JUCM, The Journal of Urgent Care Medicine April 2007

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™ APRIL 2007 VOLUME 1, NUMBER 6 THE JOURNAL OF URGENT CARE MEDICINE www.jucm.com | The Official Publication of the Urgent Care Association of America IN THIS ISSUE FEATURES 9 The Dizzy Patient in the Urgent Care Setting 21 An Approach to Care of Injured Workers 24 New Feature: Bouncebacks 29 Case Report: A 55-Year-Old Woman with Abdominal Pain DEPARTMENTS 31 Abstracts in Urgent Care 35 Insights in Images: Clinical Challenge 41 Health Law 46 Occupational Medicine 47 Coding Q & A 48 Developing Data A BRAVEHEART PUBLICATION A TWO-STEP APPROACH TO AVOIDING A BOUNCEBACK “Our goal is to take good care of patients, not merely avoid lawsuits.”</a> <a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 2" href="http://viewer.zmags.com/publication/7e3aa9e8?page=2"></a> <a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 29" href="http://viewer.zmags.com/publication/7e3aa9e8?page=29">A TWO-STEP APPROACH TO AVOIDING A BOUNCEBACK</a> A TWO-STEP APPROACH TO AVOIDING A BOUNCEBACK<a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 34" href="http://viewer.zmags.com/publication/7e3aa9e8?page=34">ABSTRACTS IN URGENT CAREOn Rapid Disposition o</a> ABSTRACTS IN URGENT CAREOn Rapid Disposition o<a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 39" href="http://viewer.zmags.com/publication/7e3aa9e8?page=39">INSIGHTS IN IMAGES: CLINICAL CHALLENGETHE RE</a> INSIGHTS IN IMAGES: CLINICAL CHALLENGETHE RE<a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 43" href="http://viewer.zmags.com/publication/7e3aa9e8?page=43"></a> <a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 51" href="http://viewer.zmags.com/publication/7e3aa9e8?page=51">DEVELOPING DATAU CAOA’S Survey Committee</a> DEVELOPING DATAU CAOA’S Survey Committee<a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 50" href="http://viewer.zmags.com/publication/7e3aa9e8?page=50">CODING Q&AHow to Use the Level 1 EstablishedP</a> CODING Q&AHow to Use the Level 1 EstablishedP<a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 6" href="http://viewer.zmags.com/publication/7e3aa9e8?page=6">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 April 2007 page 32" href="http://viewer.zmags.com/publication/7e3aa9e8?page=32">Case ReportA 55-Year-Old Womanwith Abdominal Pa</a> Case ReportA 55-Year-Old Womanwith Abdominal Pa<a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 18" href="http://viewer.zmags.com/publication/7e3aa9e8?page=18">THE DIZZY PATIENT IN THE URGENT CARE SETTING</a> THE DIZZY PATIENT IN THE URGENT CARE SETTING<a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 53" href="http://viewer.zmags.com/publication/7e3aa9e8?page=53">BeachRESORT • DAYTONA BEACH, FLNATIONAL CONFER</a> BeachRESORT • DAYTONA BEACH, FLNATIONAL CONFER<a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 38" href="http://viewer.zmags.com/publication/7e3aa9e8?page=38">INSIGHTS IN IMAGESCLINICAL CHALLENGE: CASE</a> INSIGHTS IN IMAGESCLINICAL CHALLENGE: CASE<a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 11" href="http://viewer.zmags.com/publication/7e3aa9e8?page=11">ClinicalThe Dizzy Patientin the Urgent Care Set</a> ClinicalThe Dizzy Patientin the Urgent Care Set<a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 1" href="http://viewer.zmags.com/publication/7e3aa9e8?page=1">™ APRIL 2007</a> ™ APRIL 2007<a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 8" href="http://viewer.zmags.com/publication/7e3aa9e8?page=8">JUCM CONTRIBUTORS Just a month</a> JUCM CONTRIBUTORS Just a month<a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 13" href="http://viewer.zmags.com/publication/7e3aa9e8?page=13">THE DIZZY PATIENT IN THE URGENT CARE SETTING</a> THE DIZZY PATIENT IN THE URGENT CARE SETTING<a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 52" href="http://viewer.zmags.com/publication/7e3aa9e8?page=52">DEVELOPING DATAU CAOA’S Survey Committee</a> DEVELOPING DATAU CAOA’S Survey Committee<a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 20" href="http://viewer.zmags.com/publication/7e3aa9e8?page=20">THE DIZZY PATIENT IN THE URGENT CARE SETTING</a> THE DIZZY PATIENT IN THE URGENT CARE SETTING<a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 37" href="http://viewer.zmags.com/publication/7e3aa9e8?page=37"></a> <a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 22" href="http://viewer.zmags.com/publication/7e3aa9e8?page=22">Congestion and FeverChest Pain/Shortness of B</a> Congestion and FeverChest Pain/Shortness of B<a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 26" href="http://viewer.zmags.com/publication/7e3aa9e8?page=26">BouncebacksA 45-Year-Old Man with Cough and Sor</a> BouncebacksA 45-Year-Old Man with Cough and Sor<a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 24" href="http://viewer.zmags.com/publication/7e3aa9e8?page=24">AN APPROACH TO CARE OF INJURED WORKERS Ad</a> AN APPROACH TO CARE OF INJURED WORKERS Ad<a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 47" href="http://viewer.zmags.com/publication/7e3aa9e8?page=47">ABSTRACTS IN URGENT CAREDR. KOVALSKI is an urg</a> ABSTRACTS IN URGENT CAREDR. KOVALSKI is an urg<a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 45" href="http://viewer.zmags.com/publication/7e3aa9e8?page=45">HEALTH LAWdoes not win. For example, you can st</a> HEALTH LAWdoes not win. For example, you can st<a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 16" href="http://viewer.zmags.com/publication/7e3aa9e8?page=16">PROFESSIONAL BRIEF SUMMARY-CONSULT PACKAGE INSERT</a> PROFESSIONAL BRIEF SUMMARY-CONSULT PACKAGE INSERT<a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 48" href="http://viewer.zmags.com/publication/7e3aa9e8?page=48">ABSTRACTS IN URGENT CAREwww.jucm.com</a> ABSTRACTS IN URGENT CAREwww.jucm.com<a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 4" href="http://viewer.zmags.com/publication/7e3aa9e8?page=4">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 April 2007 page 41" href="http://viewer.zmags.com/publication/7e3aa9e8?page=41">INSIGHTS IN IMAGES: CLINICAL CHALLENGEFIGURE</a> INSIGHTS IN IMAGES: CLINICAL CHALLENGEFIGURE<a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 54" href="http://viewer.zmags.com/publication/7e3aa9e8?page=54"></a> <a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 49" href="http://viewer.zmags.com/publication/7e3aa9e8?page=49">OCCUPATIONAL MEDICINEAnatomy of an Occupationa</a> OCCUPATIONAL MEDICINEAnatomy of an Occupationa<a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 23" href="http://viewer.zmags.com/publication/7e3aa9e8?page=23">ClinicalAn Approach to Care ofInjured Workers</a> ClinicalAn Approach to Care ofInjured Workers<a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 9" href="http://viewer.zmags.com/publication/7e3aa9e8?page=9">FROM THE EXECUTIVE DIRECTOROverheard■ LOU</a> FROM THE EXECUTIVE DIRECTOROverheard■ LOU<a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 15" href="http://viewer.zmags.com/publication/7e3aa9e8?page=15">In the treatment of Acute Otitis Media and Phary</a> In the treatment of Acute Otitis Media and Phary<a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 7" href="http://viewer.zmags.com/publication/7e3aa9e8?page=7"></a> <a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 12" href="http://viewer.zmags.com/publication/7e3aa9e8?page=12"></a> <a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 46" href="http://viewer.zmags.com/publication/7e3aa9e8?page=46">www.jucm.com</a> www.jucm.com<a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 5" href="http://viewer.zmags.com/publication/7e3aa9e8?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 April 2007 page 31" href="http://viewer.zmags.com/publication/7e3aa9e8?page=31">Call forArticlesThe Journal of Urgent Care Medi</a> Call forArticlesThe Journal of Urgent Care Medi<a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 44" href="http://viewer.zmags.com/publication/7e3aa9e8?page=44">HEALTH LAWSettling the Case■ JOHN SHUFELDT</a> HEALTH LAWSettling the Case■ JOHN SHUFELDT<a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 3" href="http://viewer.zmags.com/publication/7e3aa9e8?page=3">LETTER FROM THE EDITOR-IN-CHIEFLessons Born of</a> LETTER FROM THE EDITOR-IN-CHIEFLessons Born of<a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 36" href="http://viewer.zmags.com/publication/7e3aa9e8?page=36">“ You knew, early on, that digital</a> “ You knew, early on, that digital<a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 42" href="http://viewer.zmags.com/publication/7e3aa9e8?page=42"></a> <a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 33" href="http://viewer.zmags.com/publication/7e3aa9e8?page=33">CASE REPORT: A 55-YEAR-OLD WOMAN WITH ABDOMINAL P</a> CASE REPORT: A 55-YEAR-OLD WOMAN WITH ABDOMINAL P<a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 30" href="http://viewer.zmags.com/publication/7e3aa9e8?page=30">NextCare PartnersTM providesinnovative s</a> NextCare PartnersTM providesinnovative s<a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 19" href="http://viewer.zmags.com/publication/7e3aa9e8?page=19">after attaining a certain position, perhaps in be</a> after attaining a certain position, perhaps in be<a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 28" href="http://viewer.zmags.com/publication/7e3aa9e8?page=28">A TWO-STEP APPROACH TO AVOIDING A BOUNCEBACK</a> A TWO-STEP APPROACH TO AVOIDING A BOUNCEBACK<a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 27" href="http://viewer.zmags.com/publication/7e3aa9e8?page=27">A TWO-STEP APPROACH TO AVOIDING A BOUNCEBACK</a> A TWO-STEP APPROACH TO AVOIDING A BOUNCEBACK<a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 21" href="http://viewer.zmags.com/publication/7e3aa9e8?page=21">AT LAST!A single resource that provides Urgent</a> AT LAST!A single resource that provides Urgent<a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 10" href="http://viewer.zmags.com/publication/7e3aa9e8?page=10">miniLABmaxCONTROLSimple, ac</a> miniLABmaxCONTROLSimple, ac<a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 14" href="http://viewer.zmags.com/publication/7e3aa9e8?page=14">THE DIZZY PATIENT IN THE URGENT CARE SETTING</a> THE DIZZY PATIENT IN THE URGENT CARE SETTING<a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 17" href="http://viewer.zmags.com/publication/7e3aa9e8?page=17">ADVERSE EVENTSClinical Trials - OMNICEF Capsules</a> ADVERSE EVENTSClinical Trials - OMNICEF Capsules<a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 40" href="http://viewer.zmags.com/publication/7e3aa9e8?page=40">INSIGHTS IN IMAGESCLINICAL CHALLENGE: CASE</a> INSIGHTS IN IMAGESCLINICAL CHALLENGE: CASE<a title="JUCM, The Journal of Urgent Care Medicine April 2007 page 35" href="http://viewer.zmags.com/publication/7e3aa9e8?page=35">ABSTRACTS IN URGENT CAREinefficient. The auth</a> ABSTRACTS IN URGENT CAREinefficient. The auth