Code Case Files: An Established Adult Male Patient with 2 Days of COVID-Like Symptoms

By Ashley Blachford  /  November 21, 2022
Bradley L. Laymon, PA-C, CPC, CEMC PRESENTATION A 47-year-old established male patient presented after 2 days of COVID-like symptoms (fever…
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Code Case Files: An Established Adult Male Patient with 2 Days of COVID-Like Symptoms

A 16-Year-Old Female with Neck Pain After Swallowing

By Ashley Blachford  /  November 15, 2022
The patient is a 16-year-old female with right-side neck pain after inadvertently swallowing a chicken wing.  She has not eaten…
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A 16-Year-Old Female with Neck Pain After Swallowing

An Unusual Case of Third and Fourth Metacarpophalangeal Joint Dislocations Following a Fall

By Ashley Blachford  /  November 1, 2022
Urgent message: Metacarpophalangeal dislocations involving digits other than the thumb or index finger may be somewhat atypical, but are known…
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An Unusual Case of Third and Fourth Metacarpophalangeal Joint Dislocations Following a Fall

When a Fever is Not a URI: If It’s Not in the Differential, It Won’t Be in the Diagnosis

By Ashley Blachford  /  October 30, 2022
Urgent message: Fever in patients presenting to UC is often attributable to viral infections, urinary tract infections, otitis media, cellulitis,…
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When a Fever is Not a URI: If It’s Not in the Differential, It Won’t Be in the Diagnosis

Is It Appendicitis? The Role of Clinical Scoring Systems, Labs, and Diagnostic Imaging

By Ashley Blachford  /  October 30, 2022
Urgent message: Ultrasound can provide essential data in the urgent care evaluation of suspicion of acute appendicitis. Facilitating a rapid…
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Is It Appendicitis? The Role of Clinical Scoring Systems, Labs, and Diagnostic Imaging

What Qualifies Someone to Take X-Rays in the Urgent Care Center? It All Depends on Where You’re Located

By Ashley Blachford  /  October 25, 2022
X-rays are high on the list of services patients expect urgent care centers to provide when needed. Currently, however, a…
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What Qualifies Someone to Take X-Rays in the Urgent Care Center? It All Depends on Where You’re Located

DOT Physicals and Urine Drug Testing Represent a Growth Opportunity for Urgent Care Centers

By Ashley Blachford  /  September 30, 2022
Urgent message: Demand for DOT-related services for truck drivers is soaring. Urgent care centers can augment traditional insurance-paid visits with…
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DOT Physicals and Urine Drug Testing Represent a Growth Opportunity for Urgent Care Centers

A Legal Quandary: A Diagnosis of Cellulitis…That Isn’t

By Ashley Blachford  /  September 30, 2022
Michael Weinstock, MD; Gabby Gostigian, MD; and Matthew Delaney, MD Urgent message: Failure to consider subtleties and the context in…
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A Legal Quandary: A Diagnosis of Cellulitis…That Isn’t

Where Should I Refer My Spinal Patient? Outcomes with Orthopedic and Neurosurgeons for Common Neck and Back Procedures

By Ashley Blachford  /  September 30, 2022
Urgent message: Neck and back pain are common issues preceding surgical intervention. Given differences in care plans, outcomes, cost, and…
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Where Should I Refer My Spinal Patient? Outcomes with Orthopedic and Neurosurgeons for Common Neck and Back Procedures

Bullous Pemphigoid Reaction After Second Dose of COVID-19 Vaccine

By Ashley Blachford  /  September 30, 2022
Urgent message: Throughout the COVID-19 pandemic, unvaccinated people have shown higher rates of morbidity and mortality in comparison with those…
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Bullous Pemphigoid Reaction After Second Dose of COVID-19 Vaccine

Urgent Care News

Update: Amoxicillin and Clavulanate Products Will Continue to Be in Short Supply

JUCM News reported nearly a month ago on a scarcity of oral presentations of amoxicillin …
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The Early Winter Forecast: Chilly with a Chance of COVID

As temperatures fall in much of the United States new hospitalizations for COVID-19 are expected …
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Free JUCM Webinar: STI’s Are Heating Up. Find Out What Role Urgent Care (and You) Can Play

As cases of COVID-19 (and restrictions like social distancing) took hold in the United States, …
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Showing That You ‘Understand’ Individual Patients Could Go a Long Way Toward Ensuring Their Satisfaction

Everybody wants to be recognized and understood—whatever that means in a given scenario. When that …
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Nurse Practitioners Are Inching Closer to Independence from Physician Oversight

The contributions of nurse practitioners and physician assistants (known collectively as advanced practice providers, or …
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Web Exclusive Articles

Code Case Files: An Established Adult Male Patient with 2 Days of COVID-Like Symptoms

Bradley L. Laymon, PA-C, CPC, CEMC PRESENTATION A 47-year-old established male patient presented after 2 …
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What Qualifies Someone to Take X-Rays in the Urgent Care Center? It All Depends on Where You’re Located

X-rays are high on the list of services patients expect urgent care centers to provide …
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Repairing Parallel Lacerations in the Urgent Care Center

Urgent message: Parallel lacerations or those that simply occur in close proximity pose a unique …
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Mysterious Skin Lesions in a Horse Trainer

Urgent message: Medical histories can help inform diagnosis, but clinicians must ensure their decisions are …
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Getting the Most Out of Your Urgent Care Google Ads Budget in 2022

Urgent message: As urgent care volume has dropped from pandemic highs, the average cost per …
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Clinical Articles

When a Fever is Not a URI: If It’s Not in the Differential, It Won’t Be in the Diagnosis

Urgent message: Fever in patients presenting to UC is often attributable to viral infections, urinary tract infections, otitis media, cellulitis, …
Read More
It is Appendicitis?

Is It Appendicitis? The Role of Clinical Scoring Systems, Labs, and Diagnostic Imaging

Urgent message: Ultrasound can provide essential data in the urgent care evaluation of suspicion of acute appendicitis. Facilitating a rapid …
Read More
A Legal Quandary: A Diagnosis of Cellulitis…That Isn’t

A Legal Quandary: A Diagnosis of Cellulitis…That Isn’t

Michael Weinstock, MD; Gabby Gostigian, MD; and Matthew Delaney, MD Urgent message: Failure to consider subtleties and the context in …
Read More
Orthopedic vs Neurosurgeons for Spinal Surgery Referrals

Where Should I Refer My Spinal Patient? Outcomes with Orthopedic and Neurosurgeons for Common Neck and Back Procedures

Urgent message: Neck and back pain are common issues preceding surgical intervention. Given differences in care plans, outcomes, cost, and …
Read More

Practice Management Articles

DOT physicals and drug screens

DOT Physicals and Urine Drug Testing Represent a Growth Opportunity for Urgent Care Centers

Urgent message: Demand for DOT-related services for truck drivers is soaring. Urgent care centers can augment traditional insurance-paid visits with …
Read More

Find Prime Locations for Rapid Urgent Care Growth

Urgent message: Using a data-driven approach to predict performance, taking advantage of openings in traditional retail spaces, or utilizing resources …
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As COVID Turns Endemic, Investors Remain Bullish on Urgent Care Growth

Urgent message: De novo growth of urgent care continued through the pandemic. As COVID turns endemic, investors remain bullish on …
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Why Private Equity and Other ‘Smart Money’ Is Bullish on Brick-and-Mortar Urgent Care

Urgent message: Despite the current seasonal, postpandemic lull in volume, sophisticated investors are focused on the long-term growth prospects of …
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Insights in Images Challenges

A 40-Year-Old with Back Pain After a Fall

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A 16-Year-Old Boy with Arm Pain After a Baseball Game

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An 83-Year-Old Female with CHF, A-Fib, and New-Onset Confusion and Syncope

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A 45-Year-Old Male with Palpitations

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A 9-Year-Old Girl with a New Rash on Her Face

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A 43-Year-Old with a New Rash on the Trunk

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JUCM CAREER CENTER

Download Past Issues

 

November 2022 : Broadening the Differential for Fever – Etiologies Beyond Infection

VIEW ISSUES ARCHIVE

CASE REPORTS

An Unusual Case of Third and Fourth Metacarpophalangeal Joint Dislocations Following a Fall

Urgent message: Metacarpophalangeal dislocations involving digits other than the thumb or index finger may be somewhat …
Read More

Bullous Pemphigoid Reaction After Second Dose of COVID-19 Vaccine

Urgent message: Throughout the COVID-19 pandemic, unvaccinated people have shown higher rates of morbidity and mortality …
Read More

A Rare Case of Sequential Simultaneous Bilateral Mandibular Fractures

Urgent message: The angle of the mandible is one of the most common locations among bilateral …
Read More

Brain Abscess in an Immunocompetent Patient: Complex Pathology and Communication

Urgent message: Remain diligent in the evaluation of headache; though often a benign condition, the possibility …
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How Useful Is Ultrasound in Diagnosing Ovarian Torsion?

Urgent message: Ultrasound can provide essential data in the urgent care evaluation of abdominal pain, aiding …
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HEALTH LAW

Who Can Take X-Rays in an Urgent Care Center?

Urgent message: Given that x-ray is a differentiating feature of “urgent care” and the current challenges …
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What Qualifies Someone to Take X-Rays in the Urgent Care Center? It All Depends on Where You’re Located

X-rays are high on the list of services patients expect urgent care centers to provide when …
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Avoiding Defamation Lawsuits in Urgent Care

Urgent message: People are unlikely to trust their healthcare to a provider with a sullied reputation, …
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Can PAs and NPs Unionize in Urgent Care Settings?

Urgent message: Urgent care’s workforce has changed from primarily emergency physicians to physician assistants and nurse …
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What’s the Best Policy for Unlocking an Urgent Care’s Doors when a Provider isn’t Present?

Alan A. Ayers, MBA, MAcc is President of Experity Networks and is Senior Editor, Practice Management …
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CLINICAL CHALLENGES

An 83-Year-Old Female with CHF, A-Fib, and New-Onset Confusion and Syncope

An 83-year-old female with past medical history of congestive heart failure and atrial fibrillation presents to urgent care with confusion …
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A 9-Year-Old Girl with a New Rash on Her Face

A mother brings her 9-year-old girl daughter to your urgent care center because she’s concerned about a rash that developed …
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A 40-Year-Old with Back Pain After a Fall

The patient is a 40-year-old male who presents to urgent care with lower-left back pain after an alumni soccer game …
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A 45-Year-Old Male with Palpitations

The patient is a 45-year-old male who presents with palpitations for the past 30 minutes. He denies chest pain, dizziness, …
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A 43-Year-Old with a New Rash on the Trunk

A 43-year-old man presents to urgent care with a rash that he noticed a couple of days ago on his …
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OCCUPATIONAL MEDICINE

Update: The COVID-19 Vaccine Mandate for Many Businesses Is Off—Again

Just when you thought you had clarity on the Occupational Safety and Health Administration’s mandate to vaccinate workers at businesses …
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That Vaccine Mandate for Private Businesses That Was Called Off? It’s on Again—and the Clock Is Ticking

The Occupational Health and Safety Administration’s plan to require employers with 100 or more workers to institute a COVID-19 vaccine …
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Your Occ Med Clients Need Your Support with the New COVID-19 ETS—Immediately

The Occupational Safety and Health Administration just issued an Emergency Temporary Standard intended to protect workers from getting infected with …
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More People Are Trudging Off to Work on Site. Do You Know Who’s at Greatest Risk for COVID-19?

While some employers are content to maintain remote or hybrid work situations for their workers, either because of strong stances …
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As Travel Opens Up, Opportunities to Offer COVID-19 Tests Could Be Lucrative

Urgent care has had it tough during the pandemic, but the travel industry has faced unprecedented challenges as Americans hunkered …
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Revenue Cycle Management

Where Do You Start When Starting Your Urgent Care?

Heather Real There are many reasons to start your own urgent care, whether it be feeding your entrepreneurial spirit, investing …
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New ICD-10-CM Codes in Effect as of October 1

It’s time for the major release of ICD-10-CM that occurs on October 1 every year. For 2023, this update reflects …
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Primed for Growth: Why It’s Time to Consider Adding Primary Care Services to Your Urgent Care Center

Many patients don’t think about “urgent care” until the moment they need treatment. Likewise, few people think of urgent care …
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A Half Century of Urgent Care: What Today’s Startups Need to Know

The urgent care industry is in its fifth decade and still growing! The driving forces of affordability and accessibility continue …
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Decreasing Denials and Rejections Through Your Urgent Care Operating Model

A wise person once said, “If a claim is rejected or denied, the energy to get it paid is five …
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DEVELOPING DATA

Urgent Care Is Correcting Course on Antibiotic Prescribing

Just 4 years ago, a Research Letter published by JAMA Internal Medicine painted an unflattering picture of the antibiotic prescribing …
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The Data Are Clear: Urgent Care Visits Almost Always Suffice for Low-Acuity Cervical Trauma

Reducing the need for patients to visit hospital emergency rooms (as well as the associated cost) is an essential attribute …
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A Tale of Two Viruses: Rapid Flu and COVID-19 Tests in the Urgent Care Setting

JUCM has been fortunate to be on the forefront of research on SARS-CoV-2, from a headline-making article entitled Chest X-Ray …
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Urgent Care—It’s a Millennial’s Market

In terms of services offered, urgent care “should” appeal to patients of all ages. And it does. But to which …
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Spoiler Alert: 2020 Saw a New Trent in Urgent Care Data Claims

Spoiler Alert: 2020 Saw a NewTrend in Urgent Care Data Claims Spoiler Alert: 2020 Saw a NewTrend in Urgent Care …
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Abstracts in Urgent Care

Abstracts in Urgent Care November 2022

Fever: To Treat or Not to Treat?Distinguishing Viral from Bacterial ConjunctivitisScapular Fractures and Blunt Chest Trauma in ChildrenSterile vs Nonsterile …
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Abstracts in Urgent Care – October 2022

Ivan Koay MBChB, FRNZCUC, MD Achilles Tendon RupturePredictive Value of Seamen’s SignPT and Meniscus TearsManaging ACS in Rural AreasFollowing Up …
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Abstracts in Urgent Care – September 2022

Vapocoolant and Digital Nerve BlocksDosing Dexamethasone in Pediatric AsthmaInfant Clean-Catch Urine ContaminationAntibiotic-Associated Diarrhea in ChildrenTreating Acute DiverticulitisTorus Wrist Fractures in …
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Abstracts in Urgent Care – July/August 2022

Colchicine in Acute GoutPOCUS and Necrotizing FasciitisAssessing Patient SatisfactionMisinterpreting Pediatric RadiographsLung Ultrasound and Pediatric PneumoniaDiagnosing Pneumothorax A Review of the …
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Abstracts in Urgent Care – June 2022

Maximizing the Value of Urine Dipstick TestingScreening for Intimate Partner ViolenceAntibiotics for Children with RTIAzithromycin in Pediatric Viral InfectionSelf-Monitoring BP …
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LETTER FROM THE EDITOR-IN-CHIEF

The Value of Repeat Vital Signs

Joshua Russell, MD, MSc, FCUCM, FACEP I’m just going say it: we should repeat vital signs more often in urgent …
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The Value of Vitals – Part I

Joshua Russell, MD, MSc, FCUCM, FACEP Recently, a PA I supervise called me about a young woman who came in …
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Antibiotic Prescribing in “Gotham City”

I don’t know about you, but I’m tired of being talked at about antibiotic stewardship. We all realize it’s a …
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Playing in the Band

I got my first guitar when I was 14. It was an Alvarez acoustic with an electric pick-up, and I …
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Addressing Without Managing: Defusing the Ticking Time Bombs in Urgent Care

In the world of urgent care, it’s assumed that we exist to provide immediate, episodic care for discrete problems. The …
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