In each issue, JUCM will challenge your diagnostic acumen with a glimpse of x-rays, electrocardiograms, and photographs of dermatologic conditions that real urgent care patients have presented with. If you would like to submit a case for consideration, please email the relevant materials and presenting information to [email protected] The patient, a 14-year-old male, presented with a twisted ankle and a complaint of difficulty with weight bearing. View the image taken (Figure 1) and consider what …
Read MoreClinical Challenge: February, 2012
The patient, a 66-year-old male, presented with a twisted right foot, with lateral tenderness. View the image taken (Figure 1) and consider what your diagnosis would be. Resolution of the case is described on the next page.
Read MoreAbstracts in Urgent Care: February, 2012
Each month, Dr. Nahum Kovalski reviews a handful of abstracts from, or relevant to, urgent care practices and practitioners. For the full reports, go to the source cited under each title. Gloves Are No Substitute for Proper Hand Hygiene Key point: Healthcare workers frequently neglect hand hygiene when they use gloves. Citation: Fuller C, Savage J, Besser S, et al. “The dirty hand in the latex glove”: a study of hand hygiene compliance when gloves …
Read MoreClinical Challenge: February, 2012
In each issue, JUCM will challenge your diagnostic acumen with a glimpse of x-rays, electrocardiograms, and photographs of dermatologic conditions that real urgent care patients have presented with. If you would like to submit a case for consideration, please email the relevant materials and presenting information to [email protected] The patient, an otherwise healthy 70-year-old, presented with a fever and cough on the right side of the chest. View the image taken (Figure 1) and consider …
Read MoreClinical Challenge: January, 2012
The patient, an otherwise healthy 25-year-old, fell and suffered a blow to the right hip. The injury was not weight-bearing. View the image taken (Figure 1) and consider what your diagnosis would be. Resolution of the case is described on the next page.
Read MoreCLINICAL CHALLENGE: CASE 2
The patient, an otherwise healthy 64-year-old, fell, suffered a blow to the shoulder, and presents with clinical dislocation. View the image taken (Figure 1) and consider what your diagnosis would be. Resolution of the case is described on the next page.
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9-year-old patient trips and receives a blow to right knee
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 the image taken and consider what your diagnosis and next steps would be
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21-year-old presents with hemoptysis
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.
Read MoreClinical Challenge: December, 2011
In each issue, JUCM will challenge your diagnostic acumen with a glimpse of x-rays, electrocardiograms, and photographs of dermatologic conditions that real urgent care patients have presented with. If you would like to submit a case for consideration, please email the relevant materials and presenting information to [email protected]. The patient, an otherwise healthy 2-year-old, had a history of playing with button batteries and then started crying with discomfort on the left side of the nose. …
Read MoreAbstracts in Urgent Care: December, 2011
NAHUM KOVALSKI, BSc, MDCM Effect of Adrenaline on Survival in Out-of-hospital Cardiac Arrest Key point: Adrenaline improves chance of return of spontaneous circulation but not survival to discharge. Citation: Jacobs IG, Finn JC, Jelinek GA, et al. Effect of adrenaline on survival in out-of-hospital cardiac arrest: A randomized double-blind placebo-controlled trial. Resuscitation. 2011;82(9):1138-1143. Adrenaline has been used to treat patients with cardiac arrest for more than half a century but has not been evaluated in …
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