Journal of Urgent Care Medicine

CDC Advises: Be Vigilant for Cyclospora cayetanensis Infection

Cases of Cyclospora cayetanensis infections have more than doubled in 2017 compared with the same period in 2016, according to the Centers for Disease Control and Prevention. Cases are not geographically centered, either: 27 states have confirmed the diagnosis, which is marked by watery diarrhea, anorexia, fatigue, weight loss, nausea, flatulence, abdominal cramping, and myalgia. Cyclospora infection can spread via food or water contaminated with the parasite; however, it is not transmitted directly from one …

Red Painful Eye with Visual Loss

A 29-year-old contact lens wearer presents to the urgent care center with a red eye, eye pain, and visual loss that has been increasing over the past 12 hours. Examination shows an injected conjunctiva with ciliary flush, and a cornea with white infiltrate in the stroma. View the image taken (Figure 1) and consider what your diagnosis would be.

Eye Redness, Pain, and Light Sensitivity

A 30-year-old woman presents with a red eye, associated with eye pain, light sensitivity, and slightly decreased vision, which started 4 days earlier. She was previously treated with tobramycin, but she has not noticed any change in the condition of her eye. Examination shows an injected conjunctiva and a hypopyon. On further examination with a slit lamp, inflammatory cells are evident in the anterior chamber. View the image taken (Figure 1) and consider what your …

Is It Measles or Something Else?

Urgent message: Although measles was declared eliminated in the United States in 2000, outbreaks continue to occur, with unvaccinated travelers most often being the carriers and transmitting the disease to clusters of unvaccinated individual residents. Overview and Current Outbreak According to the World Health Organization, 145,700 people around the world died of measles in 2013, which equates to 400 deaths per day or 16 deaths per hour. Measles remains one of the leading causes of …

The Role of Ultrasound for Soft Tissue Infections in the Urgent Care Setting

The Role of Ultrasound for Soft Tissue Infections in the Urgent Care Setting Urgent Message: Abscess evaluation is one of many diagnostic applications of ultrasound that could improve patient care in the urgent care setting. Authors: Staci Shepard, MS-4, and John Shufeldt, MD, JD, MBA, FACEP Staci Shephard is a fourth-year medical student at Creighton University School of Medicine. John Shufeldt, MD, JD, MBA, FACEP, is CEO of Urgent Care Integrated Network and sits on …