Journal of Urgent Care Medicine

12-Year-Old With Facial Trauma

A 12- year-old male presents to urgent care with his mother complaining of facial pain. The patient experienced a trip-and-fall accident at home. He landed on a carpeted floor and now complains of facial pain. View the image taken (occipitomental/Waters view) and consider what your diagnosis and next steps would be. Resolution of the case is described on the following page.

June 2010

The Case of a 21-year-old Woman with Sinus Pain

I would rather have a patient with a stab wound to the chest than a patient with a serious underlying problem who just wants antibiotics and a quick evaluation. Is there a way to tease out benign- appearing patients who are “pre-crump?” This month’s case is that very patient—a raindrop in a torrent of mucus and purulent drainage.