://viewer.zmags.com/publication/781e0022?page=5"> LETTER FROM THE EDITOR-IN-CHIEFWhat About Reta</a> LETTER FROM THE EDITOR-IN-CHIEFWhat About Reta<a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 51" href="http://viewer.zmags.com/publication/781e0022?page=51"></a> <a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 2" href="http://viewer.zmags.com/publication/781e0022?page=2">IMPORTANT SAFETY INFORMATIONVIGAMOX® solution is</a> IMPORTANT SAFETY INFORMATIONVIGAMOX® solution is<a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 37" href="http://viewer.zmags.com/publication/781e0022?page=37">ABSTRACTS IN URGENT CAREVocal Cord Dysfunctio</a> ABSTRACTS IN URGENT CAREVocal Cord Dysfunctio<a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 48" href="http://viewer.zmags.com/publication/781e0022?page=48">CareerOpportunities Excellent Internal Medi</a> CareerOpportunities Excellent Internal Medi<a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 26" href="http://viewer.zmags.com/publication/781e0022?page=26">CASE REPORT: SUPRAVENTRICULAR TACHYCARDIA IN A CH</a> CASE REPORT: SUPRAVENTRICULAR TACHYCARDIA IN A CH<a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 25" href="http://viewer.zmags.com/publication/781e0022?page=25">Congestion and FeverChest Pain/Shortness of B</a> Congestion and FeverChest Pain/Shortness of B<a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 24" href="http://viewer.zmags.com/publication/781e0022?page=24">Case ReportSupraventricular Tachycardia ina Chi</a> Case ReportSupraventricular Tachycardia ina Chi<a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 3" href="http://viewer.zmags.com/publication/781e0022?page=3">Get rid of the pink in a blink.*VIGAMOX® solut</a> Get rid of the pink in a blink.*VIGAMOX® solut<a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 13" href="http://viewer.zmags.com/publication/781e0022?page=13">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 October 2007 page 33" href="http://viewer.zmags.com/publication/781e0022?page=33">miniLABmaxCONTROLSimple, ac</a> miniLABmaxCONTROLSimple, ac<a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 34" href="http://viewer.zmags.com/publication/781e0022?page=34"></a> <a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 30" href="http://viewer.zmags.com/publication/781e0022?page=30"> INSIGHTS IN IMAGESCLINICAL CHALLENGE: CASE </a> INSIGHTS IN IMAGESCLINICAL CHALLENGE: CASE <a title="JUCM, The Journal of Urgent Care Medicine October 2007 page 47" 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