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

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

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

By Ashley Blachford  /  September 27, 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

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

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

By Ashley Blachford  /  September 20, 2022
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

Ready or Not, the Impending Physician Shortage May Make Greater Use of APPs Inevitable

In recognition of the likelihood that primary care physicians will be in increasingly short supply …
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With COVID-19 Waning, Urgent Care Telehealth May Be at a Crossroad

Historically, telehealth has had a difficult time getting a foothold in urgent care. Some operators …
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Hurricane Ian Reminds Us: You Can’t Afford Not to Have a Disaster Plan

With Hurricane Ian battering Florida and promising to wreak more havoc as it moves north …
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The CDC Says You Can Drop Masking Rules for Your Workers. The Question Is, Should You?

In a sign that President Biden’s offhand remark that “the pandemic is over” may be …
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HCA Isn’t Done Shopping for Urgent Care Centers

It wasn’t that long ago that we told you HCA Healthcare was buying BetterMed, adding …
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Web Exclusive Articles

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 …
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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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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

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

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

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A 45-Year-Old Male with Palpitations

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

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

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

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JUCM CAREER CENTER

Download Past Issues

 

October 2022 : When a ‘Fight Bite’ Leaves You in a Clinical-and Legal-Quandary

VIEW ISSUES ARCHIVE

CASE REPORTS

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

The patient is a 16-year-old male who presents to urgent care with pain in the humerus area hours after finishing …
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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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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

New ICD-10-CM Codes Go into Effect on 10/01/2023

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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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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DEVELOPING DATA

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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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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Abstracts in Urgent Care

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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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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LETTER FROM THE EDITOR-IN-CHIEF

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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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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