StuWilli, Author at Journal of Urgent Care Medicine

21-year-old patient with chest pain on the left side

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.

Clinical Challenge 2: June, 2011

The patient, an otherwise healthy 16-year-old, fell and suffered a blow to the wrist one hour prior to presentation.

4-year-old patient incurs blow to head

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.

33-year-old patient presenting vomiting and chest pain

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 what your diagnosis and next steps would be.

Every Man His Own Doctor

JOHN SHUFELDT, MD, JD, MBA, FACEP While treating patients in the emergency department, I occasionally marvel at the changes I have witnessed over my 25 years in medicine. Sometimes I think, “Thank God I did not treat you 25 years ago, because if I had, I would have done (fill in the blank), it would not have worked, and you would have probably hated every second of it.” I am as old as Moses, so …

A Case of Acute Pancreatitis

Urgent message: Although pancreatitis is a common cause of abdominal pain, many of its signs and symptoms are shared by other intraabdominal conditions. Most patients can be handled on an outpatient basis if diagnosis is accurate, as this case illustrates. MICHAEL TALKAR, MD Abdominal pain is a common and varied presentation in urgent care. A history and physical exam can be used to triage the majority of emergent cases. Strong communication is vital to ensuring …

June 2011

Acute MI After a Normal Stress Test

Urgent message: Evaluation of chest pain in the low-risk patient can be daunting. This case, in which the patient had no known history of cardiovascular disease, exemplifies the challenge. MARREN J. WEBER, DO The standard treadmill exercise tolerance test (ETT) and echocardiography are widely used as the initial tests of choice for prediction of cardiovascular disease. Historically stress echocardiography has been recognized to perform well in predicting mortality in conjunction with clinical data and other …

In Appreciation…

Lee A. Resnick, MD, FAAFP JUCM, The Journal of Urgent Care Medicine, is approaching its fifth year of publication (a feat not without reason for celebration). In an environment of tremendous financial pressures, increasing scrutiny, and decreasing ad revenues, medical publishing is confronting significant challenges. JUCMis not immune. Most casual readers remain unaware of the challenges behind the scenes. It is, perhaps, no concern of theirs. But that does not mean the efforts should go …

Anaphylaxis: Clinical Guidelines for Diagnosis and Management

Urgent message: Anaphylaxis is a true medical emergency that requires rapid and aggressive treatment. When a patient with a Type 1 hyper – sensitivity reaction is brought to your urgent care, here is how to proceed. DAVID WEIN, MD, MBA, FACEP, and DENNIS DIXON, MD Introduction Anaphylaxis is a severe, whole-body, allergic reaction to a chemical that has become an allergen. Anaphylaxis is a true medical emergency, often with a rapid and unpredictable onset. It …