Can Artificial Intelligence Be Used as a Behavioral Health Tool for Adolescents? Take Home Point: Conversational Artificial Intelligence (CAI) may have potential as a tool to help address the unmet needs of adolescent behavioral health treatment. Citation: Opel D, Kious B, Cohen I. AI as a Mental Health Therapist for Adolescents. JAMA Pediatr. doi:10.1001/jamapediatrics.2023.4215 Relevance: Mental health issues among adolescents have been rapidly increasing in prevalence. The increasing need for adolescent mental healthcare has led …
Read MoreAbstracts in Urgent Care December 2023
Blood Pressure Monitoring—Cuff Size Matters Take Home Point: The use of an inaccurately sized automated blood pressure (BP) cuff resulted in significantly inaccurate BP readings. Citation: Ishigami J, Charleston J, Miller E, et. al. Effects of Cuff Size on the Accuracy of Blood Pressure Readings: The Cuff(SZ) Randomized Crossover Trial. JAMA Intern Med. 2023 Oct 1;183(10):1061-1068. doi: 10.1001/jamainternmed.2023.3264. Relevance: Chronic hypertension is a leading cause of cardiovascular and cerebrovascular morbidity and mortality, and accurate measurement …
Read MoreTympanic Membrane Conditions Beyond Otitis Media in Urgent Care Practice
Urgent Message: Better understanding of tympanic membrane/middle ear conditions can inform more accurate diagnoses at the point of care. Citation: LaCour J. Tympanic Membrane Conditions Beyond Otitis Media in Urgent Care Practice. J Urgent Care Med. 2023;18(3):15-19 Author Affiliation: Jeff LaCour, MD, Compassio Medical Education. Video: Watch a video featuring Jeff LaCour, MD, that further explains tympanic membrane conditions with supplemental images. WATCH VIDEO Urgent care providers are often tasked to determine the source of …
Read More25-Year-Old With Shoulder Pain
A 25-year-old male presents to urgent care with ongoing pain in his right shoulder. He denies trauma and reports the pain is deep within the shoulder joint itself. 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 More64-Year-Old With Dyspnea and History of COPD
Case presented by Jonathan Giordano, DO A 64-year-old female presents in the urgent care complaining of dyspnea for the past 3 days. After asking a few questions, you learn the woman has a history of chronic obstructive pulmonary disease (COPD). 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 MoreBerger’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 …
Read More51-Year-Old With Asymptomatic Rash
A 51-year-old man presents to urgent care concerned about an asymptomatic rash that developed over his face within the last month. On examination, pink and violaceous, annular, scaly papules, and plaques were seen on his cheeks and within his beard area and nasolabial folds. The patient appeared well and reported no systemic symptoms. View the image above and consider what your diagnosis and next steps would be. Resolution of the case is described on the …
Read MoreSystemic Steroid Stewardship in Urgent Care: Recognizing Indication Creep to Limit Avoidable Harms
Urgent Message: Steroid overprescribing is a universal urgent care issue. While systemic steroids have several indications in which the preponderance of evidence supports their use in the urgent care setting, indication creep has led to their use outside of these scenarios resulting in significant risk for avoidable and unjustifiable adverse reactions. Citation: Hansen P. Systemic Steroid Stewardship in Urgent Care: Recognizing Indication Creep to Limit Avoidable Harms. J Urgent Care Med. 2023;18(3);29-32 Author Affiliation: Paul …
Read MorePediatric Knowledge Needs Assessment: A Pilot Study
Urgent Message: Pediatric emergency medicine researchers have an opportunity to enhance collaboration with general emergency medicine and acute care clinicians to bridge the gap between research and dissemination of evidence-based care recommendations. Bashar S. Shihabuddin, MD, MS, FAAP, FACEP; Jessica Fritter, MACPR, ACRP-CP; Charmaine B. Lo, PhD MPH; Rachel Stanley MD, MHSA; Michael Weinstock, MD Citation: Shihabuddin B, Fritter J, Lo C, Stanley R, Weinstock M. Pediatric Knowledge Needs Assessment: A Pilot Study. J Urgent …
Read MoreThe Cost of Fear
I have a story I want to share with you, but I’m finding it hard to do without it reeking of privilege. This is a story about feeling 100% welcomed in one place when you don’t feel that way in many others. This is a rare for me, and perhaps it will feel like a poor example to you. Yet, it is part of my lived experience and brought something home for me that made …
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