Practice Management
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. The child has a limp and reproducible pain on external rotation of the right hip. White blood count is 11,900 with 40.7 lymphs. The erythrocyte sedimentation rate (ESR) is 3 mm/hour. The x-ray shows fluid around the right hip joint; this finding was confirmed by ultrasound. …
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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 and consider your diagnosis and next steps.
Read MoreA 53-year-old female presents after experiencing a fall with a blow to the knee several hours earlier. Upon examination, you find: No fluid in the knee The knee is stable Patient is able to put weight on the affected knee Mildly decreased range of motion due to generalized pain in the area (though not over the patella) View Figure 1, take these findings into account, and consider what your next steps would be. Resolution of …
Read MoreJOHN SHUFELDT, MD, JD, MBA, FACEP STATES HAVE ENACTED STATUTES, and courts have proffered an abundance of case law on the treatment of minors. There have been no reports of physicians being held liable for rendering emergent or urgent care to minors prior to obtaining parental consent. Still, informed consent issues surrounding the care and treatment of minors are often a source of confusion and are, at best, problematic.
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