Journal of Urgent Care Medicine

Categorization of Codes Most Frequently Used in Urgent Care

International Classification of Disease (ICD) codes—maintained by the World Health Organization and published in the United States by the Centers for Medicare and Medicaid Services—standardize the categorization and reporting of patient diagnoses. Currently, U.S. healthcare operators use the ICD-10 edition. The analysis below examines 2023 urgent care visits logged by users of Experity’s electronic medical record, revealing that 28,686 diagnosis codes were documented in urgent care patient medical records. While it’s logical to conclude …

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, …

Urgent Care Evaluation and Management Of Injury to the Ulnar Collateral Ligament of the Thumb (Gamekeeper’s Thumb)

Urgent Message: With hyperabduction and hyperextension of the thumb, the ulnar collateral ligament may be stretched or torn, or may avulse a segment of bone from its insertion point. Radiographic imaging of suspected “gamekeeper’s thumb” must be obtained to evaluate for an associated fracture, which may change the decision for conservative vs surgical management. Omar Jafry, MS-3; W. Bradley Strauch, MD Citation: Jafry O, Strauch WB. Urgent Care Evaluation and Management Of Injury to the …

Intraoral Angioedema After Olanzapine Overdose: A Case Report

Urgent Message: Patients may present to an urgent care facility with intraoral angioedema, a life-threatening emergency that requires referral to an emergency department in any case with rapid progression or concerns for airway involvement. This case report describes angioedema from olanzapine, an antipsychotic prescription drug. Chantelle Petterson, BDS, Benjamin Fu, MD, BDSc (HONS), MPhil, FRACDS (OMS) Citation: Petterson C, Fu B. Intraoral Angioedema After Olanzapine Overdose: A Case Report. J Urgent Care Med. 2024; 18(9):34-36 …

Please Show Me That I’m Wrong

I like to think that I usually have a pretty good read on Urgent Care, but I am currently mystified by something and need your help. For as long as I can remember, everyone in Urgent Care has chanted a common refrain: “We need a seat at the table!” In the beginning, we were too small to make enough noise to be heard and way, way too tight on funds to even think about hiring …

Clinicians May Not Recognize Rare Measles Cases

The US Centers for Disease Control and Prevention (CDC) has reported a surge in measles cases, including 57 cases associated with a migrant shelter in Chicago, Illinois, according to a new CDC report. It previously recorded 97 confirmed cases in the first quarter of 2024. It’s a significant uptick when compared to the average of 5 cases during the first quarters of 2020-2023. Almost all recent cases were among the unvaccinated. Among the World Health …

County Questions CA Hospital’s Closure of UC Clinic

Sonoma Specialty Hospital in Sebastopol, California, just 5 years ago was facing bankruptcy, but a sale helped to keep the facility’s doors open while also adding inpatient beds. However, the hospital’s current owner, American Advanced Management, has not made good on its obligation to operate an urgent care (UC) center to serve patients after the closure of the original hospital’s emergency department. Sonoma County is now seeking $1.3 million in loan repayment from the owners …

Goldman Sachs Acquires Xpress Wellness

Goldman Sachs Alternatives recently announced its acquisition of Xpress Wellness, LLC. Xpress Wellness is affiliated with a physician-led rural healthcare platform that includes urgent care clinics serving Oklahoma, Kansas, and Texas. The deal is positioned to accelerate the development of new and existing markets as well as to build out additional healthcare services, according to a press release. Recent moves: Within the portfolio of Latticework Capital Management since 2018, Xpress Wellness opened 30 de novos …

EHRs Haven’t Captured Prevalence of Long COVID

Long COVID is possibly more prevalent than what might be recorded in electronic health record (EHR) diagnostic or referral codes, according to a descriptive study in eClinicalMedicine. Researchers analyzed clinical data from more than 19 million adults in England from November 2020 to January 2023. A total of 55,465 patients were identified with long COVID, based on 20,025 diagnostic codes and 35,440 referral codes. Median follow-up was 2.2 years, and the rate of long COVID …

Nevada Doc Launches Mobile Pediatric Care

A pediatrician hit the road recently with Incredicare, a mobile pediatric urgent care that serves 4 communities in the Las Vegas area. Incredicare was founded by Robert Wilkinson, MD, a dual-boarded physician in general pediatrics and pediatric emergency medicine who serves as the medical director of the pediatric emergency department at Summerlin Hospital. Four nurse practitioners also see patients in the colorful mobile clinic vehicle that’s decorated with a cartoon bear. Services include the typical …

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