Journal of Urgent Care Medicine

An Atypical Cause of Fever and Confusion: A Case Report of Delayed Pulmonary Embolism Diagnosis

Francesca Cocchiarale, DO; Alexa Bailey, MS-3; Michael Weinstock, MD Urgent Message: Pulmonary embolism can be frequently missed as a diagnosis because it can present with a variety of signs and symptoms. Understanding clinical decision rules and myriad presentations can help urgent care providers determine when patients benefit from immediate referral to an emergency department. Citation: Cocchiarale F, Bailey A, Weinstock M. An Atypical Cause of Fever and Confusion: A Case Report of Delayed Pulmonary Embolism …

55-Year-Old Male With Dyspnea

A 55-year-old male with a history of heart failure presents to the urgent care with dyspnea. An ECG is obtained. View the ECG captured above and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.

Free Advice

Members of the Urgent Care Association (UCA) get a lot of “free” stuff—resources, checklists, podcasts, job searches, magazines, webinars, templates, plans, and so on. But this year at the Urgent Care Convention we are going one better (two, actually). I’m talking about our new “Ask a Consultant” sessions and our Quality Programs Center, both of which essentially provide the space for free consulting (yes, free). The Ask a Consultant sessions feature top, vetted consultants who …

53-Year-Old Female With Fatigue

A 53-year-old female with no significant past medical history presents to the urgent care with progressive fatigue for several weeks. An ECG is obtained. View the ECG captured above and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.

Updates in Weight Management Pharmacotherapy: Essential Knowledge For The Urgent Care Clinician

Urgent Message: As more glucagon-like peptide-1 and gastric inhibitory polypeptide agonists are prescribed, it is important for clinicians to have familiarity adverse reactions and complications that may present in urgent care. Sergio Ramoa, MD, MS; Darya Zakirov, MS, APRN, FNP-C; Pascale Carbonara, MD; Deann Isherwood, MSN, FNP; Tu-Mai Tran, MD, MSc Citation: Ramoa S, Zakirov D, Carbonara P, Isherwood D, Tran TM. Updates in Weight Management Pharmacotherapy: Essential Knowledge For The Urgent Care Clinician. J …

12-Year-Old With Facial Trauma

A 12- year-old male presents to urgent care with his mother complaining of facial pain. The patient experienced a trip-and-fall accident at home. He landed on a carpeted floor and now complains of facial pain. View the image taken (occipitomental/Waters view) and consider what your diagnosis and next steps would be. Resolution of the case is described on the following page.

18-Year-Old With Chest Pain

An 18-year-old male presents with chest pain with coughing for one day. The patient has no known medical history. View the ECG captured above and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.

53-Year-Old With Spreading Rash

A 53-year-old man presents to urgent care concerned about a spreading rash underneath his arms for the past 3 weeks. He initially thought it was an allergic reaction to a new deodorant, but the rash persisted after stopping the deodorant. The rash is not itchy. The patient has a history of type 2 diabetes. On examination, a broad, well-demarcated, thin, scaly plaque is seen extending from the lateral chest over the axilla to the upper …

Using Urgent-Care-Based Telemedicine to Increase Primary Care Referrals: A Quality Improvement Project

Urgent Message: A quality improvement project demonstrated increased referral rates to primary care from an urgent care telemedicine service line for those who did not have a primary care provider. Brianna Woodruff, DNP, ARNP, FNP-C; Khara’ A. Jefferson, DNP, APRN, FNP-C, CHC Citation: Woodruff B, Jefferson K. Using Urgent-Care-Based Telemedicine to Increase Primary Care Referrals: A Quality Improvement Project. J Urgent Care Med. 2024; 18(5): 40-47. Key words: Effective care, primary care referral, telemedicine, urgent …

Incomplete Kawasaki Disease Clinically Diagnosed From Urgent Care: A Case-Report-Based Review

Urgent Message: The accurate and prompt diagnosis of Kawasaki disease depends on clinicians’ familiarity with the diagnostic criteria and ability to recognize the waxing and waning manifestations of this pediatric condition. Dominic K. Hardatt, DMSc, PA-C Citation: Hardatt DK. Incomplete Kawasaki Disease Clinically Diagnosed from Urgent Care: A Case Report Based Review. J Urgent Care Med. 2024;18(5);34-39. Keywords: Kawasaki disease, mucocutaneous lymph node syndrome, incomplete Kawasaki disease, febrile illness, fever, polymorphous rash, pediatric, coronary artery …

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