Practice Management
A 12- year-old male presents to urgent care with his mother complaining of facial pain. The patient experienced a trip-and-fall accident at home. He landed on a carpeted floor and now complains of facial pain. View the image taken (occipitomental/Waters view) and consider what your diagnosis and next steps would be. Resolution of the case is described on the following page.
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An 18-year-old male presents with chest pain with coughing for one day. The patient has no known medical history. View the ECG captured above and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
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A 53-year-old man presents to urgent care concerned about a spreading rash underneath his arms for the past 3 weeks. He initially thought it was an allergic reaction to a new deodorant, but the rash persisted after stopping the deodorant. The rash is not itchy. The patient has a history of type 2 diabetes. On examination, a broad, well-demarcated, thin, scaly plaque is seen extending from the lateral chest over the axilla to the upper …
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Urgent Message: A quality improvement project demonstrated increased referral rates to primary care from an urgent care telemedicine service line for those who did not have a primary care provider. Brianna Woodruff, DNP, ARNP, FNP-C; Khara’ A. Jefferson, DNP, APRN, FNP-C, CHC Citation: Woodruff B, Jefferson K. Using Urgent-Care-Based Telemedicine to Increase Primary Care Referrals: A Quality Improvement Project. J Urgent Care Med. 2024; 18(5): 40-47. Key words: Effective care, primary care referral, telemedicine, urgent …
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Urgent Message: The accurate and prompt diagnosis of Kawasaki disease depends on clinicians’ familiarity with the diagnostic criteria and ability to recognize the waxing and waning manifestations of this pediatric condition. Dominic K. Hardatt, DMSc, PA-C Citation: Hardatt DK. Incomplete Kawasaki Disease Clinically Diagnosed from Urgent Care: A Case Report Based Review. J Urgent Care Med. 2024;18(5);34-39. Keywords: Kawasaki disease, mucocutaneous lymph node syndrome, incomplete Kawasaki disease, febrile illness, fever, polymorphous rash, pediatric, coronary artery …
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Predicting Which Patients Need an X-Ray Before Attempting Shoulder Reduction Take Home Point: In this study, the Fresno-Québec Rule showed excellent sensitivity in identifying concomitant clinically significant fractures in patients with anterior shoulder dislocations. Citation: Benhamed A, Bonnet M, Miossec A, et. al. Performance of the Fresno-Quebec Rule in identifying patients with concomitant fractures not requiring a radiograph before shoulder dislocation reduction: a multicenter retrospective cohort study. Eur J Emerg Med. 2023 Dec 1;30(6):438-444. doi: …
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Do you remember what it was like in the summer of 2020? If that summer had a theme, it would have been “overlooked.” Everyone was jumping up and down and waving their arms to get the attention of suppliers, government agencies, payers, diagnostic companies, and pharmaceutical companies so we could meet the needs of the patients literally lining up in front of our centers. We had to fight for every single thing we got, and …
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Urgent message: Although back pain is often due to benign etiologies, symptoms of progressive pain, weakness, and near syncope in one patient ultimately led to a diagnosis of renal cell carcinoma. Citation: Hamazaspyan A, Kedia A, Weinstock M. Case Report of Renal Cell Carcinoma Presenting to Urgent Care with Indolent Back Pain: A Wolf in Sheep’s Clothing. J Urgent Care Med. 2024;18(5): 17-22. Anahit Hamazaspyan DO; Ayush Kedia DO; Michael Weinstock MD Abstract Introduction Back …
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Urgent Message: When offered as a medical service consistent with an urgent care center’s branding, IV infusion services can enable new revenue streams and expand the center’s appeal to a new base of patients. Alan A. Ayers, MBA, MAcc According to the Urgent Care Association (UCA), the capability to administer intravenous (IV) medications is a defining feature of urgent care.1 Along with x-ray services and suturing, the availability of IV treatment differentiates urgent care from …
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Over the last 20 years, the Concussion in Sport Group has met periodically to develop statements guiding the assessment and management of sports related concussions. The most recent meeting of the group took place in Amsterdam, Netherlands, in October 2022 and produced updated and freely available, evidence-informed tools to assist in the detection and assessment of sports related concussion (SRC). These tools include: the Concussion Recognition Tool-6 (CRT6); Sport Concussion Assessment Tool-6 (SCAT6); Child SCAT6; …
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