Maximizing the Value of Urine Dipstick Testing Screening for Intimate Partner Violence Antibiotics for Children with RTI Azithromycin in Pediatric Viral Infection Self-Monitoring BP with Unvalidated Devices Modified Valsalva Maneuver in SVT To Mix or Not to Mix COVID-19 Vaccines? Ivan Koay, MBChB, FRNZCUC, MD Nitrofurantoin Resistance Take-home point: Proteeae group bacteria, which are often resistant to nitrofurantoin, normally result in alkaline (ie, high pH) urine on dipstick testing. Citation: Sheele J, Libertin C, Fink …
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Physical Therapy as Nonsurgical Management and Presurgical Management of Most Common Knee Pathologies
Urgent message: Appreciation for the cause of knee pain, along with an understanding of potential nonoperative rehabilitation therapies that could be provided in urgent care, can enhance patient care and improve patient satisfaction while minimizing the need for referral. Dr. Eva Delgado Martinez MBChB, GP, MScCN and Dr. Ivan Koay MBChB, FRNZCUC, MD INTRODUCTION Knee injuries in adults and children are common presentations to urgent care and emergency rooms.1 Rehabilitation of those injuries is essential …
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How Useful Is Ultrasound in Diagnosing Ovarian Torsion?
Urgent message: Ultrasound can provide essential data in the urgent care evaluation of abdominal pain, aiding in the diagnosis of intestinal abnormalities, urinary tract infection, and obstetrical and gynecological problems such as suspected ovarian torsion. Andrew Alaya, MD, MSc Introduction Abdominal pain is one of the most common complaints among women of childbearing age who visit urgent centers. Urinary tract infection, diarrhea, constipation, acute viral gastroenteritis (AGE), pelvic inflammatory disease (PID), and dysmenorrhea are the …
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Pediatric Elbow Fractures: A Clinical Review
Urgent message: Though the most common fracture seen in pediatric trauma patients, elbow fractures can be difficult to identify in younger patients. Familiarity with elbow anatomy, ossification centers, and fracture patterns is essential for optimal outcomes. Amy Grover, MD CASE VIGNETTE A 7-year-old previously healthy female presents to urgent care with a chief complaint of left elbow pain after a fall on outstretched arm. She had immediate pain, swelling and difficulty moving her arm. Her …
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39-year-old Male with Sharp, Nonradiating Chest Pain
History: A 39-year-old male with no known past medical history presents to urgent care for evaluation of several hours of sharp, non-radiating, left-sided chest pain. The pain is non-exertional, non-pleuritic, began after his last meal and resolved without intervention approximately 30 minutes prior to arrival. No history of similar pain in the past. No associated shortness of breath, nausea, vomiting, or diaphoresis. View the ECG taken and consider what your diagnosis and next steps would …
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A 55-Year-Old with a Recent History of Rash
A 55-year-old female presents to urgent care with a few weeks of a mildly pruritic rash on her trunk and arms. On examination, there are scattered erythematous, fine, scaly plaques. The coin-like plaques are round or oval in configuration and affect her extremities symmetrically. The patient denies current medications or any personal or family history of dermatologic conditions. She reports no systemic symptoms. However, she shares that she has been taking longer and more frequent …
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An 18-Year-Old with Diffuse Abdominal Pain
An 18-year-old male presents to urgent care with widespread abdominal “gas pain” for several days. He denies changes in diet or changes in bowel habits. However, he recalls having a hard collision with another player during a lacrosse game prior to onset of symptoms. View the image taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
Read MoreSpoiler Alert: 2020 Saw a New Trent in Urgent Care Data Claims
Spoiler Alert: 2020 Saw a NewTrend in Urgent Care Data Claims Spoiler Alert: 2020 Saw a NewTrend in Urgent Care Data Claims The effects of the COVID-19 pandemic on healthcare systems around the world has been unprecedented, at least in our lifetimes. The cost in lives and dollars, pounds, euros, yuan, is incalculable at this point, as the pandemic continues. What we can get our arms around, however, is how visits to urgent care centers …
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Addressing Without Managing: Defusing the Ticking Time Bombs in Urgent Care
In the world of urgent care, it’s assumed that we exist to provide immediate, episodic care for discrete problems. The sore throat, sprained ankle, and laceration are our bread and butter. However, we do not practice in a vacuum. We share patients with other clinicians who longitudinally follow and manage their multiple comorbidities. Additionally, for the growing number of patients without a primary care provider, we commonly serve as the sole point of contact with …
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A 31-Year-Old Male Complaining of Weakness
KEY QUESTIONS What Electrolyte disturbances cause the interval problem seen in this ECG? Which dysrhythmia is this patient at risk for?
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