Urgent Care Diagnosis and Management of Deep Vein Thrombosis

By Ashley Blachford  /  November 1, 2021
John DesMarais, MD and Samidha Dutta, DO Urgent message: Screening patients with suspected DVT using the Well’s criteria is an…
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Urgent Care Diagnosis and Management of Deep Vein Thrombosis

Addressing Fraternization in the Urgent Care Workplace

By Ashley Blachford  /  September 30, 2021
Urgent message: Whereas sexual harassment is defined as unwanted and one-sided, many times employees choose to become romantically involved, requiring…
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Addressing Fraternization in the Urgent Care Workplace

A 60-Year-Old Woman with Dark, Painful Plaques on Her Legs

By Ashley Blachford  /  November 22, 2021
The patient is a 60-year-old woman who presents to urgent care after developing dark areas over both legs over the…
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A 60-Year-Old Woman with Dark, Painful Plaques on Her Legs

Weight Loss, Abdominal Pain, and Distension in a 74-Year-Old Woman

By Ashley Blachford  /  October 28, 2021
Urgent message: Not all GI complaints can be attributed to gastrointestinal pathology; symptoms of dyspepsia, vomiting, early satiety, weight loss,…
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Weight Loss, Abdominal Pain, and Distension in a 74-Year-Old Woman

A 49-Year-Old Male with Abdominal Pain

By Ashley Blachford  /  November 16, 2021
The patient is a 49-year-old male who presents with a primary complaint of what he describes as “gas pain” for…
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A 49-Year-Old Male with Abdominal Pain

Urgent Care News

The COVID-19 Pandemic Has Exacerbated the Opioid Epidemic—and It’s About to Get Worse

Well before the COVID-19 virus reached pandemic proportions, opioid abuse and related overdoses and deaths …
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Are You Open for Patients on Thanksgiving—and More Importantly, Do They Know That?

Most Americans with typical jobs will be at home or visiting loved ones (possibly for …
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CVS Is Closing 900 Stores. Does That Reflect a Decline in the Retail Health Model?

CVSHealth says it’s going to close roughly 300 stores a year over the next 3 …
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Warning: Failure to Maintain Safe COVID-19 Vaccine Storage and Procedures Could Cost You

A Colorado urgent care operator has been suspended from participating in the state’s COVID-19 vaccination …
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COVID-19 Boosters Are OK’d for All Adults—but Is It Too Late to Prevent a Post-Holiday Spike?

With the Centers for Disease Control and Prevention following the recommendation of the Advisory Committee …
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Web Exclusive Articles

A 60-Year-Old Woman with Dark, Painful Plaques on Her Legs

The patient is a 60-year-old woman who presents to urgent care after developing dark areas …
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Urgent Care Management of Lacerations in the Elderly Patient

Urgent message: Fragile skin lacerations in geriatric patients require a different repair strategy from those …
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Use of a Quality Improvement Tool for the Evaluation of Healthcare Disparities in Urgent Care: A Case Example for Bacterial Pneumonia

Urgent message: While healthcare disparities have been studied in several healthcare sites, it is unclear …
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Case Report: Reoccurring Metatarsophalangeal Joint Pain

Urgent message: Acute or chronic hallux pain is a common complaint in urgent care. Due …
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Case of a Nonhealing ‘Sunburn’ on a Toddler

Urgent message: Rashes are a common ailment, and their etiology can have overlapping appearances. In …
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Clinical Articles

Urgent Care Diagnosis and Management of Deep Vein Thrombosis

John DesMarais, MD and Samidha Dutta, DO Urgent message: Screening patients with suspected DVT using the Well’s criteria is an …
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N gonorrhoeae: Dual Therapy Is Out. Monotherapy Is In.

…
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Evaluation of Nonfatal Drowning in Urgent Care

Urgent message: Lingering warm weather and postpandemic euphoria continue to have patients eager to pursue outdoor activities, including swimming in …
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LGBTQ Friendly Urgent Care

Best Practices for LGBTQ-Friendly Urgent Care

Urgent message: LGBTQ individuals are subject to implicit and explicit bias in our society, ranging from microaggressions and antagonistic legislation …
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Practice Management Articles

Addressing Fraternization in Urgent Care image

Addressing Fraternization in the Urgent Care Workplace

Urgent message: Whereas sexual harassment is defined as unwanted and one-sided, many times employees choose to become romantically involved, requiring …
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PM Hybrid Workforce, work from home

What Does a Hybrid Workforce Look Like for Urgent Care?

Alan A. Ayers, MBA, MAcc is Practice Management Editor of The Journal of Urgent Care Medicine and is President of …
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Direct-To-Consumer Testing in Urgent Care

Understanding the Benefits and Risks of Direct-to-Consumer Testing for Urgent Care

Urgent message: Urgent care centers equipped to draw blood and collect other specimens are well positioned to create new revenue …
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medical marketing data with graphs, digital marketing tactics for urgent care

Seven Digital Marketing Tactics for Every Urgent Care Center

Urgent message: Urgent care operators are spending an increasing amount of their marketing budget on seven digital tactics. Fortunately for …
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Insights in Images Challenges

A 75-Year-Old with Chest Pressure

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A 28-Year-Old with Foot Pain After a Fall

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A 65-Year-Old Man with Shortness of Breath and a History of Heart Failure

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A 61-Year-Old Woman with a 2-Day History of Chest Pain

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A 6-Year-Old Boy with a Lesion on His Ear

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A 7-Year-Old Boy with Scaly Red-Brown Papules on His Trunk

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JUCM CAREER CENTER

Download Past Issues

 

November 2021 : DVT – The Wrong Approach Today Puts Your Patient’s Life at Risk Tomorrow

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CASE REPORTS

Weight Loss, Abdominal Pain, and Distension in a 74-Year-Old Woman

Urgent message: Not all GI complaints can be attributed to gastrointestinal pathology; symptoms of dyspepsia, vomiting, …
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An Unresponsive Pupil in the Urgent Care: Can A Diagnosis Be Made from the Bedside History and Exam?

Urgent message: Ocular complaints for which there is no immediate, obvious explanation do not necessarily have …
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Similar to Past Flare Ups Pulmonary Eosinophilia: Putting the Pieces Together

Urgent message: Pulmonary eosinophilia is a generic term for a heterogeneous group of disorders that result …
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Case Report: Reoccurring Metatarsophalangeal Joint Pain

Urgent message: Acute or chronic hallux pain is a common complaint in urgent care. Due to …
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Actinomyces neuii as a Cause of Vulvar Abscess

Urgent message: While abscesses are seen commonly in the urgent care setting, location and presenting complaints …
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HEALTH LAW

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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Getting Served: The Do’s and Don’ts of Litigation

Upon returning home from a busy urgent care shift, you notice a certified letter with a …
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Employee Confidentiality Cannot Extend to Employment Terms—Including on Social Media

Urgent message: Nondisclosure agreements that are commonly required of management and providers to protect a company’s …
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The Nuances of Age Discrimination

Urgent message: As the United States learns to support an aging workforce, understanding the nuances of …
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Are There Any Restrictions on an Urgent Care Provider Charging a No-Show or Cancellation Fee?

Urgent message: When holding a time slot that could go to another paying customer, it’s common …
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CLINICAL CHALLENGES

A 6-Year-Old Boy with a Lesion on His Ear

The patient, a 6-year-old boy, presented to a pediatric urgent care center for a well-child visit. In the exam room, …
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A 65-Year-Old Man with Shortness of Breath and a History of Heart Failure

Figure 1 A 65-year-old male with a history of heart failure presents to an urgent care center with shortness of …
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A 75-Year-Old with Chest Pressure

The patient is a 75-year-old male who presents with a primary complaint of pressure in his chest. He denies chest …
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A 7-Year-Old Boy with Scaly Red-Brown Papules on His Trunk

Figure 1. A 7-year-old boy is brought to your urgent care center by his mother because she’s concerned about a …
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A 61-Year-Old Woman with a 2-Day History of Chest Pain

A 61-year-old female presents to urgent care with chest pain for 2 days. She describes it as “mild right now” …
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OCCUPATIONAL MEDICINE

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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Occ Med Providers Take Note: Companies Are Pushing Workers to Get Tested Frequently

Amazon and Whole Foods employees were told this week that weekly, no-cost testing for COVID-19 is available to them—and encouraged—on …
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Occ Med Providers Take Note: Valid or Not, Lawsuits Against Employers Over COVID-19 Spread Are Inevitable

Just recently, a woman in Illinois filed what is thought to be the first COVID-19-related wrongful death suit against an …
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Revenue Cycle Management

Billing for Midlevels: Your Questions Answered

One of the biggest challenges for urgent care practices is staffing. Midlevels are a great solution. As states pass laws …
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ICD-10 Changes for 2022

Every year on October 1, the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics …
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What the #$%^ is happening with EM Coding and Reimbursement?! – Part II

In the May issue of JUCM, we outlined what we were seeing with E/M coding levels utilizing the new AMA …
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Credentialing: Why Should I Hire a Professional?

In the words of Red Adair, “If you think it’s expensive to hire a professional to do the job, wait …
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Can I Bill Patients for COVID-19 Vaccine Administration?

As practices start offering vaccinations for COVID-19 to their patients, we are getting a lot of questions about whether the …
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DEVELOPING DATA

Will Urgent Care Visits return to ‘Normal’ as the Pandemic Turns Endemic?

In spite of the fact that urgent care was overlooked as an essential partner in the fight against COVID-19 in …
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Telehealth Use Is Down from Its Peak—But the New Plateau Is Far Higher Than Pre-Pandemic Levels

Patients were more willing to use telehealth than ever in the early days of the COVID-19 pandemic. According to data …
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Meet the New Urgent Care Boss—Not the Same as the Old Boss

Back in the day, you probably would have been right to assume that the closest urgent care center was founded, …
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Telemedicine Still Struggles to Catch on in Urgent Care

Some urgent care insiders view telemedicine as a natural fit for our industry—an opportunity to give patients even more convenient …
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Millennials Are Drifting Away from Primary Care—Just as They Need a Physician Most

There’s no gentle way to put it: Members of the Millennial generation simply are not as interested in having a …
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Abstracts in Urgent Care

Abstracts in Urgent Care November 2021

POCUS in Ocular PresentationsExperiencing—and Handling—Patient BiasesSelf-Swabbing for STIsCAM Boots for Toddler’s Fracture?Treating Children with BronchiolitisAzithromycin in COVID-19 Point-of-Care Ultrasound for …
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Abstracts in Urgent Care – October 2021

Duration of UTI Treatment in MenAcute Respiratory Illness in ChildrenIsopropyl Alcohol for Acute Nausea in AdultsNeurological Events and Metronidazole PrescribingDo …
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Abstracts in Urgent Care – September 2021

Cooling Pain from Digital Nerve BlocksSafety of Corticosteroids in ChildrenPredicting the Course of Pediatric CAPIs Tranexamic Acid Helpful for Epistaxis?Drug …
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Abstracts in Urgent Care – July/August 2021

Faster Diagnosis of STIsReduce ED Referrals for SVTKids’ Dental Pain and Quality of LifeUltrasound-Guided Blocks and Renal PainEI as a …
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Abstracts in Urgent Care – June 2021

Light Exercise and mTBIAsymptomatic Hypertension—What’s the Risk?Racial Factors in Pain TreatmentSupplemental Oxygen in ACSShorter Courses of Antibiotics for Pediatric CAPWho’s …
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LETTER FROM THE EDITOR-IN-CHIEF

The Last Hour Problem

It’s 8 pm and I’m 9 hours into a 10-hour shift when four new patients walk in. Even though I’m …
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The Unvaccinated Aren’t the Enemy

Taylor wore her embroidered sorority sweatshirt and a mask below her nose when she came to see me. She was …
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ICYMI: A Rational System for Charting Has Finally Arrived

Remember the fall of last year—when the nation and world pined for an expedient end to 2020, as if such …
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A Crisis of Trust

The conversation was going nowhere. After 15 minutes of explaining my concerns about the possibility of COVID-19, the lack of …
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Why Don’t You Take A Break?

I took up smoking for about 6 months in college, but not for the reasons you’d guess. This was during …
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