Updated Evidence-Based Pediatric Asthma Management for the Urgent Care Provider
Urgent Message: Acute asthma exacerbations commonly present to urgent care, and providers must be well-equipped to recognize asthma exacerbations and be familiar with management recommendations. Samantha Shear, DO; Laura Calderon Suarez, MD; Maria Sara Valle Nodal, MD Keywords: pediatric asthma; asthma exacerbation; spirometry; inhaled corticosteroids; bronchodilator therapy; urgent care Abstract Overview: Asthma affects nearly 10% of children globally, with an estimated 95.7 million cases reported in 2021. This review discusses updates from the 2025 Global Initiative for Asthma (GINA) guidelines, emphasizing diagnostic and management considerations relevant to the urgent care …
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Gynecologic Causes of Abdominal and Pelvic Pain: Diagnosis and Management
Urgent Message: Abdominal and pelvic pain are common presentations to urgent care. Clinicians need to maintain a broad differential to make the correct diagnosis and offer appropriate treatment. Anisah Chauhdry, MS; Naushair Hussain, DO; Michael B. Weinstock, MD Keywords: pelvic pain; ectopic pregnancy; pelvic inflammatory disease; ovarian torsion; ovarian cysts; dysmenorrhea Editor’s Note: The patient case scenario is hypothetical to enhance educational value. Abstract Causes of abdominal and pelvic pain in reproductive-aged women include many diagnoses as well as some potential gynecologic emergencies. This review article highlights key gynecologic etiologies …
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Shortness of Breath in Pregnancy: Differentiating Physiology from Pathology in Urgent Care
Urgent Message: As shortness of breath and edema are common in pregnancy, urgent care clinicians must distinguish patients with normal physiologic changes from those with emergent conditions like venous thromboembolism, hypertension, eclampsia, and cardiomyopathy. John Ramos, MMS, PA-C, CAQ-EM Key Words: Ambulatory Care; Differential Diagnosis; Dyspnea; Pregnancy Complications; Pregnancy Complications, Cardiovascular Abstract Background: Physiologic changes in pregnancy contribute to shortness of breath and edema. However, these symptoms can also be caused by serious etiologies including venous thromboembolism (VTE) (increased risk in pregnancy and a leading cause of maternal mortality), preeclampsia …
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United States Sexually Transmitted Infections: A Comprehensive Overview and Relevance To Urgent Care Centers
Urgent Message: Patients frequently utilize urgent care centers for testing and treatment of sexually transmitted infections. All clinicians can be a first line defense to control the spread and combat the current epidemic. Alexandra Faraj, PA-S; Nadesha Muniz, MS Ed, PA-C Key Words: Sexually Transmitted Infections; Chlamydia; Gonorrhea; Syphilis; Expedited Partner Therapy; Urgent Care Abstract The rise in sexually transmitted infections (STIs) in the United States is a major public health concern. Patients frequently utilize urgent care centers for addressing STI-related complaints due to quick appointments, discreetness, and availability. All …
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Postpartum Presentations: When Risk Arises After Delivery – Shortness of Breath
Urgent Message: Shortness of breath presentations for postpartum patients in urgent care should prompt consideration of venous thromboembolism or peripartum cardiomyopathy, or more benign conditions like deconditioning, bronchitis, or anxiety. Alexa Bailey, DO; Lauren Kostandaras, DO; Hannah Poorman, BS; Michael Weinstock, MD; Catherine Neal, DO. Key Words: Shortness Of Breath, Postpartum, Venous Thromboembolism, VTE, Deep Vein Thrombosis, DVT, Pulmonary Embolism, PE, Peripartum Cardiomyopathy Editor’s Note: The patient case scenario is hypothetical. Abstract Background: The postpartum period introduces a broader range of possible diagnoses for shortness of breath complaints seen in …
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