Ashley Blachford, Author at Journal of Urgent Care Medicine

New-Onset Atrial Fibrillation Triggered by Diarrhea-Induced Dehydration: A Case Report

Urgent Message: Dehydration and its associated electrolyte disturbances can precipitate new-onset atrial fibrillation. Recognition of an irregular cardiac rhythm should prompt electrocardiographic evaluation and/or referral to a higher level of care. Morgan Cianciolo, FNP-C, Christina Gardner, DHSc, MBA, PA-C, CAQ-EM Keywords: new-onset atrial fibrillation; dehydration; volume depletion; diarrhea; electrolyte imbalance; urgent care Abstract Introduction: Atrial fibrillation is the most common sustained arrhythmia in adults and is frequently associated with precipitating factors, including systemic illness, metabolic …

Accidental Tongue Ring Ingestion: Balancing Caution and Conservative Management in Urgent Care

Urgent Message: Most ingested foreign objects pass spontaneously with little risk of complications in adults. However, in cases where patients experience persistent symptoms, escalation to emergency department evaluation may be appropriate. Naun Gutierrez Jr., MSN, FNP-C; Christina Gardner, DHSc, MBA, PA-C Keywords: foreign body ingestion; gastrointestinal foreign body; tongue ring ingestion; radiography; conservative management; urgent care Abstract Introduction: Foreign body ingestion is a clinically important presentation in urgent care, with management guided by object characteristics, …

62-Year-Old With Acute Dyspnea

A 62-year-old female presents to urgent care with acute dyspnea that worsened significantly 2 hours prior to arrival. She has noted progressive shortness of breath over the past week but now feels severely winded. She denies chest pain, cough, fever, leg swelling, or history of deep vein thrombosis. On evaluation, the patient is tachycardic and tachypneic with a heart rate of 110 beats per minute and an oxygen saturation of 91% on room air. She …

San Diego University Offers Clinic After Mumps Outbreak

Public health officials have confirmed a mumps outbreak at San Diego State University (SDSU). Five confirmed and/or probable cases have been identified as of September 18, and all the cases are among student athletes on a single team. The students are no longer considered contagious. In response, the San Diego County Public Health Services hosted a clinic for students to screen for mumps symptoms and also to provide a measles, mumps and rubella vaccine boosters …

Connecticut Invests in Healthcare Workforce With New Housing Project

The city of Waterbury, Connecticut, and the state are partnering on a new affordable housing development designed to help attract and retain healthcare workers. The project will create 47 studio, 1-bedroom, and 2-bedroom units near Saint Mary’s Hospital and Waterbury Hospital, according to the local CT Mirror. Rents are expected to range from $1,000–$1,500 for households earning up to $80,000 annually. The $15 million development will receive about $11.6 million in state funding, some of …

Those With ADHD Often Have Gastrointestinal Symptoms Too

A meta-analysis found that people with attention-deficit/hyperactivity disorder (ADHD) have significantly higher statistical odds of multiple gastrointestinal (GI) symptoms (eg, constipation, diarrhea, abdominal pain, irritable bowel syndrome, etc.) than those without an ADHD diagnosis. The analysis published in the Journal of Attention Disorders included 23 studies representing more than 1.9 million participants, which based findings on validated symptom instruments as well as self-reported patient symptoms. Overall, ADHD was associated with 48% higher odds of GI …

Medication Kiosks Can Lead To Better Antibiotic Stewardship

A study of urgent care centers published in Open Forum Infectious Diseases found that medication-dispensing kiosks, combined with an antimicrobial stewardship program, could be useful to support antibiotic stewardship principles. In late 2019, a Florida health system installed medication kiosks in 20 of its urgent care centers, providing prepackaged antibiotics corresponding to guideline-supported antibiotic courses. Instead of sending a patient’s prescription to a community pharmacy, for example, the urgent care clinician could send the electronic …

Physicians May Drift Over Time When It Comes to Antibiotic Prescribing

A national study of 31,800 primary care physicians from internal medicine and family medicine residency programs found a connection between residency ratings and antibiotic prescribing during the physicians’ first 5 years of practice. In this study, the competency scores included Accreditation Council for Graduate Medical Education Milestone ratings across 6 core competency areas: patient care, medical knowledge, professionalism, communication skills, systems-based practice, and practice-based learning. Physicians with higher competency ratings near the end of their …

Adults With COVID-19 Also Report Other New Health Conditions

A population-based Canadian study found SARS-CoV-2 infection was associated with subsequent new diagnoses of certain self-reported health conditions among adults. Compared with adults reporting no infections, those reporting 2 or more bouts of COVID-19 had 76% greater adjusted odds of receiving a new health diagnosis overall (adjusted odds ratio [aOR]=1.76; 95% confidence interval [CI], 1.12–2.76), including newly diagnosed respiratory conditions (aOR=5.03) and back problems (aOR=3.79), as published in Canada Communicable Disease Report. The study grouped …

Half of Patients ‘Always’ Follow Your Advice When Unsure About Vaccines

A new analysis conducted by the Yale School of Public Health and a global communications firm suggests that today’s vaccine hesitancy is not simply a rejection of healthcare professionals or scientific evidence. Among people surveyed who would not give their children vaccines or would only give their children only some of the recommended vaccines, personal experience was the leading influence on how the parents arrived at their vaccine views, according to the 2026 Edelman Trust …

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