Journal of Urgent Care Medicine

Quadriceps Pyomyositis After Aspiration of Patellar Bursitis: A Case Report

Urgent Message: Deep tissue infections are possible considerations for diabetic patients presenting to urgent care with muscle tenderness who recently have had joint or bursal aspirations or injections. Citation: Mati M. Quadriceps Pyomyositis After Aspiration of Patellar Bursitis: A Case Report. J Urgent Care Med. 2024;18(4):25-27. Key Words: quadriceps myositis, diabetes, patellar bursitis, infectious disease Abstract Introduction Infectious myositis and pyomyositis are uncommon and therefore easily overlooked with serious potential complications of bursal aspirations. Clinical …

Does This Finger Laceration Need Immediate Vascular Surgery Consultation? Perspectives Based on an Urgent Care Patient Experience

Patrick O’Malley, MD Urgent Message: Clinicians can apply best-practice care principles for lacerations of the hand in the urgent care setting by gaining a better understanding of the anatomy and wound repair techniques. Such competency can also help reduce non-indicated referrals to the emergency department. Citation: O’Malley P. Does This Finger Laceration Need Immediate Vascular Surgery Consultation Perspectives Based on an Urgent Care Patient Experience. J Urgent Care Med. 2024;18(4): 28-30 Key words: laceration, …

Berger’s Disease in Urgent Care: A Case Report

Urgent Message: Although urgent care providers would not be equipped to make an initial diagnosis of Berger’s disease, it’s important to recognize the signs that may suggest this condition and refer patients for follow-up. Emily Pierson PA-C, Christina Gardner DHSc, MBA, PA-C Key words: Berger’s disease, hematuria, IgA Nephropathy, nephrology, urgent care, case report Abstract Introduction IgA Nephropathy (IgAN)—sometimes known as Berger’s disease—is the most common primary glomerular disease in the world. It often has …

Diabetic Ketoacidosis Due to Intra-articular Steroids: A Case Report

Tracey Quail Davidoff, MD, FCUCM Urgent Message: Corticosteroid use is common, and patients receiving corticosteroids of any type are at risk for hyperglycemia and possible ketoacidosis. Citation: Quail Davidoff T. Diabetic Ketoacidosis Due to Intra-articular Steroids: A Case Report. J Urgent Care Med. 2023;18(2):39-40 Key Words: polyuria, polydipsia, glucosuria, ketoacidosis, corticosteroids, intra-articular corticosteroids. Abstract A 63-year-old male presents to urgent care with a self-diagnosis of urinary tract infection (UTI). The patient had been experiencing urinary …

Headache and Paranoid Delusions: A Case Report of Missed Neurocysticercosis

Urgent Message: Headaches are common, but when patients present with concurrent psychiatric symptoms, seizures, and signs of increased intracranial pressure, clinical teams might consider asking about recent travel to assess for possible neurocysticercosis. Naail Tariq, Cavan Scheetz, Michael Weinstock, MD Download the article PDF Here Citation: Tariq N, Scheetz C, Weinstock M. Headache and Paranoid Delusions: A Case Report of Missed Neurocysticercosis. J Urgent Care Med. 2023;17(X);31-34. Abstract Introduction Headache is a common urgent care …

When a Bleeding Hemorrhoid Is a Sign of Something More Sinister

Urgent Message: An expanded list of differential diagnoses can help clinicians identify when isolated bleeding is related to a more serious condition, as was the situation with this case of acute lymphoblastic leukemia. Download the article PDF Here Naushair Hussain, MD, Ahmad Ali, MD, Michael B. Weinstock, MD Citation: Hussain N, Ahmad A, Weinstock M. When a Bleeding Hemorrhoid Is a Sign of Something More Sinister. J of Urgent Care Med. 2023;17(X); 35-37 Key words: …

Myotendinous Rupture of Pectoralis Major: A Case Report

Urgent message: Nonspecific presentation and time lapsed between injury and presenting to urgent care can delay diagnosis and initiation of proper management in patients ultimately diagnosed with myotendinous rupture of pectoralis major, a relatively rare injury that is becoming more common. E. Casey Anders, Chinedum Nkemakolam, MA, and Lindsay Tjiattas-Saleski, DO Citation: Anders EC, Nkemakolam C, Tjiattas-Saleski L. Myotendinous rupture of pectoralis major: a case report. J Urgent Care Med. 2023;17(11):21-23. Click Here to download …

COVID-19 and RSV: Coinfection Requiring Hospitalization

Click Here to download the article PDF. Urgent message: Coinfection with COVID-19 and other respiratory pathogens can lead to a worsening clinical picture and requires careful assessment in the urgent care center. Marcia Taylor, MD, MSCR, FAAFP Citation: Taylor M. COVID-19 and RSV: coinfection requiring hospitalization. J Urgent Care Med. 2023;17(10):28-29. Key words: COVID-19, SARS-CoV-2, RSV, coinfection, pandemic ABSTRACT Patients who present with symptoms suspicious for COVID-19 and other respiratory conditions, regardless of vaccination status, …

More than a Simple Headache: Using the SNNOOP10 Criteria to Screen for Life-Threatening Headache Presentations

Click Here to download the article PDF Urgent message: Headache is most often a benign complaint among patients presenting to urgent care. Vigilance for risk factors and appropriate use of validated screening criteria are essential to uncovering potentially life-threatening etiologies. Paul Hansen, MD Citation: Hansen P. More than a simple headache: using the SNNO-OP10 criteria to screen for life-threatening headache presentations. J Urgent Care Med. 2023;17(9):18-21 ABSTRACT Introduction: Headache is most commonly a benign complaint …

No Butts About it: Approaching Anorectal Abscesses in the Urgent Care Center

Click Here to Download the PDF Urgent message: Given the high rate of systemic involvement in patients with anorectal abscess, it is essential for urgent care providers to identify patients with risk factors and, when indicated, ensure those patients receive incision and drainage and appropriate follow-up care. Cameron W. Galbreath, MSN, FNP-C and Christina Gardner, DHSc, MBA, PA-C Citation: Galbreath C, Gardner C. No butts about it: approaching anorectal abscesses in the urgent care center. …