A 96-Year-Old Male with Palpitations and a History of CAD

A 96-Year-Old Male with Palpitations and a History of CAD

The patient is a 96-year-old man who is brought to your urgent care center by his daughter, with whom he lives. She reports that he has been feeling light-headed for “a few days.” The patient confirms this, adding that he has felt his heart “fluttering,” as well. He denies chest pain and shortness of breath, but acknowledges a history of coronary artery disease. View the ECG and consider what your diagnosis and next steps would …

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A 13-Year-Old Girl with Scaling and Fissures on Her Lips

A 13-Year-Old Girl with Scaling and Fissures on Her Lips

The patients is a 13-year-old girl who presents to a pediatric urgent care clinic with 1 month of scaling and fissures on her lips which began after she started using a retinoid cream prescribed for acne.             View the image taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.

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A 71-Year-Old Woman with Femur Pain After a Fall

A 71-Year-Old Woman with Femur Pain After a Fall

The patient is a 71-year-old female who presents with proximal femur pain after losing her balance and sustaining a “soft” fall onto a carpeted surface. She has a past history of hypertension, hypercholesterolemia, and osteoporosis. She takes a statin, an ACE inhibitor, and a bisphosphonate. View the image taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.

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Abstracts in Urgent Care – March 2021

Abstracts in Urgent Care – March 2021

‘Seat Belt’ Signs Post MVA Pain Control in Corneal Abrasions Analgesia with Reduction of Shoulder Dislocation Can Early PT Help with Sciatica? How Vaping Compromises Breathing COVID-19 in the Country Pandemic Depression—A Real Thing? Avijit Barai, MBBS, MRCS, MSc (Critical Care), PgCertCPU, FRNZCUC Workup for “Seat Belt” Sign in Trauma Patients Take-home point: The presence of a “seat belt” sign has a high association with intraabdominal organ injury. Citation: Shreffler J, Smiley A, Schultz M, et …

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Why Don’t You Take A Break?

Why Don’t You Take A Break?

I took up smoking for about 6 months in college, but not for the reasons you’d guess. This was during my freshman year shortly after I got a job waiting tables. It was a hard job. There was always work to be done—refill a drink, check how the food was cooked, and, most importantly, bring the check post-haste when the customers wanted to leave. The shifts always seemed like a blur. I’d run around non-stop …

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Practice Review: Patients Presenting with Symptoms of Odontogenic Infection

Practice Review: Patients Presenting with Symptoms of Odontogenic Infection

Urgent message: Odontogenic infections can pose life-threatening risk when swelling occurs in close proximity to the airway. It is essential that the urgent care provider is able to differentiate cases of relatively straightforward infection that can be managed in the urgent care setting vs true airway emergencies. Amandeep Kaur Bains, BDS(Hons) MFDS RCPS (Glasg); Awais Safdar Ali, BDS MJDF RCSEng; and Pavan Padaki, BDS, MFDS RCPS (Glasg), MBChB, MRCS, FRCS (OMFS) INTRODUCTION While odontogenic or …

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A Hand Wound Caused by a Pressure Washer

A Hand Wound Caused by a Pressure Washer

Urgent message: Injuries caused by pressure washers often require debridement or, in severe cases, amputation. Immediate assessment and appropriate management, where feasible, can preclude the need for surgical intervention while effecting a positive outcome. Ellen Hancock, MD; Julie Park; MD, FACS; and Kendall Wermine INTRODUCTION Pressure washer injuries tend to involve the lower extremities and abdomen and usually require a form of surgical intervention such as debridement of tissue and, in severe cases, amputation.1-4 The …

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A Novel Method for Blinding Reviewers to Gender of Proceduralists for the Purposes of Gender Bias Research

A Novel Method for Blinding Reviewers to Gender of Proceduralists for the Purposes of Gender Bias Research

Urgent message Gender bias, whether overt or subconscious, may be to blame for disparities in hiring practices, salary, and advancement in medical schools, the urgent care setting, and any healthcare workplace. Recognizing the value of gender-neutral assessment may not only “even the playing field,” but increase the likelihood of identifying the best candidates for clinical positions. Michael Pallaci, DO; Jennifer Beck-Esmay, MD; Adam R. Aluisio, MD, MSc; Michael Weinstock, MD; Allen Frye, NP; Ashley See, …

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A 7-Year-Old Girl with White Patches on Her Toenails

A 7-Year-Old Girl with White Patches on Her Toenails

Case A mother brought her 7-year-old daughter to the pediatric urgent care center after noticing that several of the girl’s toenails on each foot had white patches and appeared short and broken. They seemed to be lifting off the nail beds and looked thinner than usual.             View the image taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.

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Prolonged Duration of Pediatric COVID-19

Prolonged Duration of Pediatric COVID-19

Urgent Message: Many Institutions have established guidelines regarding when individuals can return to their regular activities after recovering from COVID-19. Where children and schools are concerned, it’s unclear what the role of testing is (or should be). Katharine Miao, MD, FACEP; Frank Illuzzi, MD, FACEP, CPE; and Alexander Hwang Citation: Miao K, Illuzzi F, Hwang A. Prolonged duration of pediatric COVID-19. J Urgent Care Med. 2021;15(5):23-25. Introduction Since the outbreak of the SARS-CoV-2 virus within …

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