JUCM, The Journal of Urgent Care Medicine November 2007

The latest version of Adobe Flash Player could not be detected. To experience the full functionality of the publication Adobe Flash Player must be installed.Install Adobe Flash Player

A basic HTML version with limited functionality is available if you do not have access to Adobe Flash Player. View basic HTML version

Thanks.

For Visually Impaired and Blind People you can visit the PDF version by Pressing CONTROL + ALT + 4

™ NOVEMBER 2007 VOLUME 2, NUMBER 2 THE JOURNAL OF URGENT CARE MEDICINE® www.jucm.com | The Official Publication of the Urgent Care Association of America IN THIS ISSUE A BRAVEHEART PUBLICATION FEATURES 11 Assessment and Management of Common Hand Infections 21 Bouncebacks: The Case of a 46-Year-Old Man with Neck and Upper Back Pain 26 Case Report: Ruptured Ectopic Pregnancy with a Negative Urine Pregnancy Test 35 The Resurgence of Urgent Care Centers in the United States DEPARTMENTS 29 Insights in Images: Clinical Challenge 33 Abstracts in Urgent Care 39 Coding Q&A 42 Health Law 43 Occupational Medicine 48 Developing Data <a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 25" href="http://viewer.zmags.com/publication/7f3fa96c?page=25">THE CASE OF A 46-YEAR-OLD MAN WITH NECK AND UPPER</a> THE CASE OF A 46-YEAR-OLD MAN WITH NECK AND UPPER<a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 19" href="http://viewer.zmags.com/publication/7f3fa96c?page=19">ASSESSMENT AND MANAGEMENT OF COMMON HAND INFECTIO</a> ASSESSMENT AND MANAGEMENT OF COMMON HAND INFECTIO<a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 2" href="http://viewer.zmags.com/publication/7f3fa96c?page=2">HOW CAN YOU MISS?Achi</a> HOW CAN YOU MISS?Achi<a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 29" href="http://viewer.zmags.com/publication/7f3fa96c?page=29">CASE REPORT: RUPTURED ECTOPIC PREGNANCY WITH A NE</a> CASE REPORT: RUPTURED ECTOPIC PREGNANCY WITH A NE<a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 26" href="http://viewer.zmags.com/publication/7f3fa96c?page=26">THE CASE OF A 46-YEAR-OLD MAN WITH NECK AND UPPER</a> THE CASE OF A 46-YEAR-OLD MAN WITH NECK AND UPPER<a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 34" href="http://viewer.zmags.com/publication/7f3fa96c?page=34">INSIGHTS IN IMAGES: CLINICAL CHALLENGE 2THE</a> INSIGHTS IN IMAGES: CLINICAL CHALLENGE 2THE<a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 4" href="http://viewer.zmags.com/publication/7f3fa96c?page=4"></a> <a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 23" href="http://viewer.zmags.com/publication/7f3fa96c?page=23">BouncebacksThe Case of a 46-Year-Old Manwith N</a> BouncebacksThe Case of a 46-Year-Old Manwith N<a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 28" href="http://viewer.zmags.com/publication/7f3fa96c?page=28">Case ReportRuptured Ectopic Pregnancy witha Neg</a> Case ReportRuptured Ectopic Pregnancy witha Neg<a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 36" href="http://viewer.zmags.com/publication/7f3fa96c?page=36">Urgent Care Medicine MedicalProfessional</a> Urgent Care Medicine MedicalProfessional<a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 33" href="http://viewer.zmags.com/publication/7f3fa96c?page=33">INSIGHTS IN IMAGESCLINICAL CHALLENGE: CASE</a> INSIGHTS IN IMAGESCLINICAL CHALLENGE: CASE<a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 12" href="http://viewer.zmags.com/publication/7f3fa96c?page=12"></a> <a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 5" href="http://viewer.zmags.com/publication/7f3fa96c?page=5">LETTER FROM THE EDITOR-IN-CHIEFDefining Urgent</a> LETTER FROM THE EDITOR-IN-CHIEFDefining Urgent<a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 17" href="http://viewer.zmags.com/publication/7f3fa96c?page=17">It’s 3:00 AM, and her cough won’t rest...</a> It’s 3:00 AM, and her cough won’t rest...<a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 16" href="http://viewer.zmags.com/publication/7f3fa96c?page=16">ASSESSMENT AND MANAGEMENT OF COMMON HAND INFECTIO</a> ASSESSMENT AND MANAGEMENT OF COMMON HAND INFECTIO<a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 10" href="http://viewer.zmags.com/publication/7f3fa96c?page=10">JUCM CONTRIBUTORSPrtoesgenthtaetri,olenasdtih</a> JUCM CONTRIBUTORSPrtoesgenthtaetri,olenasdtih<a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 44" href="http://viewer.zmags.com/publication/7f3fa96c?page=44">HEALTH LAWWhen Urgent Care is the SafestPlace</a> HEALTH LAWWhen Urgent Care is the SafestPlace<a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 38" href="http://viewer.zmags.com/publication/7f3fa96c?page=38">NO APPOINTMENT NEEDED: THE RESURGENCE OF URGENT C</a> NO APPOINTMENT NEEDED: THE RESURGENCE OF URGENT C<a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 31" href="http://viewer.zmags.com/publication/7f3fa96c?page=31">INSIGHTS IN IMAGESCLINICAL CHALLENGE: CASE</a> INSIGHTS IN IMAGESCLINICAL CHALLENGE: CASE<a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 6" href="http://viewer.zmags.com/publication/7f3fa96c?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 November 2007 page 20" href="http://viewer.zmags.com/publication/7f3fa96c?page=20">ASSESSMENT AND MANAGEMENT OF COMMON HAND INFECTIO</a> ASSESSMENT AND MANAGEMENT OF COMMON HAND INFECTIO<a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 18" href="http://viewer.zmags.com/publication/7f3fa96c?page=18">Tussionex®Pennkinetic®</a> Tussionex®Pennkinetic®<a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 27" href="http://viewer.zmags.com/publication/7f3fa96c?page=27">diagnosis and appropriate management (surgeryand</a> diagnosis and appropriate management (surgeryand<a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 41" href="http://viewer.zmags.com/publication/7f3fa96c?page=41">CODING Q&AAddressing Problem-basedCoding and</a> CODING Q&AAddressing Problem-basedCoding and<a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 37" href="http://viewer.zmags.com/publication/7f3fa96c?page=37">Urgent Care UpdateNo Appointment Needed:The Re</a> Urgent Care UpdateNo Appointment Needed:The Re<a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 21" href="http://viewer.zmags.com/publication/7f3fa96c?page=21">New IndicationsComing Soon</a> New IndicationsComing Soon<a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 1" href="http://viewer.zmags.com/publication/7f3fa96c?page=1">™ NOVEMBER 2007</a> ™ NOVEMBER 2007<a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 15" href="http://viewer.zmags.com/publication/7f3fa96c?page=15"></a> <a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 3" href="http://viewer.zmags.com/publication/7f3fa96c?page=3"></a> <a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 46" href="http://viewer.zmags.com/publication/7f3fa96c?page=46">HEALTH LAWsure that you are aware that intimate</a> HEALTH LAWsure that you are aware that intimate<a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 39" href="http://viewer.zmags.com/publication/7f3fa96c?page=39">NO APPOINTMENT NEEDED: THE RESURGENCE OF URGENT C</a> NO APPOINTMENT NEEDED: THE RESURGENCE OF URGENT C<a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 24" href="http://viewer.zmags.com/publication/7f3fa96c?page=24">THE CASE OF A 46-YEAR-OLD MAN WITH NECK AND UPPER</a> THE CASE OF A 46-YEAR-OLD MAN WITH NECK AND UPPER<a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 13" href="http://viewer.zmags.com/publication/7f3fa96c?page=13">ClinicalAssessment and Management ofCommon Ha</a> ClinicalAssessment and Management ofCommon Ha<a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 40" href="http://viewer.zmags.com/publication/7f3fa96c?page=40">NO APPOINTMENT NEEDED: THE RESURGENCE OF URGENT C</a> NO APPOINTMENT NEEDED: THE RESURGENCE OF URGENT C<a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 50" href="http://viewer.zmags.com/publication/7f3fa96c?page=50">DEVELOPING DATAAseatnspemeceifrigcintog idtsi</a> DEVELOPING DATAAseatnspemeceifrigcintog idtsi<a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 11" href="http://viewer.zmags.com/publication/7f3fa96c?page=11">FROM THE EXECUTIVE DIRECTORLook Out, World!</a> FROM THE EXECUTIVE DIRECTORLook Out, World!<a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 30" href="http://viewer.zmags.com/publication/7f3fa96c?page=30">CASE REPORT: RUPTURED ECTOPIC PREGNANCY WITH A NE</a> CASE REPORT: RUPTURED ECTOPIC PREGNANCY WITH A NE<a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 52" href="http://viewer.zmags.com/publication/7f3fa96c?page=52">New IndicationsComing Soon</a> New IndicationsComing Soon<a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 49" href="http://viewer.zmags.com/publication/7f3fa96c?page=49">CareerOpportunitiesEastern Long Island, New Yor</a> CareerOpportunitiesEastern Long Island, New Yor<a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 47" href="http://viewer.zmags.com/publication/7f3fa96c?page=47">CareerOpportunitiesUrgent Care Physician Opport</a> CareerOpportunitiesUrgent Care Physician Opport<a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 43" href="http://viewer.zmags.com/publication/7f3fa96c?page=43"></a> <a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 22" href="http://viewer.zmags.com/publication/7f3fa96c?page=22"></a> <a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 32" href="http://viewer.zmags.com/publication/7f3fa96c?page=32">INSIGHTS IN IMAGES: CLINICAL CHALLENGE 1THE</a> INSIGHTS IN IMAGES: CLINICAL CHALLENGE 1THE<a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 42" href="http://viewer.zmags.com/publication/7f3fa96c?page=42">CODING Q&Aograph code should have been attached</a> CODING Q&Aograph code should have been attached<a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 48" href="http://viewer.zmags.com/publication/7f3fa96c?page=48">Career OpportunitiesUrgent Care Physicians Neede</a> Career OpportunitiesUrgent Care Physicians Neede<a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 14" href="http://viewer.zmags.com/publication/7f3fa96c?page=14">ASSESSMENT AND MANAGEMENT OF COMMON HAND INFECTIO</a> ASSESSMENT AND MANAGEMENT OF COMMON HAND INFECTIO<a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 51" href="http://viewer.zmags.com/publication/7f3fa96c?page=51">Accident and Medical Practitioners Association an</a> Accident and Medical Practitioners Association an<a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 9" href="http://viewer.zmags.com/publication/7f3fa96c?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 November 2007 page 8" href="http://viewer.zmags.com/publication/7f3fa96c?page=8">Software Designed Specifically for Urgent Care</a> Software Designed Specifically for Urgent Care<a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 45" href="http://viewer.zmags.com/publication/7f3fa96c?page=45">OCCUPATIONAL MEDICINEEmphasizing the Positive</a> OCCUPATIONAL MEDICINEEmphasizing the Positive<a title="JUCM, The Journal of Urgent Care Medicine November 2007 page 7" href="http://viewer.zmags.com/publication/7f3fa96c?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 November 2007 page 35" href="http://viewer.zmags.com/publication/7f3fa96c?page=35">ABSTRACTS IN URGENT CAREOn Pediatric Orthopedi</a> ABSTRACTS IN URGENT CAREOn Pediatric Orthopedi