Journal of Urgent Care Medicine

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March 20, 2014
The pathology on this x-ray represents an incidental finding in a patient. View the image taken (Figure 1) and consider what your diagnosis would be.
February 27, 2014
This x-ray was taken on a 21-year-old man with a blow to his right shoulder. View the image taken (Figure 1) and consider what your diagnosis would ... read more
February 14, 2014
The patient, a 59-year-old man with diabetes, presented with pain and swelling over his lateral right foot. View the image taken (Figure 1) and consider ... read more
January 24, 2014
The patient, a 7-year-old girl, presented after falling and twisting her left knee. View the image taken (Figure 1) and consider what your diagnosis ... read more
January 13, 2014
This x-ray was taken on a 27-year-old man with a cough and fever. View the image taken (Figure 1) and consider what your diagnosis would be.
December 16, 2013
This x-ray was taken on a 3-year-old boy with a cough and fever. View the image taken (Figure 1) and consider what your diagnosis would be.
November 18, 2013
This x-ray was taken on a 3-year-old boy with a blow to his right elbow. View the image taken (Figure 1) and consider what your diagnosis would be.
November 11, 2013
This x-ray was taken on a 20-year-old woman who had presented 4 hours earlier with epigastric pain and a soft abdomen. The symptoms improved with Maalox ... read more
November 1, 2013
This x-ray was taken on a 58-year-old woman with a history of “recurrent pneumonia” and bilateral infiltrates that did not resolve with antibiotics. View ... read more
October 18, 2013
This x-ray was taken on a 90-year-old woman with a cough but no chest pain. View the image taken (Figure 1) and consider what your diagnosis would be.
October 7, 2013
This x-ray was taken on a 5-year-old boy with a fall and blow to his left foot. He could not bear weight on the foot. View the image taken (Figure 1) and consider ... read more
September 23, 2013
This x-ray was taken on an 18-year-old man with a mild blow to his chest. View the image taken (Figure 1) and consider what your diagnosis would be.
September 9, 2013
This x-ray was taken on a 13-year-old boy who twisted his ankle. View the image taken (Figure 1) and consider what your diagnosis would be.
August 31, 2013
The x-ray and the photo were taken on a 56-year-old woman who tripped and hit her right hand. View the images taken (Figure 1) and consider what your ... read more
August 19, 2013
This x-ray was taken on a 4-year-old boy with a blow to his left leg. View the image taken (Figure 1) and consider what your diagnosis would be.
August 12, 2013
This x-ray was taken on a 79-year-old female with pain at the base of her left thumb and no clear history of trauma. View the image taken (Figure 1) and consider ... read more
July 29, 2013
This electrocardiogram (EKG) was taken on a 57-year-old woman with chest pain. View the image taken (Figure 1) and consider what your diagnosis would be.
July 15, 2013
This x-ray, taken on a 17-year-old female, represents an incidental finding in her right ankle. View the image taken (Figure 1) and consider what your ... read more
June 17, 2013
The patient, a 67-year-old African American male, developed two asymptomatic lesions on his thigh 4 months before his visit to the urgent care center. ... read more
June 6, 2013
The patient, a 12-year-old boy, suffered a blow to his left elbow. View the image taken (Figure 1) and consider what your diagnosis would be.
May 13, 2013
The patient, a 20-year-old man, presented with left elbow pain and swelling since last night. He was at a heavy metal concert, was pushed by the crowd ... read more
May 6, 2013
The patient, an 8-month-old boy, was brought in by a caretaker, who reported that the infant had stopped crawling. View the image taken (Figure 1) and consider ... read more
April 22, 2013
The patient, a 28-year-old male, presented with pain in his left shoulder after a fall.View the image taken (Figure 1) and consider what your diagnosis ... read more
April 15, 2013
The patient, a 76-year-old male, presented after a blow to his right shoulder.View the image taken (Figure 1) and consider what your diagnosis would be.
April 8, 2013
The patient, a 23-year-old male, presented after a blow to his left wrist. View the image taken (Figure 1) and consider what your diagnosis would be.
March 15, 2013
The patient, a 15-year-old male, presented with complaints of chest pain. View the image taken (Figure 1) and consider what your diagnosis would be.
March 8, 2013
The patient, a 53-year-old woman, presented with nonspecific complaints of significant abdominal pain. View the image taken (Figure 1) and consider what ... read more
February 21, 2013
The patient, a 25-year-old female with autism, presented with a 1-week history of fever. View the image taken (Figure 1) and consider what your diagnosis ... read more
February 8, 2013
The patient, a 6-year-old male, presented after a blow to his left knee. View the image taken (Figure 1) and consider what your diagnosis would be.
February 1, 2013
The patient, a 5-week-old male, presented with skin peeling around the “belly button.” View the image taken (Figure 1) and consider what your diagnosis ... read more
January 18, 2013
The patient, an 18-year-old male, presented after a blow to his right foot.   View the image taken (Figure 1) and consider what your diagnosis would ... read more
December 6, 2012
The patient, a 30-year-old male, presented with a complaint of feeling something stuck in his throat.   View the image taken (Figure 1) and consider ... read more
November 20, 2012
A 42-year-old man complained of new lesions following a business trip. He noticed that the lesions all appeared in the morning, just before he returned ... read more
November 7, 2012
The patient, a 60-year-old woman, presented with swelling in her right arm after a fall and blow to her right elbow. She was in severe pain.   View the image ... read more
October 8, 2012
The patient, a 6-year-old boy, presented after falling on his outstretched right hand. View the image taken (Figure 1) and consider what your diagnosis ... read more
September 24, 2012
The patient, an 8-year-old girl, presented with a blow to her right elbow and could not straighten her right arm.   View the image taken (Figure 1) and consider ... read more
September 17, 212
The patient, a 55-year-old woman, injured her right ring finger after missing a grab at her dog’s collar while the dog was running away. She complained ... read more
September 6, 2012
The patient, an 80-year-old male, suffered a blow to the left side of his chest.   View the image taken (Figure 1) and consider what your diagnosis would ... read more
August 23, 2012
The patient, a 16-year-old male, suffered a fall and blow to his left hand and wrist.   View the image taken (Figure 1) and consider what your diagnosis ... read more
July 20, 2012
The patient, a 63-year-old female, complained of pain in her throat after eating fish. View the image taken (Figure 1) and consider what your diagnosis ... read more
July 6, 2012
The patient, a 9-year-old female, presented after a blow to her right hand.   View the image taken (Figure 1) and consider what your diagnosis would ... read more
June 26, 2012
The patient, a 40-year-old female, presented with dysphagia.   View the image taken (Figure 1) and consider what your diagnosis would be.
June 4, 2012
The patient, a 3-year-old, had a blow to his lower leg.   View the image taken (Figure 1) and consider what your diagnosis would be.
May 7, 2012
The patient, a 20-year-old male, had an incidental finding on an x-ray of his right knee.   View the image taken (Figure 1) and consider what your diagnosis ... read more
May 14, 2012
The patient, a 17-year-old male, presented with a family member to an urgent care center with a history of chest pain for 2 weeks He denied shortness of breath, ... read more
April 20, 2012
INSIGHTS IN IMAGES CLINICAL CHALLENGE: PATIENT WITH COUGH AND FEVER This feature will challenge your diagnostic acumen with a glimpse of x-rays, electrocardiograms, ... read more
March 22, 2012
The patient was a 5-year-old male. His parents reported that he had been febrile for the past several days (fever between 101°F and 103°F [38.3°C to 49.4°C]) ... read more
December 12, 2011
The patient, an otherwise healthy 9-year-old, tripped, suffered a blow to the right knee and presented with the knee cap in an abnormal position. View ... read more
December 5, 2011
The patient, an otherwise healthy 21-year-old, presented with hemoptysis. View the image taken and consider what your diagnosis and next steps would be. Click ... read more
November 21, 2011
The patient, an otherwise-healthy 75-year-old, was eating fish, felt a swallowed bone, and has experienced progressive dysphagia since. View the image ... read more
November 14, 2011
The patient, an otherwise healthy 2-1/2–year-old, experienced recurrent episodes of abdominal pain without vomiting or diarrhea. On exam, fullness of the abdomen ... read more
November 7, 2011
This otherwise healthy 27-year-old jammed his right finger today. NL distal perfusion. Palpable reduction achieved with traction. Continued instability. ... read more
October 19, 2011
This otherwise healthy 32-year-old patient fell during a soccer game, suffered a blow to the thumb of the left hand, and now has a deformity of that thumb. View ... read more
September 20, 2011
This otherwise healthy 22-year-old patient fell and landed directly on the right shoulder. The presentation included marked local swelling and decreased ... read more
September 9, 2011
  The patient, an otherwise-healthy 26-year-old, suffered a blow to the left shoulder and presented with a limited range of motion. View the image taken ... read more
August 15, 2011
This 70-year-old patient presented with pain in the left shoulder. There was no history of trauma. View the image taken and consider what your diagnosis ... read more
August 8, 2011
This 49-year-old patient presented with a blow to the left elbow and had limited extension. View the image taken and consider what your diagnosis would ... read more
July 25, 2011
This 56-year-old patient swallowed a chicken bone and feels a foreign body lodged in the trachea. View the image taken and consider what your diagnosis ... read more
July 6, 2011
This 16-year-old patient presented with a blow to the left wrist. View the image taken and consider what your diagnosis would be. Click on the button below ... read more
June 23, 2011
This 21-year-old patient presented with chest pain on the left side and fever. View the image taken and consider what your diagnosis would be. Click on the button ... read more
June 13, 2011
This 4-year-old patient suffered a blow to the head.View the image taken and consider what your diagnosis and next steps would be. Click on the button ... read more
June 6, 2011
This 33-year-old patient presented with pain in the left side of the chest. The patient was vomiting and not tolerating PO. View the image taken and consider ... read more
May 31, 2011
This otherwise healthy 57-year-old patient presented with a bothersome cough in the right side of the chest. View the image taken and consider what your ... read more
May 19, 2011
This 42-year-old patient twisted his left foot. The patient is in pain but able to bear weight.View the image taken and consider what your diagnosis and next ... read more
April 28, 2011
This 42-year-old patient suffered a blow to the chest and presents with pain but is assumed to be otherwise healthy. View the image taken and consider ... read more
March 28, 2011
The patient is a 17-year-old boy who presents with a “twisted” left knee sustained in a fall. He is able to bear weight, though it is obvious he is in pain. View ... read more
March 14, 2011
The patient is a 62-year-old who presents with a primary complaint of right shoulder pain that developed over time. The patient denies any trauma and appears ... read more
January 24, 2011
The patient is a 42-year-old who presents to urgent care after “twisting” her left foot. She is able to bear weight on the foot, though not without evident ... read more
January 10, 2011
The patient is a 4˝-year-old girl who presents, accompanied by her parents, with local pain and swelling in the fifth digit of her left hand. The parents ... read more
December 28, 2010
The patient is a 2˝-year-old boy with pain in his left ankle. His parents report that he experienced a blow to the lower leg. You find he is unable to bear ... read more
December 13, 2010
The patient is a 50-year-old female who presents with pain in her right thumb after taking a fall. On examination, you note local swelling at the base ... read more
November 15, 2010
The patient is a 26-year-old who presents to urgent care after “twisting” the right foot, complaining of local pain but able to bear weight. View the image ... read more
October 25, 2010
The patient is a 22-year-old male who reports taking a fall and landing directly on his shoulder. On examination, you note marked local swelling and decreased ... read more
October 11, 2010
The patient is a 23-year-old healthy male presenting for a “wound check” about four weeks after crushing his left fifth finger in a car door. At that time, ... read more
September 27, 2010
The patient is a 14-year-old boy who presents with low back pain after falling from “a high height” and landing on his feet. Exam is normal except for tenderness ... read more
September 13, 2010
The patient is a 17-year-old boy who experienced a blow to the right knee in the course of a fall. He complains of pain over the knee and is unable bear ... read more
September 1, 2010
The patient is a 37-year-old female who presented with a history of longstanding hypertension and diabetes mellitus. She had recently started on a new diuretic, ... read more
August 16, 2010
The patient is a 20-year-old female who presents with pain one day after falling and experiencing a blow to the knee. Examination reveals no significant ... read more
August 2, 2010
The patient is a 16-year-old male who presents with difficulty breathing, pain in his throat, difficulty swallowing, and pleuritic chest pain. He reports ... read more
July 19, 2010
The patient is a 93-year-old female who lost her balance and twisted her ankle. She presents with significant pain in the ankle and swelling over her lateral ... read more
June 21, 2010
The patient is a 19-year-old male who complains of pain after receiving a blow to the shoulder. His range of motion is limited due to pain; he is otherwise ... read more
June 7, 2010
The patient is a 32-year-old male who woke up at 1 a.m. with a burning sensation in the mid-chest (a first-time event, he reports). The patient is not diaphoretic, ... read more
May 24, 2010
The patient is a 16-year-old male who fell from his motorcycle and received a blow to his right ankle. The motorcycle was moving at a “good pace.” On ... read more
May 10, 2010
The patient is a 17-year-old male who presents with a complaint of throat pain. He reports a history of colitis, for which he was treated with mesalamine ... read more
April 19, 2010
The patient is 7-month-old boy who presents with his parents one day after falling from a bed. The parents state that there was no loss of consciousness; ... read more
April 1, 2010
The patient is 2-year-old boy with Williams syndrome who presents two days after a trip to the emergency room for a three-day history of fever, cough, ... read more
February 1, 2010
The patient is a boy, age 2 years 8 months, who presents with the complaint of pain in the left leg that started five hours ago. There is no history of trauma.On ... read more
January 4, 2010
The patient is a 35-year-old female who got her finger caught in a metal staircase banister one day prior to presentation.Physical examination is significant ... read more
December 14, 2009
The patient is a 73-year-old woman who presents with a foreign body (a piece of wood, specifically) sticking out of a scratch on her hand. She reports ... read more
November 23, 2009
The patient is a 23-year-old male who presents with a complaint of pain in the heel area after slipping down four steps. He is limping but able to bear ... read more
November 9, 2009
The patient is a 55-year-old female who experienced a blow to the back when she fell while riding a bus. She complains of pain in her neck, shoulder, and back.On ... read more
October 26, 2009
The patient is an 82-year-old man who slipped on the street, experiencing a blow to his right shoulder.He has significant local swelling in the injured ... read more
October 12, 2009
The patient is a 7-year-old boy who presents to urgent care at midnight with a four-day history of fever and cough.Two days prior, a throat culture administered ... read more
September 28, 2009
The patient is an 80-year-old man who presents with a two-week history of low back pain.He is hemodynamically stable and has a normal neurological exam. ... read more
September 14, 2009
The patient is a male who presents complaining of pain in his feet. He claims he fell from a ladder.He declines to provide further details, except to say that ... read more
August 24, 2009
The patient is an 82-year-old man who presents after having fallen backwards and landing on his back. He did not lose consciousness; nor did he vomit.The ... read more
August 10, 2009
The patient is a 15-year-old boy who experienced a blow to both ankles and the right knee two days ago.You observe that he can bear weight only minimally, ... read more
July 27, 2009
The patient is a 3˝-year-old girl who fell from a bicycle, receiving a blow to the elbow a short time before presentation.You note marked swelling and local ... read more
July 13, 2009
The patient is a 51-year-old male with uncontrolled type 2 diabetes who presents with a painful, raised, pruritic rash that began after an afternoon of gardening ... read more
June 22, 2009
The patient is a 9-year-old girl who presents after experiencing a fall and a blow to her right chest. She complains of pain on deep breathing.On exam, ... read more
June 8, 2009
The patient is a 32-year-old female who presents complaining of a fever and a rash, along with a sore throat, headache, and fatigue.On clinical examination, ... read more
May 25, 2009
The patient is a 26-year-old male who slipped and twisted his left ankle. He is unable to bear weight on the ankle and there is marked local swelling circumferentially ... read more
April 13, 2009
The patient is a 53-year-old woman who presents with a red plaque on her calf. She reports that she first noticed it two months ago.You find that the plaque ... read more
May 11, 2009
The patient is an 8-year-old boy whose mother brings him in with an acute, pruritic rash involving the inferior abdomen.On examination, you find a large, ... read more
April 27, 2009
The patient is a 10-year-old boy who received a blow to the forearm when he fell at home. He presents with local swelling and tenderness on exam, complaining ... read more
March 23, 2009
The patient is a 14-year-old who took a fall two hours before presenting.The left ankle is swollen, painful, and unable to bear weight, but the patient ... read more
March 9, 2009
The patient is a 33-year-old homosexual male who presents complaining of new lesions on his lips.The patient reveals that he recently engaged in sexual ... read more
February 23, 2009
The patient is a 16-year-old girl who received a blow to the right hip when she fell in her bathroom at home.She is able to ambulate, albeit with great ... read more
February 9, 2009
A 44-year-old black male presents to the urgent care center complaining of worsening shortness of breath.On examination, the patient exhibits a dry cough, ... read more
January 26, 2009
The patient is a 10-year-old boy who experienced a direct blow to the elbow approximately six hours prior to presentation.He had incomplete range of motion ... read more
January 12, 2009
A 26-year-old woman presents to the urgent care center with a bleeding lesion on her finger. The lesion developed in less than a week and was associated ... read more
December 22, 2008
The patient is a 35-year-old Caucasian female who presented with dysphagia and progressively worsening neck pain. No history of injury was reported.Neurovascular ... read more
December 8, 2008
This patient presented with a two-hour history of intense pain and redness along the left side of her head and down her left arm. She reported no exposure ... read more
November 24, 2008
The patient is a 10-month-old child who presents with the parents, upon referral by the pediatrician, with a history of three days of pain but no history ... read more
November 10, 2008
The patient is a 56-year-old man who emigrated from Mexico to Texas two months ago. He first presented about two weeks ago with a dry cough, chest pain, ... read more
October 27, 2008
The patient is an 18-year-old male who jumped or fell from a "short height" but landed hard on his heel.He is able to ambulate, but cannot put any pressure ... read more
October 13, 2008
The patient is a 9-year-old boy who received a blow to the shoulder from a height of approximately 6 ½ feet. He has limited elevation of the arm due to pain.Examination ... read more
September 22, 2008
The patient is an obese 56-year-old woman who presents with unilateral leg swelling. The area has been weeping for days.On examination, you discover a large ... read more
September 8, 2008
The patient is a 15-year-old boy who presents with pain in the wrist 40 minutes after stopping a soccer ball with his hand. There is no snuffbox tenderness.View ... read more
August 25, 2008
The patient is a 76-year-old woman with a one-day history of multiple painful ulcers, with general erythema on the mucosa of the left side of the hard ... read more
August 11, 2008
The patient is a young child with three days of constipation with a non-specific history of abdominal pain.On exam, the child is asleep. The abdomen is easily ... read more
July 28, 2008
The patient is a 23-year-old white woman with a medical history significant for asthma as a teenager who presents with "bruising on her legs and belly."The ... read more
July 14, 2008
The patient is a 13-year-old male who presented to urgent care after taking a fall while running; he landed on his outstretched left hand.Upon examination, ... read more
June 23, 2008
The patient is a man who presents to the urgent care center after waking in the morning with a sharp pain and a feeling of "something grainy" in his left ... read more
June 2, 2008
The patient is a 2½ -year-old female who presented after falling, unobserved, from an unknown height with tenderness and swelling around the elbow.Neurovascular ... read more
May 19, 2008
The patient is a 25-year-old male who presented to urgent care after falling from a height of two stories, landing flat on his feet. He is able to ambulate, ... read more
May 5, 2008
The patient is a 17-year-old male who awoke with intensely itchy scattered vesicles over his arms, face, and legs the day after returning from a camping ... read more
April 21, 2008
The patient is a 3-year-old female who presented after a fall while running, complaining of pain over the foot.There was minimal local tenderness over ... read more
April 7, 2008
The patient is a 36-year-old obese woman who presented with upper right back pain 10 days after a normal child birth. Pain is worse on coughing. Otherwise, ... read more
March 24, 2008
The patient is was a 53-year-old female who experienced a fall, landing on her knee, several hours before presenting.Her knee is stable and she is able ... read more
March 10, 2008
The patient is a healthy 38-year-old who presents with progressive abdominal pain. There is no fever, vomiting, or diarrhea. There are no peritoneal signs. ... read more
February 25, 2008
The patient is a healthy 30-year-old male who presents with pain shortly after "twisting" his ankle while playing soccer. Pain is severe enough to prevent ... read more
February 11, 2008
The patient is a 3-year-old girl who presented to the urgent care center with right hip pain. She has no fever, and the parents report there was no trauma. ... read more
January 28, 2008
The patient is a 55-year-old man who presented complaining of pain after experiencing a fall on the street and a blow to the knee.View the x-ray taken ... read more
January 14, 2008
The patient is a 3-year-old boy who presented two hours after taking a fall of approximately 1.5 feet. He is experiencing pain in his elbow, which is swollen. ... read more
UCAOA




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DISCLAIMER: The Journal of Urgent Care Medicine (JUCM) makes every effort to select authors who are knowledgeable in their fields. However, JUCM does not warrant the expertise of any author in a particular field, nor is it responsible for any statements by such authors. The opinions expressed in the articles and columns are those of the authors, do not imply endorsement of advertised products, and do not necessarily reflect the opinions or recommendations of Braveheart Publishing or the editors and staff of JUCM. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested by authors should not be used by clinicians without evaluation of their patients' conditions and possible contraindications or dangers in use, review of any applicable manufacturer's product information, and comparison with the recommendations of other authorities.