As a young discipline and industry, urgent care relies heavily on its organizational leaders to advance the political, academic, and developmental agendas that are in the best interest of their constituents. These leaders represent the face and voice of their members on the national stage. Needless to say, we cannot become dependent on the work and vision of a few to dictate the direction and activity of the whole. Member engagement and participation are paramount …
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STDs: Assessment and Treatment in Urgent Care
Urgent message: The patients most prone to sexually transmitted diseases are also mostly likely not to have a primary doctor. Many will turn to urgent care for help. THOMAS SUNSHINE, MD, FACOG As urgent care physicians, we often are presented with patients who are worried that they may have a sexually transmitted disease or infection (STD/I). The number of yearly visits is difficult to estimate because the diagnosis codes of the visits vary. The Center …
Read MoreWho’s Steering This Ship?
Lee A. Resnick, MD, FAAFP As a young discipline and industry, urgent care relies heavily on its organizational leaders to advance the political, academic, and developmental agendas that are in the best interest of their constituents. These leaders represent the face and voice of their members on the national stage. Needless to say, we cannot become dependent on the work and vision of a few to dictate the direction and activity of the whole. Member …
Read MoreAbstracts in Urgent Care: October, 2011
A New Approach to Managing Young Non-Toxic-Appearing Febrile Children Keypoint: Researchers suggest an emphasis on more limited evaluation, now that vaccines have greatly reduced the likelihood of serious bacterial infections. Citation: Jhaveri R, Byington CL, Klein JO, Shapiro ED. Management of the non-toxic-appearing acute lyfebrile child: a 21stcentury approach. J Pediatr. 2011;59(2):159:181. Since the 1970s, considerable attention has been paid to the management of febrile children aged £3 years without an obvious focus of infection. …
Read MoreClinical Challenge: October, 2011
The patient, an otherwise-healthy 42-year-old, presented with bilateral back pain around the pelvis. View the image taken (Figure 1) and consider what your diagnosis would be. Resolution of the case is described on the next page.
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A Surprising Cause for “Pregnancy”
Urgent message: When a test does not confirm a patient’s theory about the cause of her symptoms, both patient and provider must look elsewhere. SEAN MCNEELEY, MD Introduction When a mother of three complains of symptoms of pregnancy, the test usually confirms that she is right. Occasionally, however, the results are surprising, as this case illustrates. Case Presentation WM, a 28-year-old female, presented to an urgent care with concerns that she might be pregnant and …
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The Case of a 32-year-old Woman With Headache
When an Uncommon—Potentially Catastrophic—Diagnosis Is Masked by a Common Complaint In Bouncebacks, which appears quarterly in JUCM, we provide documentation of an actual patient encounter, discuss patient safety and risk management principles, and then reveal the patient’s “bounceback” diagnosis. This Bouncebacks case is unique in that it also went to trial, excerpts from which are also presented. This case is adapted from the Bouncebacks! Medical and Legal (Anadem Publishing) by Michael B. Weinstock, MD, and …
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Pediatric Foreign Bodies
Urgent message: A variety of objects find their way into the ears, noses, and throats of children. Some can be lethal and require ED or specialist referral. Others can be safely removed in an urgent care setting. ANN MARY BACEVICE, MD In children who are brought to an urgent care for treatment, foreign bodies are common. Especially if they are between the ages of 18 months and four years, children will insert objects into their …
Read MorePrimary Care Physicians…the New Middle Class?
Lee A. Resnick, MD, FAAFP With all the renewed talk of tax hikes on the “rich” to pay for everything from healthcare to job creation, I can’t help but see the with anger over how we define rich in this country. The top tax rate targets incomes of $150,000-$200,000. This despite a rapidly growing “ultrarich” class that consists of earners between $1 million and untold billions. Now millionaires and billionaires pay less as a percentage …
Read MoreClinical Challenge 2: September, 2011
The patient, an otherwise healthy 10-year-old, fell and suffered a blow to the shoulder. The patient presented with a decreased range of motion. View the image taken (Figure 1) and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
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