Practice Management
Urgent Message: An expanded list of differential diagnoses can help clinicians identify when isolated bleeding is related to a more serious condition, as was the situation with this case of acute lymphoblastic leukemia. Download the article PDF Here Naushair Hussain, MD, Ahmad Ali, MD, Michael B. Weinstock, MD Citation: Hussain N, Ahmad A, Weinstock M. When a Bleeding Hemorrhoid Is a Sign of Something More Sinister. J of Urgent Care Med. 2023;17(X); 35-37 Key words: …
Read More
Urgent message: Nonspecific presentation and time lapsed between injury and presenting to urgent care can delay diagnosis and initiation of proper management in patients ultimately diagnosed with myotendinous rupture of pectoralis major, a relatively rare injury that is becoming more common. E. Casey Anders, Chinedum Nkemakolam, MA, and Lindsay Tjiattas-Saleski, DO Citation: Anders EC, Nkemakolam C, Tjiattas-Saleski L. Myotendinous rupture of pectoralis major: a case report. J Urgent Care Med. 2023;17(11):21-23. Click Here to download …
Read More
Click Here to download the article PDF. Urgent message: Coinfection with COVID-19 and other respiratory pathogens can lead to a worsening clinical picture and requires careful assessment in the urgent care center. Marcia Taylor, MD, MSCR, FAAFP Citation: Taylor M. COVID-19 and RSV: coinfection requiring hospitalization. J Urgent Care Med. 2023;17(10):28-29. Key words: COVID-19, SARS-CoV-2, RSV, coinfection, pandemic ABSTRACT Patients who present with symptoms suspicious for COVID-19 and other respiratory conditions, regardless of vaccination status, …
Read More
Click Here to download the article PDF Urgent message: Headache is most often a benign complaint among patients presenting to urgent care. Vigilance for risk factors and appropriate use of validated screening criteria are essential to uncovering potentially life-threatening etiologies. Paul Hansen, MD Citation: Hansen P. More than a simple headache: using the SNNO-OP10 criteria to screen for life-threatening headache presentations. J Urgent Care Med. 2023;17(9):18-21 ABSTRACT Introduction: Headache is most commonly a benign complaint …
Read More
Click Here to Download the PDF Urgent message: Given the high rate of systemic involvement in patients with anorectal abscess, it is essential for urgent care providers to identify patients with risk factors and, when indicated, ensure those patients receive incision and drainage and appropriate follow-up care. Cameron W. Galbreath, MSN, FNP-C and Christina Gardner, DHSc, MBA, PA-C Citation: Galbreath C, Gardner C. No butts about it: approaching anorectal abscesses in the urgent care center. …
Read More
Urgent message: Though use of point-of-care ultrasound in the evaluation of first trimester pregnancy complaints is not as common in the urgent care setting as it is in th ED, its use can expedite diagnosis and, potentially, lifesaving treatment. Benjamin Mati MD and Richard Rutherford, MD Citation: Mati B, Rutherford R. Point-of-care ultrasound diagnosis of ruptured ectopic pregnancy in an urgent care setting. J Urgent Care Med. 2023;17(7):19-21. Key words: ultrasound, POCUS, ectopic pregnancy, urgent …
Read More
Joshua Russell, MD, MSc, FCUCM, FACEP Key words: paraneoplastic syndrome, gastric cancer, seborrheic keratosis, case report ABSTRACT Introduction: Lesar-Trélat sign (LTS) is an infrequent paraneoplastic phenomenon associated with an array of malignancies. Given that the primary manifestation is a seemingly benign dermatologic issue, such patients may choose urgent care as their initial site of clinical evaluation. Clinical presentation: A 43-year-old man with no significant past medical history presented to UC with complaints of itching and …
Read More
Urgent message: Not all patients presenting to urgent care with chest pain require immediate transfer to a higher-acuity setting. Rather, immediate evaluation in the urgent care center can inform next steps for management on site or, in the event of truly emergent symptoms, transfer. Tushar Menon, MD; Sahil Kapur, DO; Ameera C. Mistry, MD; and David M. Boyd, MD Key words: T-call lymphoblastic lymphoma, non-Hodgkin’s lymphoma, anterior mediastinal mass, chest pain ABSTRACT Chest pain patients …
Read More
Urgent message: Utilization of validated scoring systems and clinical decision-making tools can enable the urgent care provider to manage many patients presenting with symptoms of deep-vein thrombosis in the urgent care center, reducing the need for costly referral to the emergency room. Daniel Eisner, DMSc, PA-C ABSTRACT Management of venous thromboembolism accounts for $10 billion in medical spending annually, with much of the cost attributable to emergency room visits. Conversely, managing VTE patients in the …
Read More
Urgent message: Medical histories can help inform diagnosis, but clinicians must ensure their decisions are not swayed by erroneous historical elements or cognitive biases. Candace Walkley, MD and Kyle Swanson, OMS-3 INTRODUCTION Staphylococcus aureus and Streptococcus pyogenes may cause acute and inflammatory infections of the soft tissue in immunocompetent patients. However, patients with indolent and progressive lymphocutaneous infections should be evaluated for atypical bacterial and fungal pathogens. CASE PRESENTATION In March 2021, a 57-year-old healthy …
Read More