Practice Management
A 61-year-old male presents to urgent care complaining of light-headedness. The patient has a medical history of hypertension and recently started metoprolol. 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.
Read More
Rehabilitation in Post-Acute Anterior Shoulder Dislocation Take Home Point: This study suggests that routinely referring patients to a program of physical therapy is not superior to a single session of advice, supporting materials, and option to self-refer to physical therapy. Citation: Kearney R, Ellard D, Parsons H, et. al. Acute rehabilitation following traumatic anterior shoulder dislocation (ARTISAN): pragmatic, multicentre, randomised controlled trial. BMJ. 2024 Jan 17:384: e076925. doi: 10.1136/bmj-2023-076925. Relevance: Shoulder dislocations commonly present to …
Read More
Andrew Alaya, MD, MSc Urgent Message: For time-sensitive diagnoses related to acute pelvic pain, ultrasound is generally the recommended initial diagnostic imaging study. While not universally available in urgent care, it can often be completed more rapidly than computed tomography or magnet resonance imaging. Citation: Alaya A. How Useful Is Ultrasound In Acute Female Pelvic Pain? J Urgent Care Med. 2024;18(7):35-40 Introduction Acute pain in the pelvic or lower abdominal region among women of reproductive …
Read More
Urgent Message: It’s important to recognize the difference between a proximal 5th metatarsal fracture of the tuberosity alone and a proximal metaphyseal fracture, commonly referred to as a “Jones fracture.” A Jones fracture requires full immobilization with urgent surgical referral. Michael B. Weinstock, MD; Kelly Moore, BS Citation: Weinstock M, Moore K. Urgent Care Evaluation and Management Of Proximal 5th Metatarsal Fractures. J Urgent Care Med. 2024 18(7):25-28 Editors’ Note: While the images presented here …
Read More
A 42-year-old man presents to urgent care with knee pain. He says the pain started when he was playing soccer, just as he kicked a ball toward the goal. Ultimately, he had to leave the game because of the pain. View the image taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the following page.
Read More
A 38-year-old woman presented to urgent care for rash that had developed on her trunk 2 months prior. On examination, extensive hyperpigmented, reticulated patches were seen on her back. She had no recent history of sunburn, extensive sun exposure, or history of dermatological conditions. Additional history revealed the use of a heating pad for the preceding 3 months to help manage her chronic back pain. She often rested on the electric heating pad for several …
Read More
Urgent Message: Isolated sternal fractures in children can occur from relatively minor trauma, such as a trampoline fall, and patients can often be managed conservatively. NaShayla Davis, MD; Olabisi Pearse, MD; Swati Mahajan, MD; Marie-Helene Gagnon, MD; Rebecca Burger, MD Citation: Davis N, Pearse O, Mahajan S, Gagnon MH, Burger R. Isolated Sternal Fractures After Trampoline Falls in Children: A Case Series. J Urgent Care Med. 2024; 18(6): 13-16 Key Words: Trampoline, Fall, Fracture, Injury, …
Read More
Omicron versus Flu & RSV – Which is Most Dangerous for Children? Take Home Point: In this study, hospitalization rates were highest for patients with RSV than Omicron (COVID-19) in all age groups of children. Citation: Hedberg P, Abdel-Halem L, Valik J, et. al. Outcomes of Pediatric SARS-CoV-2 Omicron Infection vs Influenza and Respiratory Syncytial Virus Infections. JAMA Pediatr. 2023 Dec 26: e235734. doi: 10.1001/jamapediatrics.2023.5734 Relevance: With increasing availability for respiratory pathogen testing, it is …
Read More
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 …
Read More
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.
Read More