Practice Management
A 70-year-old female with history of coronary artery disease presents to urgent care with nonradiating chest pain of 2 days’ duration. She has a known history of left bundle branch block. Baseline ECG: View the ECG taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page. (Case presented by Benjamin Cooper, MD, McGovern Medical School, Department of Emergency Medicine, The University of Texas …
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During a regular check-up, a mother remarks that her 8-year-old son had developed clusters of follicular, scaly papules bilaterally on his knees and elbows “over the past few weeks.” They didn’t seem to bother him, but because her son is prone to allergies the mother wondered if changes in household substances like soap or laundry detergent could be responsible. View the photo and consider what your diagnosis and next steps would be. Resolution of the …
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The patient is a 17-year-old female who presents with neck pain a day after attending a rock concert. She denies cigarette smoking, vaping, use of illicit substances, or physical trauma. 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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Sergio Ramoa MD, MS Urgent Message: With variant COVID-19 mutations, incomplete herd immunity, and less restrictive government regulatory statues, it is important to remain vigilant with continued testing and prevention even with a full vaccinated history. Introduction In the United States, cases of COVID-19 have passed 32,000,000 and 570,000 for deaths. 141,000,000 cases and 3,000,000 deaths have afflicted the world. Approximately 9.6% of infected individuals are hospitalized and a majority have mild to moderate symptoms.1 …
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Urgent message: Hours of operation changes may have more effect on leveling patient arrival volumes in a pediatric urgent care compared with an online queueing system alone. Aimy Patel, MD; Jennifer Johnson, MD; Brian R. Lee, PhD, MPH; Amanda Montalbano, MD, MPH Citation: Patel A, Johnson J, Lee BR, Montalbano A. More timely care: effect of online queuing vs change in hours of operation on hourly arrival volumes. a practice management reflection. J Urgent Care …
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Urgent message: While alarming to parents, febrile seizures in children typically are benign and self-limited. However, the possibility of a life-threatening etiology mandates that the urgent care provider determine the type of seizure and employ appropriate assessments based on factors specific to each case. Tiffany Addington, MD CASE A previously healthy 3-year-old boy presented to urgent care after having a seizure at home. He had a fever that morning and was given ibuprofen. His mother …
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The patient is a 34-year-old male who presents with bilateral ocular pain and burning. He is noted to have excessive tearing and continuous eye rubbing. He comments that his eyes itch persistently and that both eyes feel as if there is something in them. Scaly plaques and crust are visible along the top and bottom eyelid. View the picture taken and consider what your diagnosis and next steps would be. Resolution of the case is …
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A 38-year-old female with no past medical history presents to an urgent care with right upper quadrant abdominal pain and chest tightness, worsening for 1 week. She reports that her chest tightness is associated with shortness of breath, and is worse when walking and lying on her side. She denies fever, cough, dysuria, headache, or weakness. View the ECG and consider what your diagnosis and next steps would be. (Case presented by Catherine Reynolds, MD, …
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The patient is a 24-year-old male who reports to urgent care with right ankle pain after falling from a ladder while cleaning out the gutters at his parents’ home. He reports that he was only a few rungs up but that he landed “awkwardly” and immediately felt a sharp pain on the front of the ankle. He is unable to bear weight but denies any numbness or tingling. View the x-ray taken and consider what …
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Remember the fall of last year—when the nation and world pined for an expedient end to 2020, as if such an arbitrary change as turning a page on the calendar could somehow reverse our collective fortune? Unsurprisingly when January 2021 arrived, all our woes were not magically and immediately remedied. In fact, the start of this year was among the most grim in U.S. history: nearly a quarter of a million new cases were being …
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