Journal of Urgent Care Medicine

Demographic and Clinical Predictors of Rib Fracture, Complication, and Follow-up Among Patients With Rib Injuries Presenting to Urgent Care

Urgent Message: This retrospective cross-sectional study found more than one-third of patients who presented to urgent care with rib injuries had rib fractures. Rib fracture was associated with male sex, older age, Spanish-speaking status, White race, and abnormal vital signs. Rebeka Sultana, MBBS; Kristin Breslin, MPH; Abigail Steiner, MS, MPH; Douglas B. Richardson, MAS; Lindsey E. Fish, MD Keywords: rib fracture; urgent care; chest wall trauma; pneumothorax; hemothorax; health disparities; logistic regression Research Supplemental Abstract …

Wheezing as a Pneumothorax Presentation: A Case Report

Urgent Message: For patients with presumed asthma exacerbation, clinicians must maintain a high index of suspicion for other etiologies, including pneumothorax. This may help avoid delays in potentially life-saving interventions when symptoms persist despite treatment or when physical exam findings are atypical. Badi Eghterafi, DO; Nazanin Hazhir Karzar, MD Keywords: asthma, wheezing, chest pain, pneumothorax, spontaneous pneumothorax Abstract Introduction: Large spontaneous pneumothorax is an uncommon but critical complication in patients with asthma. Clinicians evaluating presumed …

Abstracts in Urgent Care – July/August 2022

Colchicine in Acute Gout POCUS and Necrotizing Fasciitis Assessing Patient Satisfaction Misinterpreting Pediatric Radiographs Lung Ultrasound and Pediatric Pneumonia Diagnosing Pneumothorax A Review of the Evidence for Colchicine in Acute Gout Take-home point: Colchicine appears to be no more effective than NSAIDs for acute gout flares and evidence does not indicate greater efficacy at higher doses. Citation: Gottlieb M, Rabah W, Long B. Colchicine for acute gout. Acad Emerg Med. 2022;29(3):387-388. Epub ahead of print …

An 18-Year-Old Female with Sudden-Onset Chest Pain

An 18-year-old female presents to your urgent care center complaining of sudden-onset, sharp chest pain. She denies any trauma. View the image taken and consider your next steps, along with possible diagnoses.

Thoracic Pain After a Fall

A 51-year-old man presents to an urgent care center with sharp left thoracic pain that began suddenly after he fell after tripping on a banana peel that had been left on his kitchen floor. He has pain with breathing as well as with range of motion of the chest wall. He reports no head trauma, head or neck pain, fever, vomiting, or dizziness. View the image taken (Figure 1) and consider what your diagnosis would …

Chronic Cough and Shortness of Breath

A 74-year-old man without a significant past medical history presents to an urgent care center reporting 3 days of coughing productive of green sputum, shortness of breath that worsens with exertion, and chills. He says he has a chronic morning cough but states that the sputum has changed color and that his dyspnea has increased. He says he has not had any fever, chest pain, or lower extremity pain or swelling. View the image taken …

Login to JUCM