Journal of Urgent Care Medicine

Clinicians Don’t Always Agree On Physical Exam Findings

A prospective multicenter study that compared physical examination findings in children with community-acquired pneumonia (CAP) found that 2 clinicians examining the same patient may not always agree on whether certain physical findings are or are not present during an exam. The study, published in JAMA Network Open, included 252 patients aged 3 months–17 years with CAP evaluated at 7 pediatric emergency departments. Two clinicians independently examined each patient within 60 minutes. After the exam findings …

Increased Incidence of Pneumonia in Pediatric Urgent Care

Urgent Message: Pediatric after‑hours care clinics experienced a significant rise in radiographically confirmed pneumonia over a 2‑year period, paralleling national increases in Mycoplasma pneumoniae infections. Morgan McBee, MD; Leslie Spence, MD; Jeanne Hill, MD; Leah S. McBee, MD Keywords: pediatrics; community-acquired pneumonia; mycoplasma pneumonia; after-hours care; radiography, thoracic Abstract Introduction: Pediatric community-acquired pneumonia typically occurs at a rate of approximately 20 visits per 1,000 children in the population. Multiple reports and data from the Centers …

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