StuWilli, Author at Journal of Urgent Care Medicine

Sarcoidosis

Urgent message: The key to this case was in the details of the presenting symptoms in the patient history: Alarm symptoms including extreme fatigue and weight loss, which warranted further diagnostic work up. ABRAR KHAN, MD, MBA, REVATHY NAIR, MD, and MARIANN MELICHAREK, MD, FACEP Introduction Sarcoidosis is a multisystem granulomatous disorder of unknown etiology. Most patients with sarcoidosis present to urgent care providers with symptoms such as cough, dyspnea, chest pain, eye pain and/or …

Marketing Strategies: School, Sports, and Camp Physicals

Urgent message: Sports physicals offered by an urgent care center can be a “win” for both the center and the community. The community gets a flexible source for a time-critical service and the center gets another way to attract new and repeat business. ALAN A. AYERS, MBA, MAcc Practice Velocity Schools, camps, inter-league and club sports programs typically require a pre-participation physical examination to evaluate a participant’s general health, fitness level, risk of injury and …

Assessment and Management of Asthma Exacerbation in Urgent Care: Part 2

Urgent message: The second part in a two-part series offers expert guidance on short and long-term management of the disease in the urgent care setting through the use of pharmacotherapy, protocols for treatment, and a written asthma action plan at discharge. BRADLEY M. TURNER MD, MPH, MHA, FCAP, FASCP and JANET M. WILLIAMS, MD, FACEP Introduction Once the suspicion of an asthma exacerbation exists, short term management is focused on reducing the severity of the …

Case Series: Stingray Envenomation

Urgent Message: Urgent care providers in coastal areas need to be prepared to treat stingray envenomation. Immersion in water heated to a precise temperature is the key to pain relief. Authors: George Kamajian, DO, and Blake Singletary, OMS3 George Kamajian, DO, is a Medical Director at Largo Clinic and Adjunct Professor of Emergency Medicine at Lake Erie College of Osteopathic Medicine in Largo, FL. Blake Singletary, OMS4, is a 4th year medical student at Lake …

Risk Mitigation in Urgent Care: Part I

Lee A. Resnick, MD, FAAFP Editor’s Note: This is the first of a two-part column that examines ways to reduce liability in the urgent care setting. Our discipline is evolving rapidly and best practices are beginning to be defined. Staying abreast of practice standards for urgent care and implementing a disciplined risk mitigation plan will help your practice avoid the disruptive burdens of a medical malpractice lawsuit. The urgent care approach to risk management should …

April 2014

Incident finding on patients pathology x-ray

The pathology on this x-ray represents an incidental finding in a patient. View the image taken (Figure 1) and consider what your diagnosis would be.

What Percentage of Patients Do Urgent Care Centers Assist in Finding a Primary Care Physician?

These data from the 2012 Urgent Care Industry Benchmarking Study are based on a sample of 1,732 urgent care centers; 95.2% of the respondents were UCA members. Among other criteria, the study was limited to centers that have a licensed provider onsite at all times; have two or more exam rooms; typically are open 7 days/week, 4 hours/day, at least 3,000 hours/year; and treat patients of all ages (unless specifically a pediatric urgent care).

Urgent care codes, E/M Guidelines, ICD-10

Q. Is there a defined set of diagnosis codes for urgent care services and is there a diagnosis code that indicates the services were urgent? A. All facilities use the same set of ICD-9 codes to report the patient’s diagnosis. There are no diagnosis codes to represent urgent care services, but there are certain procedure codes you can use to indicate that services were rendered in an urgent care clinic and also procedure codes to …

Abstracts in Urgent Care: March, 2014

Reconsidering antibiotics for COPD exacerbation Key point: Prescribing antibiotics to patients with mild-to-moderate COPD exacerbations who have no change in sputum probably is unnecessary. Citation: Miravitlles M, Moragas A, Hernandez S, et al. Is it possible to identify exacerbations of mild to moderate COPD that do not require antibiotic treatment? Chest. 2013;144(5): 1571-1577. The decision to prescribe antibiotics to patients with moderate to mild-to-moderate chronic obstructive pulmonary disease (COPD) exacerbations is usually based on increased …

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