Journal of Urgent Care Medicine

Original Research: Early Diabetes Screening in the Urgent Care, Part 2

Urgent message: Various methods have been suggested for screening for type 2 diabetes mellitus in the asymptomatic population, although more consensus about the best approach, especially in settings outside primary care, is required. The usefulness of a diabetes-screening pathway for the early detection of undiagnosed diabetes was assessed in a quality-improvement study of a convenience sample from an urgent care center. How this article/column helps you: by analyzing findings on how screening all adults for …

A 16-Week-Old Infant with Bloody Vomitus

In Bouncebacks, we provide the documentation of an actual patient encounter, discuss patient safety and risk-management principles, and then reveal the patient’s bounceback diagnosis. This case is from the book Bouncebacks! Pediatrics, by Michael B. Weinstock, Kevin M. Klauer, Madeline Matar Joseph, and Gregory L. Henry, and is available at www.anadem.com and www.amazon.com. Introduction A 16-week-old infant was brought by her parents to the emergency department (ED) of a children’s hospital. Note: The following is the actual documentation by the provider. Visit …

Abdominopelvic Pain, Part 2: Approach to Women in the Urgent Care Setting

Urgent message: Diagnosis of abdominal pain is more complex in women than in men because of the more complex anatomy involved. Using a stepwise approach and involving patients in their care can make a difference. Introduction Part 1 of this article [see “Abdominopelvic Pain, Part 1: Approach to Men in the Urgent Care Setting,” at https://www.jucm.com/abdominopelvic-pain-part-1- approach-men-urgent-care-setting/] explained that finding the cause of abdominopelvic pain can be a difficult task for any health-care provider because the diagnostic process is riddled with important decisions. …

Introducing JUCM CME

With this October issue, the editorial staff is very pleased to introduce JUCM CME, a convenient and cost-effective way to meet your annual continuing medical education (CME) requirements while reading the only peer-reviewed journal about urgent care. For over 10 years JUCM, the Journal of Urgent Care Medicine, has been a reliable source for the latest and most relevant clinical and practice-management guidance in the industry. Our cover-to-cover readership regularly exceeds the benchmarks for other …

There Ain’t No Shame in Pain

After years of lax oversight and insufficient skepticism from physicians, the United States is in an undeniable opioid epidemic, triggering seismic reforms and a regulatory frenzy. The scope of the problem is indeed staggering: Every 18 minutes, someone dies of opioid overdose, and half of those deaths involve prescription pills. Oversupply and ease of access have been identified as the main culprits, and much of the prevention strategy revolves around physician prescribing. New guidelines have …

Ten-Day Dry Cough in a 36-Year-Old Man

Case A 36-year-old man presents to an urgent care center with a dry cough that he has had for the preceding 10 days. He has mild dyspnea. He has no rhinorrhea, fever, chest pain, blood in the urine or stool, or lower-extremity pain or swelling. He has no history of previous illnesses. He smokes cigarettes, occasionally drinks alcohol, and has a remote history of intravenous drug use. View the image taken (Figure 1) and consider …

Clavicular Pain in a 23-Year-Old

Case A 23-year-old man presents to an urgent care with pain at the distal end of his left clavicle that began the previous day after he fell onto his left shoulder while mountain biking. His pain is constant and sharp and worse when moving his left arm and shoulder. He does not have fever, vomiting, chest pain, shortness of breath, or abdominal pain, and he has no head injury, no head or neck pain, and …

Abstracts in Urgent Care – September 2016

SEAN M. McNEELEY, MD The American College of Gastroenterology Publishes New Guidelines for Treating Diarrheal Disease Key point: New guidelines on treating diarrheal disease are available from the American College of Gastroenterology. Citation: Riddle MS, DuPont HL, Connor BA. ACG clinical guideline: diagnosis, treatment, and prevention of acute diarrheal infections in adults. Am J Gastroenterol. 2016;111:602–622. The authors of this report note that the Centers for Disease Control and Prevention reports 47.8 million cases of …

Midline Neck Mass

Urgent message: Swelling of the neck is a common problem seen in the urgent care setting. Etiologies range from infectious to lymphatic to malignant. If serious conditions are not diagnosed and treated in a timely manner, complications may lead to airway compromise, sepsis, or even death. How this article helps you: alerts you to uncommon presentations of neck masses. Introdution Swelling in various areas of the neck is frequently seen in urgent care centers. Most …

Abdominopelvic Pain, Part 1: Approach to Men in the Urgent Care Setting

Urgent message: Abdominopelvic pain is one of the most complex issues encountered in the urgent care settings. Clinicians must make evaluations and decisions rapidly, and it is imperative that they make the appropriate diagnosis to prevent negative outcomes. How this article helps you: assists you in detecting potentially life-threatening problems. Introduction Abdominopelvic pain is something that every urgent care provider can relate to. Although urgent care statistics are not readily available, the Centers for Disease …

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