Evaluation and Management of Pain (Part 1): Acute Pain

Evaluation and Management of Pain (Part 1): Acute Pain

Urgent message: Urgent care providers have a clinical, legal, and moral obligation to provide appropriate treatment for patients with pain. The first article in a two-part series addresses strategies for managing acute pain. TRACEY Q. DAVIDOFF, MD The interpretation of pain by patients is very subjective and not easily measured. That makes management of pain in the urgent care setting difficult. Current pain scales are often inaccurate or not truly reflective of a patient’s real …

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The Simplest Explanation is Often the Best

Urgent message: Emergency Physicians are trained to rule out the most dangerous, life-threatening diagnosis first. Rarely, this can lead to missing the forest for the trees. Author: Tracey Quail Davidoff, MD Author Information: Dr. Davidoff is an urgent care physician at Accelcare Medical Urgent Care and Urgent Care by Lifetime Health in Rochester, New York. Case Presentation A 23-year-old male graduate student calls the urgent care center asking if he can be seen for dizziness …

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Closed Hand Injuries

Closed Hand Injuries

Urgent message: Even a seemingly minor hand injury can result in lifelong disability if evaluation and treatment are incorrect. TRACEY QUAIL DAVIDOFF, MD Introduction The hand is a vital part of human anatomy allowing us to interact with our environment in nearly infinite ways. The functional aspects of the hand are a direct extension of the brain, allowing us to initially make stone tools, play musical instruments, make intricate crafts, type, communicate, and appreciate our …

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Burns: Their Evaluation and Treatment in Urgent Care

Burns: Their Evaluation and Treatment in Urgent Care

Urgent message: Most burn injuries can be handled in an outpatient setting—if they are classified accurately, treated appropriately, and referred to a regional burn center when indicated. TRACEY QUAIL DAVIDOFF, MD A “burn” is defined as a traumatic, thermal injury to the skin and deeper structures. Some or all of the cells of the skin can be destroyed not only by heat but also by cold, chemicals, electricity, or radiation. Burns are the third-leading cause …

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Case Report: A 17-year-old Boy with Pneumomediastinum

Urgent message: Although free air in the mediastinum is generally a benign, self-limited condition, most patients should be admitted to the hospital and observed for signs of serious complications, which could be fatal. By Tracey Quail Davidoff, MD A previously healthy 17-year-old male presents to urgent care with a one-week complaint of sore throat, fever, and nasal congestion. On the last day, he had experienced sharp chest pain, which worsened with deep inspiration, swallowing, and …

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Clinical Challenge: September, 2009

A 62-year-old female presents to the urgent care center with a three-week history of a pruritic facial rash that initiated on one cheek, then spread to the rest of the face. The patient states the rash got worse after sun exposure. Initially, she self-treated with cold cream, Eucerin, and other over-the-counter moisturizers that did not help. Eventually, the patient tried a topical hydrocortisone cream that made the rash much worse. You note there is no …

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