Psychiatric Manifestations of Organic Disease: Don’t Get Fooled!

Urgent message: Mistaking medical symptoms for psychiatric disease can delay care and lead to adverse outcomes. Elizabeth Yeager-Cordial, MD; Janell…
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Psychiatric Manifestations of Organic Disease: Don’t Get Fooled!

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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Find Prime Locations for Rapid Urgent Care Growth

Repairing Parallel Lacerations in the Urgent Care Center

Urgent message: Parallel lacerations or those that simply occur in close proximity pose a unique challenge for the urgent care…
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Repairing Parallel Lacerations in the Urgent Care Center

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 mandibular fractures. Bilateral mandibular…
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A Rare Case of Sequential Simultaneous Bilateral Mandibular Fractures

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

Urgent Care News

Patient Records Have Been Taken Hostage at a Texas Hospital. Ensure Your System Is Secure

OakBend Medical Center in Richmond, TX is scrambling to deal with a ransomware attack by …
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As the COVID-19 Pandemic Continues to Fade, Are We About to Face Another?

JUCM and JUCM News readers are well aware that the United States has seen a …
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The Ongoing Bleak Outlook for Rural Hospitals Could Hold Promise for Urgent Care

An already-dire situation for the rural hospital market is getting tougher by the month as …
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Free Webinar: Prepare for More ‘Typical’ Urgent Care Presentations—Including Lacerations

COVID-19 has taken up a disproportionate amount of time in the context of what we …
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Provider Burnout Grew as the Pandemic Dragged On. What Do We Do About It?

A survey of physicians published by Mayo Clinic Proceedings found a “dramatic” increase in burnout …
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Web Exclusive Articles

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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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 …
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Are Food/Drug Retailers Hiding their Retail Clinic “Failures?”

Urgent message: Over the past 15 years, the nation’s largest food, drug, and mass retailers …
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Clinical Articles

Psychiatric Manifestations of Organic Disease

Psychiatric Manifestations of Organic Disease: Don’t Get Fooled!

Urgent message: Mistaking medical symptoms for psychiatric disease can delay care and lead to adverse outcomes. Elizabeth Yeager-Cordial, MD; Janell …
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Management of Burn Blisters in Urgent Care

Urgent message: Though data are limited and approaches to burn blister management remain controversial (eg, leaving blisters intact vs deroofing …
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Finger Tourniquet

Essential Tools for Urgent Care—Finger Tourniquet

Urgent message: Use of a finger tourniquet can ensure a bloodless field when performing laceration repair to fingers and toes, …
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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 …
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Practice Management Articles

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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Time to Grow Your Urgent Care

Your Best Investment Is Growing Your Own Business

Urgent message: Many urgent care operators took full advantage of opportunities to serve their communities during the pandemic, accumulating cash …
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Insights in Images Challenges

A 41-Year-Old with Dorsal Wrist Pain After a Slip-and-Fall

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

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A 55-Year-Old Female with 1 Hour of Chest Pain

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An 87-Year-Old Male with Chest Pain, SOB, and a History of Valvular AFib, Stroke, and Heart Failure

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A 4-Week-Old Girl with a New Rash on Her Back

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A 43-Year-Old Woman with a New Ulcer on One Hand

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CASE REPORTS

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 …
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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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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 …
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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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A Case of Late-Onset Diabetes

Urgent message: Previously undiagnosed diabetes in elderly patients is too frequently a precursor to the diagnosis …
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HEALTH LAW

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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Considerations for Urgent Care Operators on Equal Pay Legislation and Enforcement

Urgent message: As we see a shift to an overwhelming female workforce in urgent care, it …
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Who in a Company Can Bind the Company in a Contract?

Urgent message: While legal documents may define who in an urgent care is able to legally …
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CLINICAL CHALLENGES

A 55-Year-Old Female with 1 Hour of Chest Pain

A55-year-old female presents to urgent care with chest pain that started 1 hour prior. On exam, she appears diaphoretic with …
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A 41-Year-Old with Dorsal Wrist Pain After a Slip-and-Fall

A 41-year-old male presents to urgent care following a slip-and-fall on a wet swimming pool surface. He complains of dorsal/posterior …
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A 4-Week-Old Girl with a New Rash on Her Back

A mother brought her 4-week-old daughter to the doctor concerned about a vesicular rash that developed on the girl’s back …
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An 87-Year-Old Male with Chest Pain, SOB, and a History of Valvular AFib, Stroke, and Heart Failure

An 87-year-old male with past medical history of valvular atrial fibrillation, prior stroke, and heart failure presents to urgent care …
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A 43-Year-Old Woman with a New Ulcer on One Hand

A 43-year-old woman presents with 2 weeks of a smooth nodule on her right hand. The patient denies recent travel …
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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

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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Urgent Care Billing: Best Practices Scorecard

When it comes to measuring your financial performance, metrics translate the actions of others into insight. They provide visibility into …
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2021 E/M Guidelines: Your Questions Answered

It’s been 14 months since the new evaluation and management guidelines took effect. Many providers struggled to modify their documentation …
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DEVELOPING DATA

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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Yes, Urgent Care Lost Visits During the Pandemic—but Other Settings Lost Far More

It won’t be news to you that patient visits dropped—precipitously at times—over the course of the COVID-19 pandemic. And there’s …
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Urgent Care Is Evolving, but Its Foundational Attributes Remain

In the article Your Best Investment Is Growing Your Own Business (page 25), Alan A. Ayers, MBA, MAcc makes the …
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Abstracts in Urgent Care

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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Abstracts in Urgent Care – May 2022

Immobilizing Ankle FracturesTreating Septic Olecranon BursitisEKG Interpretation: Human vs MachinepreHEART Score and Prehospital CareRethinking Otitis Media ManagementBoosters Limit Risk for …
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Abstracts in Urgent Care – April 2022

Pediatric PneumoniaSigns and Symptoms of Cauda Equina SyndromeRemoving ‘Stuck’ RingsCentral vs Peripheral Acute VertigoZinc and Viral RTIs in Adults Nathan …
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LETTER FROM THE EDITOR-IN-CHIEF

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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When Walk-Ins Aren’t Welcome

Patient volume has always been a delicate topic between the clinical staff and administrators of urgent care centers. It’s no …
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An Underrecognized Epidemic: Toxic Positivity in Medicine

Joshua Russell, MD, MSc, FCUCM, FACEP A colleague, Dr. Mitchell we’ll call him, told me about a PA that he …
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