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<br />&trade; SEPTEMBER 2007<br /> VOLUME 1, NUMBER 10<br /><br /><br /><br /><br /><br /><br /><br /><br /><br />THE JOURNAL OF URGENT CARE MEDICINE&reg;<br /><br /><br />www.jucm.com | The Official Publication of the Urgent Care Association of America<br />IN THIS ISSUE<br />FEATURES<br />13 Managing Heat Illness in<br /> Urgent Care<br />21 Bouncebacks:<br /> The Case of a 33-Year-Old<br /> Male with Abdominal Pain<br /><br />DEPARTMENTS<br />27 Insights in Images:<br /> Clinical Challenge<br />35 Abstracts in Urgent Care<br />39 Health Law<br />41 Coding Q &amp; A<br />43 Occupational Medicine<br />48 Developing Data<br /><br />A BRAVEHEART PUBLICATION<br /> LETTERS TO THE EDITOR<br />Regarding Insect Bites and Stings The take-home message is that the rare presence of se-<br />vere pain or tenderness, or systemic symptoms such as fever<br />or chills, suggests the complication of infection.<br /><br / <a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 10" href="http://viewer.zmags.com/publication/7c3e0862?page=10">LETTERS TO THE EDITORRegarding Insect Bites an</a> LETTERS TO THE EDITORRegarding Insect Bites an<a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 47" href="http://viewer.zmags.com/publication/7c3e0862?page=47">Excellent Internal Medicine Family Pra</a> Excellent Internal Medicine Family Pra<a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 49" href="http://viewer.zmags.com/publication/7c3e0862?page=49">CareerOpportunitiesExcellent Ownership/Partners</a> CareerOpportunitiesExcellent Ownership/Partners<a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 38" href="http://viewer.zmags.com/publication/7c3e0862?page=38">ABSTRACTS IN URGENT CAREHowever, there should</a> ABSTRACTS IN URGENT CAREHowever, there should<a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 19" href="http://viewer.zmags.com/publication/7c3e0862?page=19">MANAGING HEAT ILLNESS IN URGENT CAREquire f</a> MANAGING HEAT ILLNESS IN URGENT CAREquire f<a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 12" href="http://viewer.zmags.com/publication/7c3e0862?page=12">JUCM CONTRIBUTORSWith school back in session</a> JUCM CONTRIBUTORSWith school back in session<a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 17" href="http://viewer.zmags.com/publication/7c3e0862?page=17">MANAGING HEAT ILLNESS IN URGENT CARE Ski</a> MANAGING HEAT ILLNESS IN URGENT CARE Ski<a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 32" href="http://viewer.zmags.com/publication/7c3e0862?page=32">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 September 2007 page 5" href="http://viewer.zmags.com/publication/7c3e0862?page=5">LETTER FROM THE EDITOR-IN-CHIEFLessons Learned</a> LETTER FROM THE EDITOR-IN-CHIEFLessons Learned<a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 15" href="http://viewer.zmags.com/publication/7c3e0862?page=15">ClinicalManaging Heat Illnessin Urgent CareU</a> ClinicalManaging Heat Illnessin Urgent CareU<a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 7" href="http://viewer.zmags.com/publication/7c3e0862?page=7">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 September 2007 page 18" href="http://viewer.zmags.com/publication/7c3e0862?page=18">MANAGING HEAT ILLNESS IN URGENT CARETABLE 5</a> MANAGING HEAT ILLNESS IN URGENT CARETABLE 5<a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 16" href="http://viewer.zmags.com/publication/7c3e0862?page=16">MANAGING HEAT ILLNESS IN URGENT CARETABLE 1</a> MANAGING HEAT ILLNESS IN URGENT CARETABLE 1<a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 4" href="http://viewer.zmags.com/publication/7c3e0862?page=4">(moxi&#64258;oxacin hydrochloride ophthalmicsolution) 0</a> (moxi&#64258;oxacin hydrochloride ophthalmicsolution) 0<a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 20" href="http://viewer.zmags.com/publication/7c3e0862?page=20">Credentialing,</a> Credentialing,<a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 9" href="http://viewer.zmags.com/publication/7c3e0862?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 September 2007 page 39" href="http://viewer.zmags.com/publication/7c3e0862?page=39"></a> <a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 27" href="http://viewer.zmags.com/publication/7c3e0862?page=27">HOW CAN YOU MISS?Achi</a> HOW CAN YOU MISS?Achi<a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 35" href="http://viewer.zmags.com/publication/7c3e0862?page=35"></a> <a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 46" href="http://viewer.zmags.com/publication/7c3e0862?page=46">Career OpportunitiesURGENT CARE CENTER &ndash; Salem</a> Career OpportunitiesURGENT CARE CENTER &ndash; Salem<a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 13" href="http://viewer.zmags.com/publication/7c3e0862?page=13">FROM THE EXECUTIVE DIRECTOR&lsquo;Quality&rsquo; and Urgen</a> FROM THE EXECUTIVE DIRECTOR&lsquo;Quality&rsquo; and Urgen<a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 48" href="http://viewer.zmags.com/publication/7c3e0862?page=48">CareerOpportunitiesORLANDO URGENT CARE OPPORTUNI</a> CareerOpportunitiesORLANDO URGENT CARE OPPORTUNI<a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 44" href="http://viewer.zmags.com/publication/7c3e0862?page=44">CODING Q&amp;A&ldquo;It [is] not appropriate touse code</a> CODING Q&amp;A&ldquo;It [is] not appropriate touse code<a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 24" href="http://viewer.zmags.com/publication/7c3e0862?page=24">THE CASE OF A 33-YEAR-OLD MALE WITH ABDOMINAL PAI</a> THE CASE OF A 33-YEAR-OLD MALE WITH ABDOMINAL PAI<a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 26" href="http://viewer.zmags.com/publication/7c3e0862?page=26">THE CASE OF A 33-YEAR-OLD MALE WITH ABDOMINAL PAI</a> THE CASE OF A 33-YEAR-OLD MALE WITH ABDOMINAL PAI<a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 14" href="http://viewer.zmags.com/publication/7c3e0862?page=14"></a> <a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 43" href="http://viewer.zmags.com/publication/7c3e0862?page=43">CODING Q&amp;ACoding for Removal of ImpactedCeru</a> CODING Q&amp;ACoding for Removal of ImpactedCeru<a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 23" href="http://viewer.zmags.com/publication/7c3e0862?page=23">BouncebacksThe Case of a 33-Year-OldMale with</a> BouncebacksThe Case of a 33-Year-OldMale with<a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 21" href="http://viewer.zmags.com/publication/7c3e0862?page=21">Heat StrokeHeat stroke needs to be considered in</a> Heat StrokeHeat stroke needs to be considered in<a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 42" href="http://viewer.zmags.com/publication/7c3e0862?page=42">HEALTH LAWTherefore, when a physician tries to</a> HEALTH LAWTherefore, when a physician tries to<a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 11" href="http://viewer.zmags.com/publication/7c3e0862?page=11">New IndicationsComing Soon</a> New IndicationsComing Soon<a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 52" href="http://viewer.zmags.com/publication/7c3e0862?page=52">New IndicationsComing Soon</a> New IndicationsComing Soon<a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 36" href="http://viewer.zmags.com/publication/7c3e0862?page=36"></a> <a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 29" href="http://viewer.zmags.com/publication/7c3e0862?page=29">INSIGHTS IN IMAGESCLINICAL CHALLENGE: CASE</a> INSIGHTS IN IMAGESCLINICAL CHALLENGE: CASE<a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 2" href="http://viewer.zmags.com/publication/7c3e0862?page=2">IMPORTANT SAFETY INFORMATIONVIGAMOX&reg; solution is</a> IMPORTANT SAFETY INFORMATIONVIGAMOX&reg; solution is<a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 6" href="http://viewer.zmags.com/publication/7c3e0862?page=6">4(% 2)'(4 4//, &amp;/2 4(% */" 34)8 I</a> 4(% 2)'(4 4//, &amp;/2 4(% */" 34)8 I<a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 51" href="http://viewer.zmags.com/publication/7c3e0862?page=51"></a> <a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 8" href="http://viewer.zmags.com/publication/7c3e0862?page=8"></a> <a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 3" href="http://viewer.zmags.com/publication/7c3e0862?page=3">Get rid of the pink in a blink.*VIGAMOX&reg; solut</a> Get rid of the pink in a blink.*VIGAMOX&reg; solut<a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 31" href="http://viewer.zmags.com/publication/7c3e0862?page=31"></a> <a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 45" href="http://viewer.zmags.com/publication/7c3e0862?page=45">OCCUPATIONAL MEDICINETop Communicators ApplyT</a> OCCUPATIONAL MEDICINETop Communicators ApplyT<a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 50" href="http://viewer.zmags.com/publication/7c3e0862?page=50">DEVELOPING DATAU CAOA&rsquo;s Survey Committe</a> DEVELOPING DATAU CAOA&rsquo;s Survey Committe<a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 25" href="http://viewer.zmags.com/publication/7c3e0862?page=25">still had pain into the lower abd. bilaterally wi</a> still had pain into the lower abd. bilaterally wi<a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 37" href="http://viewer.zmags.com/publication/7c3e0862?page=37">ABSTRACTS IN URGENT CAREOn Unexplained Fever i</a> ABSTRACTS IN URGENT CAREOn Unexplained Fever i<a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 28" href="http://viewer.zmags.com/publication/7c3e0862?page=28"></a> <a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 41" href="http://viewer.zmags.com/publication/7c3e0862?page=41">HEALTH LAWEmployment Contracts Part 2:Trouble</a> HEALTH LAWEmployment Contracts Part 2:Trouble<a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 1" href="http://viewer.zmags.com/publication/7c3e0862?page=1">&trade; SEPTEMBER 2007</a> &trade; SEPTEMBER 2007<a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 30" href="http://viewer.zmags.com/publication/7c3e0862?page=30">INSIGHTS IN IMAGES: CLINICAL CHALLENGE 1THE</a> INSIGHTS IN IMAGES: CLINICAL CHALLENGE 1THE<a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 34" href="http://viewer.zmags.com/publication/7c3e0862?page=34">INSIGHTS IN IMAGES: CLINICAL CHALLENGE 2THE</a> INSIGHTS IN IMAGES: CLINICAL CHALLENGE 2THE<a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 40" href="http://viewer.zmags.com/publication/7c3e0862?page=40"></a> <a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 22" href="http://viewer.zmags.com/publication/7c3e0862?page=22">miniLABmaxCONTROLSimple, ac</a> miniLABmaxCONTROLSimple, ac<a title="JUCM, The Journal of Urgent Care Medicine September 2007 page 33" href="http://viewer.zmags.com/publication/7c3e0862?page=33">INSIGHTS IN IMAGESCLINICAL CHALLENGE: CASE</a> INSIGHTS IN IMAGESCLINICAL CHALLENGE: CASE