Practice Management
Urgent Message: The azygos lobe may be apparent on a chest x-ray and is a relatively uncommon, yet benign finding, that is important to distinguish from other etiologies. The azygos lobe is an embryological remnant and is usually incidental in nature. Citation: Richmond C, Mancuso A. Atypical Chest X-ray Appearance in a Patient with Cough: A Case Report. J Urgent Care Med. 2024; 18(10):23-25 Keywords: azygos lobe, normal variant, chest x-ray Abstract Introduction: Recognition of …
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Batsheva R. Sholomson, DO; Danielle Langan, DO; Abbas Husain, MD; Shorok Hassan, DO Urgent Message: With the incidence of babesiosis rising, clinicians are encouraged to consider the totality of presentation including risk factors based on endemic region, recent travel or tick bite, and clinical signs and symptoms. Citation: Sholomson BR, Langan D, Husain A, Hassan S. Fever of Unknown Origin: A Case Report of Babesiosis Infection. J Urgent Care Med. 2024; 18(10):17-21 Key Words: Babesiosis, …
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Naushair Hussain, DO; Shahmeer Hussain, DO; Clinton A. Hartz, MD Urgent Message: Scaphoid fractures most frequently occur at the mid aspect, or “waist,” of the scaphoid, and require about 10 weeks of prolonged immobilization before slow return to normal function. Such fractures have high risk of complications and subsequent chronic pain and/or disability if not appropriately immobilized. Citation: Hussain N, Hussain S, Hartz C. Urgent Care Management of Scaphoid Fracture. J Urgent Care Med. 2024; …
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“Do as little as necessary, not as much as possible.” This is the mantra I recite throughout every urgent care shift without fail—that’s how mantras work after all. Hearing the word “mantra” might conjure images of a placid-faced yogi seated in the lotus position for some, but a mantra needn’t serve only spiritual practice. A well-conceived mantra can also prove useful when deployed in any context where we might benefit from being reminded frequently to …
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Urgent Message: Patients discharged from an urgent care clinic with tachycardia were found to have significantly higher odds of return visits to the urgent care and emergency department as well as higher odds of being admitted to the hospital within 7 days compared to non-tachycardic patients. Vitoria Regina Nunes Maia, MD; Ryan Loh, PhD; Michael Weinstock, MD; Lindsey E. Fish, MD Citation: Maia VRN, Loh R, Weinstock M, Fish L. Return Visits and Hospitalization Rates …
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Urgent Message: Patients commonly present with respiratory symptoms in the urgent care setting and not infrequently complain of some degree of shortness of breath—or dyspnea. It is critical for clinicians to have comfort with the clinical assessment and appropriate use of diagnostic resources for the dyspneic patient. Identifying patients requiring immediate emergency department referral is an important skill. Evan Price, DO; Eric Patten, MD; Shakil Hossain, DO; Michael Weinstock, MD Citation: Price E, Patten E, …
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Using AI to Detect Myocardial Infarction Take Home Point: The use of an occlusive myocardial infarction (OMI) artificial intelligence (AI) electrocardiogram (ECG) model has the potential to improve identification of acute coronary syndrome (ACS) by enabling timely and accurate detection of OMI regardless of the presence ST-segment elevation. Citation: Herman R, Meyers H, Smith S, et. al. International evaluation of an artificial intelligence-powered electrocardiogram model detecting acute coronary occlusion myocardial infarction. Eur Heart J Digit …
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A 60-year-old man presents to urgent care complaining of an annoying cough for several months. He states that he frequently has sputum production with his cough. He denies any fever, chills, or other symptoms. Review the image taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the following page.
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Urgent Message: With hyperabduction and hyperextension of the thumb, the ulnar collateral ligament may be stretched or torn, or may avulse a segment of bone from its insertion point. Radiographic imaging of suspected “gamekeeper’s thumb” must be obtained to evaluate for an associated fracture, which may change the decision for conservative vs surgical management. Omar Jafry, MS-3; W. Bradley Strauch, MD Citation: Jafry O, Strauch WB. Urgent Care Evaluation and Management Of Injury to the …
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A 15-year-old male with no significant past medical history presents after he was noted to be gasping for air and difficult to arouse after taking a nap. At the urgent care, 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.
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