Epistaxis: A Clinical Review

By Ashley Blachford  /  July 1, 2021
Urgent message: Epistaxis is a common chief complaint representing a wide spectrum of severity. Key features such as the vital…
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Epistaxis: A Clinical Review

What Does a Hybrid Workforce Look Like for Urgent Care?

By Ashley Blachford  /  June 1, 2021
Alan A. Ayers, MBA, MAcc is Practice Management Editor of The Journal of Urgent Care Medicine and is President of…
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What Does a Hybrid Workforce Look Like for Urgent Care?

Case of a Nonhealing ‘Sunburn’ on a Toddler

By Ashley Blachford  /  July 26, 2021
Urgent message: Rashes are a common ailment, and their etiology can have overlapping appearances. In a case where rash does…
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Case of a Nonhealing ‘Sunburn’ on a Toddler

Actinomyces neuii as a Cause of Vulvar Abscess

By Ashley Blachford  /  July 1, 2021
Urgent message: While abscesses are seen commonly in the urgent care setting, location and presenting complaints can offer essential clues…
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Actinomyces neuii as a Cause of Vulvar Abscess

A 27-Year-Old Male with Pain After a Fall

By Ashley Blachford  /  July 20, 2021
The patient is a 27-year-old male who presents to your urgent care center with left wrist pain after falling from…
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A 27-Year-Old Male with Pain After a Fall

Urgent Care News

RSV Is Running Rampant in Infants and Toddlers Right Now. Are You Prepared?

The Centers for Disease Control and Prevention’s admonition that the southern portion of the United …
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Be Prepared: Patients Can Be ‘Over’ COVID-19 But Not Over the Symptoms—for a Long Time

So many patients have lingering symptoms after the SARS-CoV-2 virus has actually resolved that distinctive …
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Update: A Deeper Dive Confirms Telemedicine Use Waxes and Wanes Along with COVID-19

Recently, we shared data indicating that use of telemedicine appears to be on the decline …
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Peer Pressure May Actually Be a Good Way of Discouraging Inappropriate Prescriptions

Despite great strides in urgent care, overprescribing of antibiotics and related resistance to potentially lifesaving …
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Operators May Not Be to Blame When a Physician Assaults a Patient—but They’re Sure to Pay the Price

An urgent care physician in the San Francisco Bay area was arrested recently on suspicion …
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Web Exclusive Articles

Case of a Nonhealing ‘Sunburn’ on a Toddler

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

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 …
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A Novel Method for Blinding Reviewers to Gender of Proceduralists for the Purposes of Gender Bias Research

Urgent message Gender bias, whether overt or subconscious, may be to blame for disparities in …
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When It’s More Than Just A Cough

Urgent message: Take vital signs and physical examination of the chest with the utmost importance …
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Employer COVID-19 Testing Needs are Not Fully Met; Rapid Testing is an Unprecedented Opportunity for Urgent Care

Urgent message: The critical role of rapid COVID-19 testing in keeping Americans working presents a …
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Clinical Articles

Clinical Article Epistaxis

Epistaxis: A Clinical Review

Urgent message: Epistaxis is a common chief complaint representing a wide spectrum of severity. Key features such as the vital …
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Fishhook in Hand - Fishhook Removal

An Urgent Care Approach to Fishhook Removal

Urgent message: While fishhook injuries are common in urgent care centers located in or near recreation areas, especially during vacation …
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Outpatient Management of COVID-19 in the Urgent Care Clinic: Administering Monoclonal Antibodies

Urgent message: The approved use of monoclonal antibodies to treat patients who have COVID-19 may signal a shift from inpatient …
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Pretravel Consultation - World with Stethoscope

Pretravel Consultations in the Urgent Care Setting

Urgent message: A pretravel consultation assesses the patient’s fitness for travel in the context of anticipated risks associated with their …
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Practice Management Articles

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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Adapting Urgent Care Marketing Strategies to Include Mobile and Voice Technologies

Urgent message: As consumers become more dependent on their internet-connected smartphones for health information, urgent care centers must adapt their …
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Insights in Images Challenges

Neck Pain in a 17-Year-Old

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A 24-Year-Old Man with Ankle Pain After a Fall

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A 70-Year-Old Female with Nonradiating Chest Pain

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A 38-Year-Old Female with Abdominal Pain and Chest Tightness

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An 8-Year-Old Boy with Scaly Papules on the Knees and Elbows

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A 34-Year-Old Man with Pain and Burning in Both Eyes

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JUCM CAREER CENTER

Download Past Issues

 

July 2021 : Stemming the Bleeding Should Be Only the Start

VIEW ISSUES ARCHIVE

CASE REPORTS

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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Breakthrough COVID Infection in a Vaccinated person from a Possible Vaccinated Exposure

Sergio Ramoa MD, MS Urgent Message: With variant COVID-19 mutations, incomplete herd immunity, and less restrictive …
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A ‘Red Herring’ Chief Complaint

Urgent message: Chief complaints may lead the provider “off the trail” of a more urgent diagnosis …
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A 60-year old Male with Dyspnea and Hypoxemia at the Start of a Global Pandemic

Urgent message: The identification and global impact of the novel coronavirus has significantly challenged medical decision-making …
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An Atypical Presentation of Thyroid Storm: A Stark Yet Potentially Lethal Diagnosis

Urgent message: Unmanaged hyperthyroidism can cause any number of acute conditions that would drive a patient …
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HEALTH LAW

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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Liability of an Urgent Care Center for Third-Party Labs

Urgent message: While an urgent care center is responsible for the collection and safeguarding of clinical …
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New Lawsuits Re-examine Prescribing of PrEP in Urgent Care

Urgent message: Urgent care providers should take note of emerging class-action lawsuits when helping patients decide …
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Can Employers Mandate the COVID-19 Vaccine?

Urgent message: Based on precedent, urgent care operators and other employers can mandate the COVID-19 vaccine …
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CLINICAL CHALLENGES

A 70-Year-Old Female with Nonradiating Chest Pain

A 70-year-old female with history of coronary artery disease presents to urgent care with nonradiating chest pain of 2 days’ …
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An 8-Year-Old Boy with Scaly Papules on the Knees and Elbows

During a regular check-up, a mother remarks that her 8-year-old son had developed clusters of follicular, scaly papules bilaterally on …
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Neck Pain in a 17-Year-Old

The patient is a 17-year-old female who presents with neck pain a day after attending a rock concert. She denies …
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A 34-Year-Old Man with Pain and Burning in Both Eyes

The patient is a 34-year-old male who presents with bilateral ocular pain and burning. He is noted to have excessive …
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A 38-Year-Old Female with Abdominal Pain and Chest Tightness

A 38-year-old female with no past medical history presents to an urgent care with right upper quadrant abdominal pain and …
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OCCUPATIONAL MEDICINE

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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Can Urgent Care Be the Solution to Reduce COVID-19 Spread in High-Risk Environments?

The risks of heading off to work on site during the COVID-19 pandemic vary greatly according to the nature of …
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Not Up to Speed on New Workplace Protections? Then Neither Are Your Occ Med Clients!

Virginia just joined a short list of states that are enacting legislation to help protect workers from exposure to COVID-19 …
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Revenue Cycle Management

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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New Technical Corrections Issued by the AMA Explained

On March 9, 2021, the American Medical Association updated the new evaluation and management (E/M) coding guidelines with technical corrections …
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Credentialing and Contracting: What to Expect When Expanding

For those trying to grow their urgent care business, conversations around payer contracting and credentialing (CC) can often be overwhelming …
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Last Minute Coding Changes for 2021

December brought us some last-minute coding changes. In some cases, this caused a small claim delay as clearinghouses and payers …
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DEVELOPING DATA

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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Pandemic Fluctuations: A Historic Drop, Then a Meteoric Rise in Patients Visits Per Day

Just to confirm, the COVID-19 pandemic has generally not been kind to the urgent care industry. Locations that could get …
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More and More, Urgent Care Is a One-Stop Destination

It’s not uncommon for the uninitiated to view urgent care as just the first, most convenient stop in what may …
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Is Specialization the Future of Urgent Care?

Urgent care has historically been viewed as a setting where patients could present with anything short of life- or limb-threatening …
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Abstracts in Urgent Care

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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Focus on Pediatrics

Neuro Effects of COVID-19Melatonin and Children with Postconcussive SymptomsPediatric, Sports-Related ConcussionAcute Migraine in Children and Adolescents Emily Montgomery, MD and …
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Abstracts in Urgent Care – April 2021

Acetaminophen vs Ibuprofen in ChildrenOptimizing Podcasts for LearningDosing Ketorolac IV in Renal ColicTorus Distal Radius FracturesAvulsion Fractures of the Fifth …
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Abstracts in Urgent Care – March 2021

‘Seat Belt’ Signs Post MVAPain Control in Corneal AbrasionsAnalgesia with Reduction of Shoulder DislocationCan Early PT Help with Sciatica?How Vaping …
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LETTER FROM THE EDITOR-IN-CHIEF

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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Don’t Forget about the Road Behind

If you’re reading this, you’ve survived 2020. Congratulations!—although it probably doesn’t feel like there’s much success to revel in at …
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Opportunity is Knocking. Do you hear it?

It is not the strongest species that survive, nor the most intelligent, but the most responsive to change. – Charles …
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