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<br />&trade; DECEMBER 2007<br /> VOLUME 2, NUMBER 3<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 IN THIS ISSUE<br />A BRAVEHEART PUBLICATION<br /><br />FEATURES<br />11 The Limping Child in the<br /> Urgent Care Center<br />23 Case Report:<br /> A 20-year-old Man with<br /> Chest Pain<br /><br />DEPARTMENTS<br />25 Insights in Images:<br /> Clinical Challenges<br />29 Abstracts in Urgent Care<br />32 Health Law<br />34 Coding Q&amp;A<br />35 Occupational Medicine<br />40 Developing Data<br /> ABSTRACTS IN URGENT CARE<br />On Antibiotics in UTI, Outcomes in Syncope, Low<br />Back Pain Guidelines, and TIA and Minor Stroke<br /><br /><br />&#9632; NAHUM KOVALSKI, BSc, MDCM<br />EaFochr tmheonfuthll,reDpr.oNrtash, guomtoKothveals <a title="JUCM, The Journal of Urgent Care Medicine December 2007 page 31" href="http://viewer.zmags.com/publication/7d3f2966?page=31">ABSTRACTS IN URGENT CAREOn Antibiotics in UTI,</a> ABSTRACTS IN URGENT CAREOn Antibiotics in UTI,<a title="JUCM, The Journal of Urgent Care Medicine December 2007 page 5" href="http://viewer.zmags.com/publication/7d3f2966?page=5">LETTER FROM THE EDITOR-IN-CHIEFThe Internation</a> LETTER FROM THE EDITOR-IN-CHIEFThe Internation<a title="JUCM, The Journal of Urgent Care Medicine December 2007 page 3" href="http://viewer.zmags.com/publication/7d3f2966?page=3">(moxi&#64258;oxacin hydrochloride ophthalmicsolution) 0</a> (moxi&#64258;oxacin hydrochloride ophthalmicsolution) 0<a title="JUCM, The Journal of Urgent Care Medicine December 2007 page 35" href="http://viewer.zmags.com/publication/7d3f2966?page=35">HEALTH LAWGet the Facts StraightWhile you are</a> HEALTH LAWGet the Facts StraightWhile you are<a title="JUCM, The Journal of Urgent Care Medicine December 2007 page 2" href="http://viewer.zmags.com/publication/7d3f2966?page=2">Get rid of the pink in a blink.*VIGAMOX&reg; soluti</a> Get rid of the pink in a blink.*VIGAMOX&reg; soluti<a title="JUCM, The Journal of Urgent Care Medicine December 2007 page 21" href="http://viewer.zmags.com/publication/7d3f2966?page=21">It&rsquo;s 3:00 AM, and her cough won&rsquo;t rest...</a> It&rsquo;s 3:00 AM, and her cough won&rsquo;t rest...<a title="JUCM, The Journal of Urgent Care Medicine December 2007 page 34" href="http://viewer.zmags.com/publication/7d3f2966?page=34">HEALTH LAWCompliant Management ofNon-Complian</a> HEALTH LAWCompliant Management ofNon-Complian<a title="JUCM, The Journal of Urgent Care Medicine December 2007 page 28" href="http://viewer.zmags.com/publication/7d3f2966?page=28">INSIGHTS IN IMAGES: CLINICAL CHALLENGE 1THE</a> INSIGHTS IN IMAGES: CLINICAL CHALLENGE 1THE<a title="JUCM, The Journal of Urgent Care Medicine December 2007 page 38" href="http://viewer.zmags.com/publication/7d3f2966?page=38">CODING Q&amp;AContinued from page 34.lated E/M s</a> CODING Q&amp;AContinued from page 34.lated E/M s<a title="JUCM, The Journal of Urgent Care Medicine December 2007 page 25" href="http://viewer.zmags.com/publication/7d3f2966?page=25">Case ReportA 20-Year-Old Malewith Chest PainU</a> Case ReportA 20-Year-Old Malewith Chest PainU<a title="JUCM, The Journal of Urgent Care Medicine December 2007 page 12" href="http://viewer.zmags.com/publication/7d3f2966?page=12"></a> <a title="JUCM, The Journal of Urgent Care Medicine December 2007 page 4" href="http://viewer.zmags.com/publication/7d3f2966?page=4"></a> <a title="JUCM, The Journal of Urgent Care Medicine December 2007 page 43" href="http://viewer.zmags.com/publication/7d3f2966?page=43">Willis-KnightonQuick CareShreveport, Louisiana</a> Willis-KnightonQuick CareShreveport, Louisiana<a title="JUCM, The Journal of Urgent Care Medicine December 2007 page 39" href="http://viewer.zmags.com/publication/7d3f2966?page=39">CareerOpportunitiesFAMILY PRACTICE #1131 &amp; 1163</a> CareerOpportunitiesFAMILY PRACTICE #1131 &amp; 1163<a title="JUCM, The Journal of Urgent Care Medicine December 2007 page 11" href="http://viewer.zmags.com/publication/7d3f2966?page=11">FROM THE EXECUTIVE DIRECTORA Box of Chocolates</a> FROM THE EXECUTIVE DIRECTORA Box of Chocolates<a title="JUCM, The Journal of Urgent Care Medicine December 2007 page 9" href="http://viewer.zmags.com/publication/7d3f2966?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 December 2007 page 1" href="http://viewer.zmags.com/publication/7d3f2966?page=1">&trade; DECEMBER 2007</a> &trade; DECEMBER 2007<a title="JUCM, The Journal of Urgent Care Medicine December 2007 page 33" href="http://viewer.zmags.com/publication/7d3f2966?page=33">Accident and Medical Practitioners Association an</a> Accident and Medical Practitioners Association an<a title="JUCM, The Journal of Urgent Care Medicine December 2007 page 10" href="http://viewer.zmags.com/publication/7d3f2966?page=10">JUCM CONTRIBUTORS</a> JUCM CONTRIBUTORS<a title="JUCM, The Journal of Urgent Care Medicine December 2007 page 23" href="http://viewer.zmags.com/publication/7d3f2966?page=23">THE LIMPING CHILD IN THE URGENT CARE CENTER</a> THE LIMPING CHILD IN THE URGENT CARE CENTER<a title="JUCM, The Journal of Urgent Care Medicine December 2007 page 27" href="http://viewer.zmags.com/publication/7d3f2966?page=27">INSIGHTS IN IMAGESCLINICAL CHALLENGE: CASE</a> INSIGHTS IN IMAGESCLINICAL CHALLENGE: CASE<a title="JUCM, The Journal of Urgent Care Medicine December 2007 page 7" href="http://viewer.zmags.com/publication/7d3f2966?page=7">&trade;The Official Publication of the Urgent Care A</a> &trade;The Official Publication of the Urgent Care A<a title="JUCM, The Journal of Urgent Care Medicine December 2007 page 20" href="http://viewer.zmags.com/publication/7d3f2966?page=20">THE LIMPING CHILD IN THE URGENT CARE CENTER</a> THE LIMPING CHILD IN THE URGENT CARE CENTER<a title="JUCM, The Journal of Urgent Care Medicine December 2007 page 30" href="http://viewer.zmags.com/publication/7d3f2966?page=30">INSIGHTS IN IMAGES: CLINICAL CHALLENGE 2THE</a> INSIGHTS IN IMAGES: CLINICAL CHALLENGE 2THE<a title="JUCM, The Journal of Urgent Care Medicine December 2007 page 24" href="http://viewer.zmags.com/publication/7d3f2966?page=24">Urgent Care Medicine MedicalProfessional</a> Urgent Care Medicine MedicalProfessional<a title="JUCM, The Journal of Urgent Care Medicine December 2007 page 32" href="http://viewer.zmags.com/publication/7d3f2966?page=32">ABSTRACTS IN URGENT CAREDiagnosis and Treatme</a> ABSTRACTS IN URGENT CAREDiagnosis and Treatme<a title="JUCM, The Journal of Urgent Care Medicine December 2007 page 18" href="http://viewer.zmags.com/publication/7d3f2966?page=18">THE LIMPING CHILD IN THE URGENT CARE CENTERFi</a> THE LIMPING CHILD IN THE URGENT CARE CENTERFi<a title="JUCM, The Journal of Urgent Care Medicine December 2007 page 6" href="http://viewer.zmags.com/publication/7d3f2966?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 December 2007 page 37" href="http://viewer.zmags.com/publication/7d3f2966?page=37">OCCUPATIONAL MEDICINECustomer (and Patient) Se</a> OCCUPATIONAL MEDICINECustomer (and Patient) Se<a title="JUCM, The Journal of Urgent Care Medicine December 2007 page 40" href="http://viewer.zmags.com/publication/7d3f2966?page=40">CareerOpportunities</a> CareerOpportunities<a title="JUCM, The Journal of Urgent Care Medicine December 2007 page 19" href="http://viewer.zmags.com/publication/7d3f2966?page=19">THE LIMPING CHILD IN THE URGENT CARE CENTER</a> THE LIMPING CHILD IN THE URGENT CARE CENTER<a title="JUCM, The Journal of Urgent Care Medicine December 2007 page 42" href="http://viewer.zmags.com/publication/7d3f2966?page=42">DEVELOPING DATAAseatnspemeceifrigcintog idtsi</a> DEVELOPING DATAAseatnspemeceifrigcintog idtsi<a title="JUCM, The Journal of Urgent Care Medicine December 2007 page 41" href="http://viewer.zmags.com/publication/7d3f2966?page=41">CareerOpportunities Clinic Manager fo</a> CareerOpportunities Clinic Manager fo<a title="JUCM, The Journal of Urgent Care Medicine December 2007 page 8" href="http://viewer.zmags.com/publication/7d3f2966?page=8"></a> <a title="JUCM, The Journal of Urgent Care Medicine December 2007 page 17" href="http://viewer.zmags.com/publication/7d3f2966?page=17">THE LIMPING CHILD IN THE URGENT CARE CENTERFi</a> THE LIMPING CHILD IN THE URGENT CARE CENTERFi<a title="JUCM, The Journal of Urgent Care Medicine December 2007 page 26" href="http://viewer.zmags.com/publication/7d3f2966?page=26">CASE REPORT: A 20-YEAR-OLD MALE WITH CHEST PAIN</a> CASE REPORT: A 20-YEAR-OLD MALE WITH CHEST PAIN<a title="JUCM, The Journal of Urgent Care Medicine December 2007 page 36" href="http://viewer.zmags.com/publication/7d3f2966?page=36">CODING Q&amp;AFollow-up Questions Regarding Post-</a> CODING Q&amp;AFollow-up Questions Regarding Post-<a title="JUCM, The Journal of Urgent Care Medicine December 2007 page 14" href="http://viewer.zmags.com/publication/7d3f2966?page=14">THE LIMPING CHILD IN THE URGENT CARE CENTERTa</a> THE LIMPING CHILD IN THE URGENT CARE CENTERTa<a title="JUCM, The Journal of Urgent Care Medicine December 2007 page 44" href="http://viewer.zmags.com/publication/7d3f2966?page=44">see what you&rsquo;ve been missing&ndash; coding and charting</a> see what you&rsquo;ve been missing&ndash; coding and charting<a title="JUCM, The Journal of Urgent Care Medicine December 2007 page 15" href="http://viewer.zmags.com/publication/7d3f2966?page=15">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 December 2007 page 16" href="http://viewer.zmags.com/publication/7d3f2966?page=16">THE LIMPING CHILD IN THE URGENT CARE CENTERFi</a> THE LIMPING CHILD IN THE URGENT CARE CENTERFi<a title="JUCM, The Journal of Urgent Care Medicine December 2007 page 29" href="http://viewer.zmags.com/publication/7d3f2966?page=29">INSIGHTS IN IMAGESCLINICAL CHALLENGE: CASE</a> INSIGHTS IN IMAGESCLINICAL CHALLENGE: CASE<a title="JUCM, The Journal of Urgent Care Medicine December 2007 page 13" href="http://viewer.zmags.com/publication/7d3f2966?page=13">ClinicalThe Limping ChildIN THE URGENT CARE CE</a> ClinicalThe Limping ChildIN THE URGENT CARE CE<a title="JUCM, The Journal of Urgent Care Medicine December 2007 page 22" href="http://viewer.zmags.com/publication/7d3f2966?page=22">Tussionex&reg;Pennkinetic&reg;</a> Tussionex&reg;Pennkinetic&reg;