Watching for the Female Athlete Triad Key point: Understanding the female athlete triad is the best way to identify it. Citation: Weiss Kelly AK, Hecht S; Council on Sports Medicine and Fitness. The female athlete triad. Pediatrics. 2016;138:e20160922. The female athlete triad continues to be better understood over time. As more females participate at higher levels of competition this disorder must be considered. The report’s authors note that the triad of amenorrhea, osteoporosis, and disordered …
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Original Research: Early Diabetes Screening in the Urgent Care, Part 2
Urgent message: Various methods have been suggested for screening for type 2 diabetes mellitus in the asymptomatic population, although more consensus about the best approach, especially in settings outside primary care, is required. The usefulness of a diabetes-screening pathway for the early detection of undiagnosed diabetes was assessed in a quality-improvement study of a convenience sample from an urgent care center. How this article/column helps you: by analyzing findings on how screening all adults for …
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A 16-Week-Old Infant with Bloody Vomitus
In Bouncebacks, we provide the documentation of an actual patient encounter, discuss patient safety and risk-management principles, and then reveal the patient’s bounceback diagnosis. This case is from the book Bouncebacks! Pediatrics, by Michael B. Weinstock, Kevin M. Klauer, Madeline Matar Joseph, and Gregory L. Henry, and is available at www.anadem.com and www.amazon.com. Introduction A 16-week-old infant was brought by her parents to the emergency department (ED) of a children’s hospital. Note: The following is the actual documentation by the provider. Visit …
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Abdominopelvic Pain, Part 2: Approach to Women in the Urgent Care Setting
Urgent message: Diagnosis of abdominal pain is more complex in women than in men because of the more complex anatomy involved. Using a stepwise approach and involving patients in their care can make a difference. Introduction Part 1 of this article [see “Abdominopelvic Pain, Part 1: Approach to Men in the Urgent Care Setting,” at https://www.jucm.com/abdominopelvic-pain-part-1- approach-men-urgent-care-setting/] explained that finding the cause of abdominopelvic pain can be a difficult task for any health-care provider because the diagnostic process is riddled with important decisions. …
Read MoreIntroducing JUCM CME
With this October issue, the editorial staff is very pleased to introduce JUCM CME, a convenient and cost-effective way to meet your annual continuing medical education (CME) requirements while reading the only peer-reviewed journal about urgent care. For over 10 years JUCM, the Journal of Urgent Care Medicine, has been a reliable source for the latest and most relevant clinical and practice-management guidance in the industry. Our cover-to-cover readership regularly exceeds the benchmarks for other …
Read MoreOctober 2016
‘House Call App’ Not Apt to Disrupt Urgent Care
While a big hit in France, an app designed to facilitate home visits by a clinician is unlikely to gain traction in the U.S. marketplace. It’s the latest incarnation of trying to provide Uber-like services in healthcare. This model is derived from SOS Médecins, which founder Gaspard de Dreuzy brought across the Atlantic in 2013. He and Uber founder Oscar Salazar dubbed their brainchild Pager, an Uber for home healthcare. Available on the App Store, …
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Plan Ahead for Cost When Upgrading Systems
Progress—especially where technology is concerned—by definition should move your business forward; otherwise it would be called regress. One health system in Ohio is learning the hard way that failing to recognize the cost of moving to a new EHR system can put a serious dent in your annual earnings report. In fact, ProMedica says its $1.9 million first-half loss was “primarily driven by significant expenses due to the implementation of the Epic electronic health record …
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CDC: Sexual Transmission of Zika Possible Even Without Symptoms
The Centers for Disease Control and Prevention (CDC) has again updated guidance related to protecting the public from Zika virus, saying there’s evidence that a man infected with Zika can sexually transmit the virus to a female partner even if he has no symptoms. It cites the case of a woman who had unprotected sex with a man who’d recently returned from a trip to the Dominican Republic, where mosquito-born Zika has been confirmed. The …
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Bringing Out the Vote Can Help Bring in the Patients
Many local newspapers, magazines and radio stations hand out “people’s choice awards,” in which individuals in the community nominate and vote for their favorite businesses in various categories. The Rockford (Illinois) Register-Star holds an annual Best of the Rock River Valley promotion, for example, in which readers vote for their favorite hospital, chiropractor, dentist, family practice, and emergency room, among other categories. Supporters of businesses like the Dogwood Pet Resort are encouraged to spread the word …
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