Case Reports

Urgent Message: Persistent, non-mechanical back pain should raise suspicion for non-muscular causes, and in this case, such pain in an older man was related to a diagnosis of metastatic prostate cancer with bone involvement. Rimsha Afzal, MA; Gregory M. Thompson, MD Key Words: Vertebral Metastases; Metastatic Prostate Cancer; Urgent Care Diagnosis Abstract Introduction: Back pain is a common presentation in the urgent care center. While the majority of diagnoses are self-resolving and of a musculoskeletal …
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Urgent Message: While the evaluation of a chief complaint is a priority in urgent care, recognition of chronic disease progression is also critical. Eliana H. Kim, DO; Aaron J. Maki, MD, PhD Key Words: Anemia, Iron Deficiency, Down Syndrome, Trisomy 21, Transfusion, Strep Throat, Case Report Abstract Introduction: Often the chief complaint is the primary focus of urgent care visits. However, it is important to consider other aspects of the patient’s health, especially in pediatric …
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Urgent Message: While the initial clinical presentation of a high-pressure paint gun injury may not elicit concern, it is truly high-risk and requires emergent recognition and surgical intervention. Key words: High-Pressure Injection Injury, Paint Gun Injury, Finger Trauma, Pyogenic Tenosynovitis, Occupational Injury, Subcutaneous Paint Infiltration, Finger Compartment Syndrome, Finger Emergency Abstract Introduction: High-pressure injection injuries of the hand are rare but represent true surgical emergencies. Despite often appearing deceptively mild on initial presentation, these injuries …
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Urgent Message: Though atraumatic neck pain is a common condition in the urgent care setting, spinal epidural abscess is relatively uncommon and may present without classic symptoms, which makes it a challenging diagnosis to make. Early recognition, timely imaging, and thorough documentation are essential to prevent a devastating outcome and to mitigate medicolegal risk. Key Words: Neck Pain, Spinal Infection, Cervical Epidural Abscess, Spinal Epidural Abscess, Medicolegal Risk, Anchoring Bias Eileen Chu, MD, MS; Lucille …
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Urgent Message: While acute gastroenteritis is typically self-limiting, inappropriate or excessive use of over-the-counter antimotility agents like loperamide can lead to serious complications—such as bowel obstruction or ileus—highlighting the critical need for patient education on safe medication use. Badi Eghterafi, DO; Nazanin Hazhir Karzar, MD Key Words: Gastroenteritis, Over The Counter Medications, Loperamide, Case Report, Bowel Obstruction Abstract Introduction: Acute gastroenteritis (AGE) is a common condition characterized by rapid-onset diarrhea, often accompanied by nausea, vomiting, …
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