Practice Management
The patient is a 45-year-old female who presents with lower extremity, lateral pain. She reports being a competitive runner who logs roughly 60 miles a week. The pain is worse when she’s running, but minimal when she’s walking and absent when at rest. View the images taken and consider what your diagnosis and next steps would be.
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Urgent message: There are serious and costly consequences for misclassifying employees as independent contractors, even if the employee requests or agrees to do so. Alan A. Ayers, MBA, MAcc is Chief Executive Officer of Velocity Urgent Care. With COVID-19 fears or childcare issues requiring more people to consider home-based employment—and with many companies already conditioned to having employees working remotely—circumstances may arise in which executive or administrative personnel seek job flexibility beyond what’s currently offered …
Read MoreIt’s flu season again and this year patients have two viruses to worry about: COVID-19 and influenza. Now is the time patients will come in to get their flu vaccine and (hopefully) take the flu possibility out of the equation. Vaccinations are usually billed with two CPT codes: one for the vaccine and one for the administration of the vaccine. If the practice did not pay for the vaccine, only the CPT code for the …
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Urgent message: As understanding of COVID-19 in the pediatric age group evolves, it has come to light that children may contract the virus, yet be asymptomatic, more commonly than we initially believed. We have found a high prevalence of asymptomatic pediatric patients testing positive for COVID-19 in our urgent care clinics in the NY metro region. Katharine Miao MD, Frank Illuzzi MD, and Alexander C. Hwang IMPORTANCE SARS-CoV-2 is the novel virus that causes COVID-19. …
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Urgent message: Recent expert opinion has reshaped initial management for suspected acute renal colic. Clinicians often utilize computerized tomography imaging to diagnose acute renal colic; however, there is an increasing role for clinicians to instead use point-of-care ultrasound (POCUS) as the initial imaging modality when acute renal colic is suspected. Renal ultrasound is time and cost effective, radiation-free and completed by the clinician at the bedside. Chelsea M. Burgin, MD, FAAFP; James Frederick W. Pike, …
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Ethnic Background Matters in ECG Evaluation Lean on Risk Stratification Tools in Chest Pain Lasting Effects of Headache in Children Trauma and Childhood Migraine Comparing ‘Fixes’ for Distal Radial Fractures in Adolescents Casting Options in Distal Radius Fractures in the Elderly Avijit Barai, MBBS, MRCS, MSc (Critical Care), PgCertCPU, FRNZCUC Ethnicity and STEMI Criteria of ECG Key point: The ethnic background of patients should be considered during ECG evaluation of ST segment elevation myocardial infarction …
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Urgent message: Patients and providers alike may be inclined to eliminate possible diagnoses based on first impressions. It is essential that the urgent care clinician maintain a wide differential when evaluating patients for new-onset complaints that do not have an obvious cause. Failure to do so may cause delayed diagnoses (and, consequently, delayed treatment). Haley Harrington, Ross L. Pearlman, MD and Robert T. Brodell, MD INTRODUCTION Ticks are small—so small that patients often do not …
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Urgent message: While standards for pediatric emergency care have been defined for outpatient offices and emergency departments, guidelines have not been published for urgent care centers. This study assesses the presence of equipment, supplies, and medications necessary to manage emergencies in pediatric urgent care centers. Amanda Montalbano, MD, MPH, FAAP and Brian Lee, PhD, MPH Results from this project were presented in poster format the Pediatric Urgent Care Conference in Orlando, FL in 2018. No …
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It is not the strongest species that survive, nor the most intelligent, but the most responsive to change. – Charles Darwin Imagine, if you will for a moment, that you’re a dinosaur. Specifically, a late cretaceous era one —any species you like. I tend to envision myself a triceratops. It’s about 66 million years ago (give or take an epoch or two) and animals like you have dominated the world for over 100 million years—not …
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Katie Jerzewski MD, Roshni Patel MD, and Joshua Rocker MD OVERVIEW The novel coronavirus, or SARS-CoV-2, first appeared in the Wuhan province of China in the winter of 2019. Due to the virus’s ability to spread from an asymptomatic carrier to the next new host and Wuhan being a pivotal commercial center, it spread quickly across the globe. Asymptomatic carrier rates have ranged from 1.6% to 56.5%, depending on clinical setting and testing availability.1 In …
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