Journal of Urgent Care Medicine

Occult Presentation of Necrotizing Fasciitis With Subtle Clinical Findings: A Case Report

Urgent Message: Necrotizing fasciitis may present without visible soft tissue abnormalities. Therefore, clinical signs and symptoms—including localized pain and tachycardia—are findings that should warrant further clinical investigation. Abstract Introduction: Necrotizing fasciitis (NF) is a severe, rapidly progressing soft tissue infection. Early NF may present to urgent care without visible soft tissue abnormalities. As such, clinical signs and symptoms, including localized pain with tachycardia, should warrant further clinical investigation. Case Presentation: A 43-year-old male presented to …

Recognizing and Managing Adrenal Crisis in Urgent Care: A Case Report

Urgent Message: Adrenal crisis is uncommon in the urgent care setting, but it can be rapidly fatal if diagnosis is missed. Early administration of hydrocortisone and fluid resuscitation with correction of electrolyte abnormalities are essential to reduce mortality. Clayton R. Halford, PA-C Keywords: adrenal crisis; adrenal insufficiency; Addison disease; hypoglycemia; hyperkalemia; pediatric endocrine emergency Abstract Introduction: Adrenal (Addisonian) crisis is a rare but life-threatening endocrine emergency that can present to urgent care with nonspecific symptoms. …

The Impact of an Urgent Care Point-of-Care Ultrasound Program on Patient Transfers to the Emergency Department

Urgent Message: Training urgent care providers to use point-of-care ultrasound resulted in fewer patient transfers to the emergency department for soft tissue/musculoskeletal and first-trimester pregnancy complaints, while also streamlining care in this single-center program. Keywords: point-of-care ultrasound; urgent care; emergency department transfer; soft tissue infection; musculoskeletal complaints; first-trimester pregnancy Lindsey E. Fish, MD, FCUCM; Genie Roosevelt, MD; Amanda G. Toney, MD Abstract Introduction: The use of point-of-care ultrasound (POCUS) is expanding into multiple clinical areas …

63-Year-Old Female With Growth on Scalp

A 63-year-old woman visits urgent care with the chief complaint of an asymptomatic scabby growth on her scalp that developed 10 months prior and is gradually getting larger. The patient has no systemic symptoms and is otherwise well. She has a history of working as a welder in a metal fabrication plant for the past 35 years. On dermatological examination, an eroded and crusted plaque is seen on the frontal scalp. A punch biopsy reveals …

Calling All Clinicians to Join the Colleges

With great excitement—and in full disclosure—I am writing this as the newly elected President of the College of Urgent Care Medicine (CUCM) and Urgent Care College of Physicians (UCCOP). It is truly a pleasure to have been elected during the most recent Urgent Care Conference this past April in Chicago, and I look forward to leading these organizations for the next 2 years. Now I am calling all urgent care clinicians—nurse practitioners (NPs), physician assistants/associates …

Abstracts in Urgent Care – July-August 2026

Pediatric Antibiotic Prescribing: In-Person Vs Telemedicine Take Home Point: Telemedicine integrated within primary care was associated with more judicious antibiotic prescribing without increased follow-up visits or inappropriate antibiotic use. Primary care telemedicine may improve access to care while supporting antibiotic stewardship efforts. Citation: Ray K, Wittman S, Kelly M, et al. Primary Care Telemedicine vs In-Person Antibiotic Prescribing for Pediatric Respiratory Tract Infections. JAMA Netw Open. 2026;9(5):e2610062. doi:10.1001/jamanetworkopen.2026.10062. Relevance: Acute respiratory illness (ARI) is a …

86-Year-Old With Palpitations

An 86-year-old male presents to urgent care with intermittent palpitations for the past several days. He says he has a history of Wolff-Parkinson-White syndrome.An ECG is obtained. View the ECG and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.

28-Year-Old Male With Suspected Shoulder Dislocation

A 28-year-old male with history of left shoulder dislocations presents to urgent care with severe left shoulder pain. He reports an inability to move the arm after injuring his shoulder while taking off his shirt. He reports feeling the shoulder “shift out of place” during the movement. On examination, the patient is in significant discomfort. He is holding the left arm in slight abduction with left shoulder external rotation. His elbow is flexed and his …

12-Year-Old Boy With Left Groin and Buttock Pain

A 12-year-old male presents to urgent care with his mother for left groin and buttock pain since acute onset while running in a track meet earlier today. He reports that he felt a pop while running a sprint race and was subsequently unable to finish the race or bear weight on his left leg due to pain. He has no other past medical history and takes no medications. Physical exam reveals that he is afebrile …

39-Year-Old Male With Itchy Rash to Chest

A 39-year-old male presents to the local urgent care reporting an intensely itchy rash for the past 3 weeks that is getting gradually worse. The patient has a history of HIV infection, denies any recent travel or trauma, and is not taking any medications. Physical exam shows he is afebrile with normal vital signs. He has diffuse papular lesions to the trunk and arms ranging from pink to dark brown in color, some with notable …

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