Journal of Urgent Care Medicine

High-Pressure Paint Gun Finger Injury: A Case Report

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 …

When Neck Pain Arises From Spinal Epidural Abscess: A Case Report

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 …

Viral Gastroenteritis With Bowel Obstruction: A Case Report

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, …

Ruptured Baker Cyst is an Uncommon Complication of a Common Diagnosis: A Case Report

Urgent Message: Rupture of a Baker cyst is a rare complication and may manifest with the classic crescent sign of ecchymosis and swelling over the medial malleolus. Given the similarities in presentation to acute deep vein thrombosis, it is essential for urgent care clinicians to be able to differentiate between these diagnoses. Caroline S. Mifsud, DO, MS; Jennifer Ganzhorn, MD; Michael B. Weinstock, MD; Gregory M. Garrison, MD, MS, FAAFP; Elizabeth Westby, MD Keywords: Baker …

Dyspnea in an Asthmatic Patient Following an Influenza Infection: A Case Report

Urgent Message: While patients with asthma will frequently experience exacerbations following viral respiratory infections, the urgent care clinician must be cautious when assuming dyspnea is due to asthma. As dyspnea can be caused by a wide variety of conditions, it is important to maintain a broad differential diagnoses, even in patients with underlying asthma. Tracey Quail Davidoff, MD, FCUCM Key words: Influenza, Dyspnea, Asthma, Congestive Heart Failure, Myocarditis, Diagnosis Momentum Abstract Introduction: Patients commonly present …

Insidious Unilateral Axillary Swelling in a Patient with Untreated HIV: A Case Report

Urgent Message: Lymphadenopathy in patients living with HIV is most commonly related to HIV infection, but it may also be related to many forms of systemic infection or malignancy. Definitive diagnosis is most often achieved by fine-needle aspiration. Hana Kusumoto, MD, MPH; Lindsey E. Fish, MD Citation: Kusumoto H, Fish LE. Insidious Unilateral Axillary Swelling in a Patient with Untreated HIV: A Case Report. J Urgent Care Med. 2025; 19(8):31-35 Key words: Diffuse Large B …

Recurrent Neuropsychiatric Symptoms in a Patient With Repeated Exposure to Metronidazole: A Case Report

Urgent Message: Metronidazole, even during short courses of therapy, can result in disabling neuropsychiatric symptoms. It is important for clinicians to be knowledgeable about these relatively uncommon but serious adverse medication reactions. Faren Clum, MD; Joshua Russell, MD, MSc, ELS, FCUCM, FACEP Citation: Clum F, Russell J. Recurrent Neuropsychiatric Symptoms in a Patient With Repeated Exposure to Metronidazole: A Case Report. J Urgent Care Med. 2025; 19(7):37-41 Abstract Introduction: Metronidazole is a commonly prescribed antibiotic. …

Hot Water Irrigation to Relieve Discomfort After Wasp and Bee Envenomation: A Case Series

Urgent Message: Hot water irrigation for 2 minutes provided immediate and sustained relief of pain and pruritus, as well as rapid de-escalation of large local reactions due to wasp and bee stings in this series of patients. Ted C. Shieh, MD; Jenny J. Lu, MD MS Citation: Shieh TC, Lu JJ. Hot Water Irrigation to Relieve Discomfort After Wasp and Bee Envenomation: A Case Series. J Urgent Care Med. 2025; 19(7):25-30 Abstract Introduction: Pain, pruritus, …

Death After Delayed Diagnosis of Acute Epiglottitis in an Adult Patient Initially Seen in Urgent Care: A Case Report

Urgent Message: Epiglottitis is a potentially fatal condition that has undergone a changing etiology in the post-Hib vaccine landscape. Urgent care providers should be well versed on its presentation to properly triage patients and avoid misdiagnosis. William Bradley, BA Citation: Bradley W. Death After Delayed Diagnosis of Acute Epiglottitis in an Adult Patient Initially Seen in Urgent Care: A Case Report. J Urgent Care Med. 2025; 19(6)31-35. Key words: sore throat, epiglottitis, thumbprint sign Abstract …

Looking Beyond the Mouth–A Rare Case of Acute Glaucoma Presenting with Dental Pain: A Case Report

Urgent Message: Acute angle closure glaucoma can present with a variety of types of head and facial pain. Rapid identification of concern for elevated intraocular pressure (IOP) or confirmation of elevated IOP by tonometry is critical for preserving vision. Mackenzie Brown, MD; Joshua W. Russell, MD, MSc, ELS, FCUCM, FACEP; Alexander Branson, MD Citation: Brown M, Russell JW, Branson A. Looking Beyond the Mouth–A Rare Case of Acute Glaucoma Presenting with Dental Pain: A Case …

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