Journal of Urgent Care Medicine

Does This Finger Laceration Need Immediate Vascular Surgery Consultation? Perspectives Based on an Urgent Care Patient Experience

Patrick O’Malley, MD Urgent Message: Clinicians can apply best-practice care principles for lacerations of the hand in the urgent care setting by gaining a better understanding of the anatomy and wound repair techniques. Such competency can also help reduce non-indicated referrals to the emergency department. Citation: O’Malley P. Does This Finger Laceration Need Immediate Vascular Surgery Consultation Perspectives Based on an Urgent Care Patient Experience. J Urgent Care Med. 2024;18(4): 28-30 Key words: laceration, …

Berger’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 …

When a Bleeding Hemorrhoid Is a Sign of Something More Sinister

Urgent Message: An expanded list of differential diagnoses can help clinicians identify when isolated bleeding is related to a more serious condition, as was the situation with this case of acute lymphoblastic leukemia. Download the article PDF Here Naushair Hussain, MD, Ahmad Ali, MD, Michael B. Weinstock, MD Citation: Hussain N, Ahmad A, Weinstock M. When a Bleeding Hemorrhoid Is a Sign of Something More Sinister. J of Urgent Care Med. 2023;17(X); 35-37 Key words: …

Myotendinous Rupture of Pectoralis Major: A Case Report

Urgent message: Nonspecific presentation and time lapsed between injury and presenting to urgent care can delay diagnosis and initiation of proper management in patients ultimately diagnosed with myotendinous rupture of pectoralis major, a relatively rare injury that is becoming more common. E. Casey Anders, Chinedum Nkemakolam, MA, and Lindsay Tjiattas-Saleski, DO Citation: Anders EC, Nkemakolam C, Tjiattas-Saleski L. Myotendinous rupture of pectoralis major: a case report. J Urgent Care Med. 2023;17(11):21-23. Click Here to download …

Point of Care Ultrasound Diagnosis of Ruptured Ectopic Pregnancy in an Urgent Care Setting

Urgent message: Though use of point-of-care ultrasound in the evaluation of first trimester pregnancy complaints is not as common in the urgent care setting as it is in th ED, its use can expedite diagnosis and, potentially, lifesaving treatment. Benjamin Mati MD and Richard Rutherford, MD Citation: Mati B, Rutherford R. Point-of-care ultrasound diagnosis of ruptured ectopic pregnancy in an urgent care setting. J Urgent Care Med. 2023;17(7):19-21. Key words: ultrasound, POCUS, ectopic pregnancy, urgent …

An Itchy Back with New Moles: A Case Report of Occult Malignancy

Joshua Russell, MD, MSc, FCUCM, FACEP Key words: paraneoplastic syndrome, gastric cancer, seborrheic keratosis, case report ABSTRACT Introduction: Lesar-Trélat sign (LTS) is an infrequent paraneoplastic phenomenon associated with an array of malignancies. Given that the primary manifestation is a seemingly benign dermatologic issue, such patients may choose urgent care as their initial site of clinical evaluation. Clinical presentation: A 43-year-old man with no significant past medical history presented to UC with complaints of itching and …

Atypical Chest Pain Reveals Rare T-Cell Lymphoblastic Lymphoma: A Case Report

Urgent message: Not all patients presenting to urgent care with chest pain require immediate transfer to a higher-acuity setting. Rather, immediate evaluation in the urgent care center can inform next steps for management on site or, in the event of truly emergent symptoms, transfer. Tushar Menon, MD; Sahil Kapur, DO; Ameera C. Mistry, MD; and David M. Boyd, MD Key words: T-call lymphoblastic lymphoma, non-Hodgkin’s lymphoma, anterior mediastinal mass, chest pain ABSTRACT Chest pain patients …

Cost-Effective Management of Deep-Vein Thrombosis

Urgent message: Utilization of validated scoring systems and clinical decision-making tools can enable the urgent care provider to manage many patients presenting with symptoms of deep-vein thrombosis in the urgent care center, reducing the need for costly referral to the emergency room. Daniel Eisner, DMSc, PA-C ABSTRACT Management of venous thromboembolism accounts for $10 billion in medical spending annually, with much of the cost attributable to emergency room visits. Conversely, managing VTE patients in the …

An Unusual Case of Third and Fourth Metacarpophalangeal Joint Dislocations Following a Fall

Urgent message: Metacarpophalangeal dislocations involving digits other than the thumb or index finger may be somewhat atypical, but are known to occur as a result of a fall on an outstretched hand—a common precedent to an urgent care visit. Familiarity with management of such injuries precludes the need to refer the patient. Leonard A. Powell, DO, MS, FACOFP, CMD and Chad E. Richmond, DO ABSTRACT Metacarpophalangeal (MCP) joint dislocations typically occur in a dorsal fashion …

A Rare Case of Sequential Simultaneous Bilateral Mandibular Fractures

Urgent message: The angle of the mandible is one of the most common locations among bilateral mandibular fractures. Bilateral mandibular angle fractures are a rare traumatic event and often occur in the setting of panfacial fractures due to an impacting force. Chad E. Richmond, DO, DAOBFP; Leonard Powell, DO, MS, FACOFP, CMD; Keith S. Richmond, DMD, MDS. INTRODUCTION The mandibular angle is a weak zone that is more exposed to fractures than other areas of …