Journal of Urgent Care Medicine

15-Year-Old With Fever

A 15-year-old girl presents to urgent care with complaints of fever, arthralgia, abdominal pain, and a widespread rash that developed over the last 2 days. The patient says that the pain in her knees is severe and debilitating. On examination, the patient has a temperature of 100.3°F (37.9°C) as well as maroon and violaceous, purpuric papules and plaques on the legs, buttocks, and face. Laboratory examination shows elevated erythrocyte sedimentation rate and C-reactive protein, proteinuria, …

A 12-Year-Old Boy with Knee Pain After a Baseball Game

The patient is a 12-year-old boy who presents with pain in his left knee. His mother reports that during a baseball game earlier in the day he slid hard into a base and came up limping. Review the x-rays taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.

Physical Therapy as Nonsurgical Management and Presurgical Management of Most Common Knee Pathologies

Urgent message: Appreciation for the cause of knee pain, along with an understanding of potential nonoperative rehabilitation therapies that could be provided in urgent care, can enhance patient care and improve patient satisfaction while minimizing the need for referral. Dr. Eva Delgado Martinez MBChB, GP, MScCN and Dr. Ivan Koay MBChB, FRNZCUC, MD INTRODUCTION Knee injuries in adults and children are common presentations to urgent care and emergency rooms.1 Rehabilitation of those injuries is essential …

A 10-Year-Old Boy Who Twisted His Knee in the Backyard

The patient is a 10-year-old boy who presents after twisting his right knee while playing a backyard game of badminton. The pain is such that he is unable to bear weight on the leg. View the image taken (Figure 1) and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.

A 13-Year-Old Boy with Knee Pain After a Fall

The patient is a 13-year-old boy who presents with knee pain after an awkward fall while playing basketball on an asphalt court. He is unable to walk due to pain and has a swollen knee. View the x-rays taken and consider what your diagnosis and next steps would be.

Knee Pain in an 8-Year-Old Boy

Case An 8-year-old boy presents to an urgent care center with left knee pain that he has had for 3 days. The pain is worse with walking, and his mother says that he has been limping and will not put full weight on the leg. He reports no trauma, fever, vomiting, or numbness. His mother reports that she has given him ibuprofen but that this has not relieved his pain. View the image taken (Figure …

Clinical Challenge – June 2014

THE CASE These x-rays were taken on a 49-year-old man with chronic bilateral knee pain that had increased over the past 6 months with ambulation. Examination was unremarkable. View the images taken (Figures 1, 2, and 3) and consider what your diagnosis would be.

Evaluation of Knee Pain: An Urgent Care Approach

Urgent message: Knee pain is a diagnostic challenge for urgent care providers, but a strong understanding of the anatomy and potential etiologies will prepare them for success. CHRISTOPHER TANGEN, DO Approximately 10% of all urgent care visits are for musculoskeletal complaints and knee pain is a common such presentation. An urgent care provider’s approach is different than that of specialists because patients present with more acute cases, and therefore, the physician needs to consider a …

June 2013

Clinical Challenge: July/August, 2012

The patient, a 23-year-old male, presented with knee pain and trauma. View the image taken (Figure 1) and consider what your diagnosis would be. Resolution of the case is described of the next page.

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