Journal of Urgent Care Medicine

When Is Tachycardia in a Patient with URI Symptoms a Sign of Something More Serious?

Urgent message: Brugada syndrome is a genetic disorder associated with increased incidence of ventricular tachyarrhythmias and sudden cardiac death. There have been cases associated with fever, viral infections, and pneumonias—all conditions urgent care clinicians treat in abundance. This case report demonstrates how urgent care providers can diagnose a potentially lethal disorder when patients are being seen for febrile illnesses. Kathleen B. Raschka, MD Case Presentation A 55-year-old male with a history of hypertension, hyperlipidemia, and …

Myths and Misinformation Are Keeping Patients from Getting Flu Shots. Educate Them!

Millions of confirmed cases and thousands of deaths aren’t enough to convince a lot of Americans that many of their beliefs about influenza and vaccination are just plain wrong. So, more than half fail to get a flu shot and leave themselves and loved ones at increased risk. Clearly, the healthcare community in general has to do a better job of countermanding erroneous conceptions. New data released by the American Academy of Family Physicians may …

Fears Over COVID-19 Are Driving More Patients to Get Flu Shots

As we’ve pointed out—and as has been emphasized in mainstream media reports in recent weeks—far more Americans are at risk for contracting influenza than the coronavirus. The same holds true for associated deaths, as well. At least 15 million people have been diagnosed with flu so far this season. Mortality projections from the Centers for Disease Control and Prevention range from 14,000 to 36,000. Compare that with the fact that as of February 17 there …

As Flu Shuts Down an Entire School, Health Officials Recommend Urgent Care Over the ED

Influenza infections are so rampant in Rexford, NY that an entire elementary school was forced to shut its doors for a day. Student absences were up to 20%, with faculty also calling in sick at such a rate that the school district was hard pressed to find coverage for the students who were in class. Considering that every day sick children and adults walked through the door increased the risk of spreading infection further, the …

Well-Founded or Not, Fears Over the Novel Coronavirus Are Driving Patients to Urgent Care

Mainstream media coverage of the international 2019 novel coronavirus (2019-nCoV) outbreak continues at a breakneck pace, even though there have been very few confirmed cases in the U.S. at this point. It seems to be weighing on every patient locked into a winter cold, but the fact is that many more patients are dying of influenza than are likely to even be exposed to 2019-nCoV. While clinicians should be vigilant for symptoms of 2019-nCoV and …

Urgent Identification and Management of Postsplenectomy Sepsis

Urgent message: Asplenic individuals have a rate of severe infections 2-3 times higher than the general population. Postsplenectomy sepsis should be considered in patients with impaired splenic function who present with a fever. Megan L. Lawson, PA-C and Christina Gardner, DHSc, MBA, PA-C CASE PRESENTATION A 45-year-old male presented to the urgent care with 18 days of sinus pain and congestion unresponsive to two courses of antibiotics, cefdinir and levofloxacin. Past surgical history revealed a …

Keep Your Differential Broad, Especially During Flu Season

I’m phenomenally bad at gambling for a multitude of reasons. I bet small when I should bet large. I bet large when I shouldn’t even be playing the game. I’m especially terrible at roulette because when I pick a number, usually 22, I stick with it—much longer than I should. Each time the wheel stops, on any other number, I’m disappointed, sure. But that disappointment is quickly replaced with hope that the odds of lucky …

Health Systems Are Pleading with Flu Patients to Go to Urgent Care

Emergency rooms around the country are so crowded these days that they’re urging patients with symptoms of influenza to go to urgent care centers instead of the ED, unless they’re experiencing shortness of breath, debilitating cough, or other serious concerns. Miami Valley Hospital in Ohio, for one, announced in the local media that due to a surge in flu cases patients with symptoms should contact their primary care providers or head directly to an urgent …

How Measles Forced One School District to Issue an Ultimatum: Get Vaccinated or Stay Home

Influenza isn’t the only vaccine-preventable disease wreaking havoc on communities across the country. Thirty-one states, from Maine to Hawaii, have seen confirmed cases of measles this year. In Seattle, the threat is seen as so great that the public school system has drawn a line in the sand: If your child hasn’t been vaccinated against measles, they’re not allowed to return to school after the winter holiday break. Days missed as a result will be …

Most Urgent Care Centers Give Immunization a Shot—of One Type or Another

If you haven’t noticed, it’s flu season. In fact, it’s been flu season longer than usual for this point compared with past years, thanks to an unexpectedly early arrival. With months to go, though, there’s still time for patients who have not been immunized to reap the benefits of getting a flu shot. This is not to say that influenza is the only immunization patients need. With reports of measles also beginning to climb as …