Urgent message: Urgent care providers have a clinical, legal, and moral obligation to provide appropriate treatment for patients with pain. The first article in a two-part series addresses strategies for managing acute pain. TRACEY Q. DAVIDOFF, MD The interpretation of pain by patients is very subjective and not easily measured. That makes management of pain in the urgent care setting difficult. Current pain scales are often inaccurate or not truly reflective of a patient’s real …
Read More63-year-old female complaining of pain in throat
The patient, a 63-year-old female, complained of pain in her throat after eating fish. View the image taken and consider what your diagnosis would be.
Read More70-year-old experiencing shoulder pain
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 and next steps would be.
Read More42-year-old man unable to bear weight on his ankle
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 steps would be.
Read More32-year-old patient sustains blow to chest
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 what your diagnosis and next steps would be.
Read More62-year-old experiencing progressive shoulder pain
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 well. The history and examination are unremarkable. View the image taken and consider what your diagnosis and next steps would be.
Read More42-year-old woman in considerable ankle pain
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 considerable pain. View the image taken and consider what your diagnosis and next steps would be.
Read More20-year-old female with knee pain after fall
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 findings beyond mild local tenderness. She is able to bear weight fully on both legs. View the image and consider what your diagnosis and next steps would be.
Read More19-year-old male experiencing pain in shoulder
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 healthy. View the image and consider what your diagnosis and next steps would be.
Read MoreClinical Challenge: December, 2009
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 e-mail the relevant materials and presenting information to [email protected]. 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 …
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