Journal of Urgent Care Medicine

Could This Young Patient Really Have a STEMI? A Case Report of a Spontaneous Coronary Artery Dissection

Urgent Message: It is important to quickly obtain an electrocardiogram in patients presenting with chest pain or other symptoms suggestive of acute coronary syndrome, even for those who are young and without traditional coronary risk factors. Citation: Krauss WC. Could This Young Patient Really Have a STEMI? A Case Report of a Spontaneous Coronary Artery Dissection. J Urgent Care Med. 2024; 19 (1):21-23 Key Words: chest pain, spontaneous coronary artery dissection, acute coronary syndrome Abstract …

Recognition and Management of Achenbach Syndrome (Paroxysmal Finger Hematoma)

Urgent Message: By understanding the symptoms of paroxysmal finger hematoma, clinicians can reduce patient anxiety and decrease unnecessary testing, as the condition is generally mild and has a favorable prognosis. Citation: Sanz Martinez E, Kranichfeld WH, Ceballos Y. Achenbach Syndrome: Diagnosis of Paroxysmal Finger Hematoma. J Urgent Care Med. 2024; 19(1): 25-29 Introduction Paroxysmal finger hematoma (PFH), also known as Achenbach syndrome, is a vascular disorder of unknown etiology characterized by subcutaneous bleeding in the …

Emesis Ad Nauseum: A Case Report of Cannabinoid Hyperemesis Syndrome in Urgent Care

Urgent message: Frequent cannabis use can lead to a syndrome characterized by severe and cyclical vomiting without other clear triggers. Termed “cannabinoid hyperemesis syndrome,” this disorder is often refractory to conventional antiemetic pharmacotherapy. Citation: Ramos J, Russell J. Emesis Ad Nauseum: A Case Report of Cannabinoid Hyperemesis Syndrome in Urgent Care. J Urgent Care Med. 2024; 18 (11): 13-18 John Ramos, MMS, PA-C, CAQ-EM, Joshua Russell, MD, MSc, ELS, FACEP, FCUCM Abstract Introduction: Cannabinoid hyperemesis …

Progressive Diaphyseal Dysplasia: A Case Report

Urgent Message: Progressive diaphyseal dysplasia, also known as Camurati-Engelmann disease, is a rare genetic disease that predominantly affects the bones. Clinicians who understand the manifestations of this disorder are better equipped to ensure appropriate management of disease flares and coordinate specialist follow-up. Swetha Gogu, DO, MPH; Sudhir Gogu, DO, PhD, MBA Citation: Gogu S, Gogu S. Progressive Diaphyseal Dysplasia: A Case Report. J Urgent Care Med. 2024; 18 (11): 34-37 Abstract Introduction: Camurati-Engelmann disease (CED), …

Escalating Back Pain Leading to a Diagnosis of ST-Elevation Myocardial Infarction (STEMI) in Urgent Care: A Case Report

Urgent Message: Acute coronary syndromes (ACS), including ST-elevation myocardial infarction (STEMI), may present with predominant back pain or other non-chest-pain symptoms. Additionally, electrocardiogram findings in cases of coronary occlusion may not always meet STEMI criteria. It is important to include myocardial ischemia and ACS in the differential for back pain presentations, especially when the pain is not reproducible. Sarah Mannon OMS-3; Lauren Schuermann OMS-3; Michael B. Weinstock, MD Citation: Mannon S, Schuermann L, Weinstock M. …

Atypical Chest X-ray Appearance in a Patient with Cough: A Case Report

Urgent Message: The azygos lobe may be apparent on a chest x-ray and is a relatively uncommon, yet benign finding, that is important to distinguish from other etiologies. The azygos lobe is an embryological remnant and is usually incidental in nature. Citation: Richmond C, Mancuso A. Atypical Chest X-ray Appearance in a Patient with Cough: A Case Report. J Urgent Care Med. 2024; 18(10):23-25 Keywords: azygos lobe, normal variant, chest x-ray Abstract Introduction: Recognition of …

Fever of Unknown Origin: A Case Report of Babesiosis Infection

Batsheva R. Sholomson, DO; Danielle Langan, DO; Abbas Husain, MD; Shorok Hassan, DO Urgent Message: With the incidence of babesiosis rising, clinicians are encouraged to consider the totality of presentation including risk factors based on endemic region, recent travel or tick bite, and clinical signs and symptoms. Citation: Sholomson BR, Langan D, Husain A, Hassan S. Fever of Unknown Origin: A Case Report of Babesiosis Infection. J Urgent Care Med. 2024; 18(10):17-21 Key Words: Babesiosis, …

Intraoral Angioedema After Olanzapine Overdose: A Case Report

Urgent Message: Patients may present to an urgent care facility with intraoral angioedema, a life-threatening emergency that requires referral to an emergency department in any case with rapid progression or concerns for airway involvement. This case report describes angioedema from olanzapine, an antipsychotic prescription drug. Chantelle Petterson, BDS, Benjamin Fu, MD, BDSc (HONS), MPhil, FRACDS (OMS) Citation: Petterson C, Fu B. Intraoral Angioedema After Olanzapine Overdose: A Case Report. J Urgent Care Med. 2024; 18(9):34-36 …

Expanding the Differential of Thunderclap Headache Beyond Subarachnoid Hemorrhage: A Case Report

Urgent Message: Cerebral venous thrombosis is a serious cause of headache that can present in a variety of manners, including sudden-onset or “thunderclap” fashion. Caroline S. Mifsud, OMS-IV; Jordan L. Jones, OMS-IV; Michael B. Weinstock, MD Citation: Mifsud C, Jones J, Weinstock M. Expanding the Differential of Thunderclap Headache Beyond Subarachnoid Hemorrhage: A Case Report. J Urgent Care Med. 2024; 18(8):21-24 Key Words: dural sinus thrombosis, cerebral venous thrombosis, headache, thrombophilia, case report Abstract Introduction: …

Delayed-Onset Facial Nerve Palsy Following Post-Auricular Gunshot Wound: A Case Report

David Hourani, MD; Bradley M. Golden, DO; Daniel McCollum, MD; John R. Barrett, MD Urgent Message: Mistaking traumatic facial paralysis for Bell’s palsy can delay treatment and have lifelong consequences. Prompt imaging and otolaryngology consultation are critical in determining disposition and management. Citation: Hourani D, Golden BM, McCollum D, Barrett JR. Delayed-Onset Facial Nerve Palsy Following Post-Auricular Gunshot Wound: A Case Report. J Urgent Care Med. 2024; 18(x):13-16. Keywords: facial nerve palsy; cranial nerve VII …