Practice Management
Urgent care has long been defined for its model of “test and treat” for minor, non-chronic health conditions. Patients presenting with symptoms typically receive a rapid, on-site lab test, and based on the results, the provider makes a diagnosis and orders a prescription. It’s a given that lab testing is a defining service and core capability of urgent care centers. Based on 34 million patient charts in Experity EMR from January 1 through December 31, …
Read More
Urgent Message: Postpartum vaginal bleeding and discharge have a broad range of etiologies ranging from benign and self-limited to life-threatening. As postpartum patients may present to urgent care centers with concerns for bleeding or discharge, it is important for clinicians to have an understanding of the unique differential diagnosis for causes of hemorrhage in this population. Alexa Bailey, BS; Lauren Kostandaras, BS; Hannah Poorman, BS; Michael Weinstock, MD; Catherine Neal, DO. Citation: Bailey A, Kostandaras …
Read More
Urgent Message: Rapid identification of Lisfranc injuries in urgent care is critical, as delays in diagnosis can lead to chronic disability. Most patients with Lisfranc fractures or dislocations should be referred directly to the emergency department. Cross-sectional imaging (ie, computed tomography) and orthopedic consultation are time-sensitive, and urgent operative repair is often indicated. Alexandra Eby, BS; Nicole Meschbach, MD Questions for the Urgent Care Clinician at the Bedside Abstract A Lisfranc injury is a tarsometatarsal …
Read More
A 51-year-old man presents to urgent care complaining of night sweats and a productive cough with visible blood for the past 2 weeks. He says he’s been feeling rather tired lately. A chest x-ray is ordered. Review the image and consider what your diagnosis and next steps would be. Resolution of the case is described on the following page.
Read More
A review published last week in Health and Technology found that AI can read and interpret images more effectively and faster than radiologists, suggesting that AI could help make impact on today’s radiologist shortage. Even so, the industry must be mindful of the ethical and legal implications of AI use. To be clear, the authors state that AI can’t replace human radiologists but rather that AI tools can complement their work, offer guidance, and assist …
Read More
A multi-state study analyzed prescribing patterns of influenza antiviral medications in emergency departments (ED) and urgent care (UC) centers and found that many high-risk adults (those with cardiovascular disease, renal disease, weakened immune systems, or individuals older than 70 years) with positive influenza virus test results do not receive antiviral treatment, which the authors believe could help reduce the risk of complications. As published in Clinical Infectious Diseases, researchers found that slightly more than half …
Read More
Urgent Message: Lymphadenopathy in patients living with HIV is most commonly related to HIV infection, but it may also be related to many forms of systemic infection or malignancy. Definitive diagnosis is most often achieved by fine-needle aspiration. Hana Kusumoto, MD, MPH; Lindsey E. Fish, MD Citation: Kusumoto H, Fish LE. Insidious Unilateral Axillary Swelling in a Patient with Untreated HIV: A Case Report. J Urgent Care Med. 2025; 19(8):31-35 Key words: Diffuse Large B …
Read More
A 17-year-old male presents to urgent care with syncope. He has a family history of sudden cardiac death. He is well appearing and with normal vital signs. An ECG is obtained. View the ECG and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
Read More
Urgent Message: There are limited data on implementation and use of clinical decision support tools for the evidence-based management of asthma in pediatric urgent care settings. In this pilot project, providing reports and feedback to clinicians on their use of order sets increased utilization of order sets but not adherence to best practice guidelines for asthma care. Richmond Darko, MD, MPH; Andrea Aguilera, MD; Gabriela Lins, DO; Maria Ramon-Coton, MD Citation: Darko R, Aguilera A, …
Read More
Over the past few weeks, glucagon-like peptide-1 agonist (GLP-1) drug manufacturers Eli Lilly and Novo Nordisk have been sending cease and desist notices to providers that are still advertising generic, compounded versions of their brand name diabetes and weight loss drugs. A shortage of GLP-1 drugs temporarily allowed compounding pharmacies to produce their own versions, but now with the shortage over, the pharmacies must stop and return to filling prescriptions with the manufacturers’ branded products. …
Read More