Urgent message: Anovulatory cycles are the most common cause of heavy menstrual bleeding (HMB) in adolescent patients. Just as with adult patients in the urgent care setting, it is most important to identify unstable patients and those with life-threatening causes for HMB. Shikha Nigam, MD, MPH and Amy Pattishall, MD Case Presentation A 14-year-old female presents with 6 weeks of menstrual bleeding. Her cycles are irregular but she generally has 4 to 6 weeks of …
Read MoreNow That Kids 12 and Up Can Get the COVID-19 Vaccine, the Question Arises: Should They?
Approval under the current Emergency Use Authorization for children ages 12 years and older to receive a COVID-19 vaccine was heralded as an important step forward in taming the pandemic. Some experts are now questioning the wisdom of doing so, however. An editorial in the British Medical Journal goes as far as to state that vaccinating children is “hard to justify right now for most children in most countries,” based mainly on the belief that …
Read MoreNot Seeing Enough Adolescents Show Up for COVID-19 Shots? Stress the Social Benefits
Just weeks after the Food and Drug Administration extended the Emergency Use Authorization on COVID-19 immunization to include children ages 12 and up, rapidly accumulating data that should drive parents to get their kids vaccinated is just not having that effect. While the number of adults hospitalized with COVID-19 and its complications is still higher than it is for younger people, the rate of hospitalizations for adults has plateaued while it’s slowly increasing for adolescents—likely …
Read MoreFebrile Seizure: An Urgent Care Overview
Urgent message: While alarming to parents, febrile seizures in children typically are benign and self-limited. However, the possibility of a life-threatening etiology mandates that the urgent care provider determine the type of seizure and employ appropriate assessments based on factors specific to each case. Tiffany Addington, MD CASE A previously healthy 3-year-old boy presented to urgent care after having a seizure at home. He had a fever that morning and was given ibuprofen. His mother …
Read MoreWith Kids Returning to School, It’s Time to Revisit Urgent Care’s Role in Providing On-Site Care
School nurses have their hands full on a good day, but the COVID-19 pandemic has added layers of responsibility for temperature taking, educating the educators on protocols for the virus, figuring out which children could have been exposed to which family whose father was just diagnosed with the virus…. Even with many states announcing plans to return to “normal” in the fall, it’s likely that precautions (and certainly concerns) will continue for the foreseeable future. …
Read MoreBe Aware: Child Abuse Is Just as Prevalent as Ever, but May Be More Out of Sight
Recently, we told you about an Associated Press article reporting that while “suspicious” child deaths have risen since the COVID-19 pandemic began, reports of suspected child abuse dropped. The presumption was that professionals with a duty to report, such as teachers, coaches, and clergy, simply were not seeing children up close and therefore were not privy to signs of abuse. Now an article published by JAMA Network confirms that reports went down at the outset …
Read MoreSpread the Word (and Offer to Help): Kids as Young as 12 Can Get Vaccinated Against COVID-19
The past few weeks have seen a jump in the number of Americans who are able to receive the COVID-19 vaccine. While it’s still up to individual states to determine who is eligible, from a regulatory approval standpoint that population should soon include anyone 12 years of age and up thanks to an Emergency Use Authorization granted to the Pfizer–BioNTech vaccine. All that’s left is for the Centers for Disease Control and Prevention to give …
Read MoreWith Schools Letting More Kids on Site, Be Prepared to Engage Cautious (and Nervous) Parents
In many parts of the country, it’s been more than a year since the majority of children attended school on site, full time. Now that roughly half the adult population has gotten at least one dose of COVID-19 vaccine and children as young as 16 are eligible (with that threshold expected to be lowered in the near future), many districts are inviting more kids back in. Not all parents are as comfortable with this prospect …
Read MoreReported Child Abuse Is Down, but Deaths Are Up. What Can Urgent Care Do?
What on the surface could appear to be good news may actually be obscuring a clearer picture of how the pandemic is affecting children in an unexpected way. Reports of suspected child abuse have dropped—dramatically—over the past year or so, according to an article from the Associated Press. At the same time, however, the AP’s review of records in Alabama, Arizona, Kentucky, Maryland, Ohio, Pennsylvania, and Texas indicate that child deaths due to suspected maltreatment …
Read MoreIgA Vasculitis in Children: Beyond the Rash
Urgent message: This is the urgent message about a truly urgent case presentation concerning a pediatric patient in an urgent care center. Diana Sofia Villacis Nunez, MD; Amit Thakral, MD, MBA; and Pareen Shah, MD CASE PRESENTATION A 12-year-old previously healthy female presents with a 5-day history of lower extremity rash and low-grade fever (100.6°F). A month earlier, she had a self-resolving viral upper respiratory infection. The rash is described as mildly pruritic, dark red …
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