An 11-year-old boy presents with pain over the right clavicle that developed the previous day while he was playing football and another player fell on him. He has pain with range of motion of the right shoulder as well as with movement of the torso. He has no shortness of breath, chest pain, dizziness, or numbness of the arm. View the image taken (Figure 1) and consider what your diagnosis would be.
Read MoreAbstracts in Urgent Care: January, 2016
SEAN M. McNEELEY, MD When Accuracy Is a Must, Go for Central Thermometers Key point: Peripheral thermometers are not nearly as accurate as central thermometers. Citation: Niven DJ, Gaudet JE, Laupland KB, et al. Accuracy of peripheral thermometers for estimating temperature: a systematic review and meta-analysis. Ann Intern Med. 2015; 163:768–777. Temperature measurement is performed at most visits to urgent care centers. Although the data are not always important in clinical decision-making, sometimes they are …
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Sudden-Onset Severe Headache
Urgent message: Patients with imminently life-threatening conditions can present to an urgent care appearing to be in good health or even with a viable alternative explanation for their symptoms. It is important to be vigilant for red flags of serious illness. ARASH MIRZAIE, MS4, and MICHAEL WEINSTOCK, MD Headache is one of the most common presenting complaints in ambulatory settings. Urgent care providers must rapidly evaluate and diagnose a variety headache types in a time-limited …
Read MoreThe Importance of Having a Solid Job Description for Every Position in the Urgent Care Center
Urgent message: Having concise, complete, and up-to-date job descriptions for all employees in an urgent care center will pay off with better role performance, fewer employment disputes, and hopefully the elimination of the possibility of legal action. Alan A. Ayers, MBA, MAcc, Experity Between 2012 and 2022, according to the U.S. Economic Census, health-care employment is expected to increase by 2.6% annually—or by 5 million jobs. This rate is approximately five times that projected for …
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Urgent Care Management of Acute Otitis Media in Children
Urgent message: The possibility of ear infection is the most common reason parents seek care for their young children during viral upper respiratory infections with fever. Urgent care providers should know the new criteria for making the clinical diagnosis and how to use technology such as an acoustic otoscope before concluding that antibiotics are necessary. MICHAEL E. PICHICHERO, MD Diagnosing acute otitis media (AOM) is a visual process based on viewing the eardrum and determining …
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Janitorial and Maintenance Roundtable: Best Practices for Managing Environmental Services
Urgent message: Every urgent care center must have a plan to clean and maintain its physical facility. In this JUCM-exclusive panel discussion, industry leaders share their insights on selecting an environmental services contractor, negotiating pricing, and maintaining service levels. Urgent care is often considered a blind product because patients generally lack the formal training necessary to assess the quality of the actual medical services delivered. As a result, satisfaction or dissatisfaction is determined in large …
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Urgent Care Diagnosis and Management of Tick-Borne Diseases
Urgent message: As the incidence of tick bites increases, it is imperative for urgent care physicians to be able to recognize various species of ticks and the symptoms of tick-borne illnesses and to know what to do when a patient presents with a tick bite. TOYIN FAPOHUNDA-ADEKOLA, MD, MBA Lyme disease is the most common tick-borne infection in the United States (Figure 1) and Europe. With a total of 279,509 cases reported between 2003 and …
Read MoreFrom Good to Great: A Guide for the Urgent Care Provider
It’s easy to think that all the steps we physicians and advanced practice providers must take before we are professionals make us great. After all, doesn’t everyone admire our impressive signature with its collection of professional certifications at the end? Not so fast. Greatness is not conferred or bestowed by degrees or certifications, and often it isn’t officially recognized. Instead, greatness is practiced, like yoga or karate. It is never a final achievement; it is …
Read MoreHow JUCM’s Editorial Process Helps Our Authors
Our authors do the hardest part of publication, researching and writing articles to add to the urgent care literature. Then once we have assessed the big-picture issues during peer review, we polish the manuscripts until they shine, through a process called copyediting. We take care to ensure that after editing, your writing still sounds like you, not like our editors. Here is a partial list of the issues that our editors address during copyediting: Grammar …
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Drug-Resistant Lice: A Nuisance or an Opportunity for Urgent Care?
Alan A. Ayers, MBA, MAcc is Practice Management Editor of JUCM, The Journal of Urgent Care Medicine, a member of the Board of Directors of the Urgent Care Association of America, and Vice President of Strategic Initiatives for Practice Velocity. URGENT MESSAGE: Twenty-five states are now seeing head lice that are resistant to most common over-the-counter remedies, creating a nuisance for parents and a potential business opportunity for urgent care. Between 6 and 12 million …
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