Journal of Urgent Care Medicine

RSV and Flu Tied to Severe Pediatric Respiratory Illness

In a cohort study of 516 children with viral respiratory infections who were hospitalized, researchers found 34 (6.6%) developed severe disease—defined as a clinical severity score greater than 3 (on a scale of 1-6), as published in JAMA Network Open. Respiratory syncytial virus (RSV) and influenza were strongly associated with worse outcomes. In multivariable analysis, RSV diagnosis (adjusted odds ratio [AOR], 4.26; 95% confidence interval [CI], 1.80–10.10) and influenza diagnosis (AOR, 4.13; 95% CI, 1.88–9.04) …

Dyspnea in the Urgent Care: Differentiating Benign From ‘Can’t Miss’

Urgent Message: Patients commonly present with respiratory symptoms in the urgent care setting and not infrequently complain of some degree of shortness of breath—or dyspnea. It is critical for clinicians to have comfort with the clinical assessment and appropriate use of diagnostic resources for the dyspneic patient. Identifying patients requiring immediate emergency department referral is an important skill. Evan Price, DO; Eric Patten, MD; Shakil Hossain, DO; Michael Weinstock, MD Citation: Price E, Patten E, …

A 9-year-old Boy with Respiratory Symptoms

Urgent message: ‘Fresh eyes’ may be needed to reconsider an initial diagnosis or re-evaluate treatment in patients who present with unresolved symptoms. Joseph Toscano, MD The Case A 9-year-old boy presented to an urgent care clinic with a several-day history of dry cough and intermittently noisy and difficult breathing, especially at night. He had no fever or chest pain, no nasal discharge or headache, and no rash or pruritis. His past medical history included no …

Login to JUCM