Journal of Urgent Care Medicine

Development of a Positive Urinalysis Criteria Using a Machine Learning Approach

Urgent Message: There are no consensus definitions for what defines a “positive” urinalysis in the pediatric population. This secondary analysis of data from a quality improvement project in a network of pediatric urgent care centers used a machine learning approach to determine which variables on urinalysis most strongly predict a subsequently positive urine culture. Kari Flicker, BS; Jessica Parrott, DNP, CPNP-PC, CNE; Tammy Speerhas, DNP, FNP-C; Turaj Vazifedan, DHSc; Theresa Guins, MD; Jeffrey Bobrowitz, MD; …

Northwell Health-GoHealth Earns Autism Friendly Designation

For patients with autism spectrum disorder (ASD), a trip to a healthcare provider can cause distress. Many with ASD are particularly sensitive to light, sound, textures, and touches. Some have advocates, loved ones, or parents who assist with communication. Yet, few urgent care providers have the insight or the resources to improve the experience of clinic visits for those with ASD. Three Northwell Health-GoHealth pediatric centers in New York recently partnered with the national organization …

Panel Recommends Treatments for Pediatric Vitiligo

A clinical panel recently issued dozens of recommendations for treating vitiligo in pediatric, adolescent, and young adult patients, as published in a consensus statement in JAMA Dermatology. The main conclusions point out that topical calcineurin inhibitors, topical corticosteroids, and topical Janus kinase inhibitors are effective treatments for vitiligo in these age groups. Treatment decisions should also consider factors such as the location of vitiligo, body surface area affected, age, and other patient-specific factors. Perhaps a …

Children’s LA Opens Virtual Urgent Care

Children’s Hospital Los Angeles (CHLA) has launched a new virtual urgent care service specifically for children and young adults up to 21 years old who need after-hours medical attention for non-emergency conditions, according to MobiHealth News. The platform connects patients with CHLA healthcare providers for presentations such as fever, respiratory infections, vomiting, minor eye issues, allergies, bruises, cuts and scrapes. The telehealth providers can offer discharge instructions, send prescriptions to pharmacies, and recommend a referral …

Incomplete Kawasaki Disease Clinically Diagnosed From Urgent Care: A Case-Report-Based Review

Urgent Message: The accurate and prompt diagnosis of Kawasaki disease depends on clinicians’ familiarity with the diagnostic criteria and ability to recognize the waxing and waning manifestations of this pediatric condition. Dominic K. Hardatt, DMSc, PA-C Citation: Hardatt DK. Incomplete Kawasaki Disease Clinically Diagnosed from Urgent Care: A Case Report Based Review. J Urgent Care Med. 2024;18(5);34-39. Keywords: Kawasaki disease, mucocutaneous lymph node syndrome, incomplete Kawasaki disease, febrile illness, fever, polymorphous rash, pediatric, coronary artery …

COVID-19 Cases May Be Down, but Kids Are in Danger as MIS-C Lingers

There’s been a lot of promising news regarding the COVID-19 pandemic recently; cases in most areas of the U.S. are trending downward while testing and vaccination programs are (slowly) helping to curb public anxiety about the virus. This is no time for hubris or a false sense of security, however, as an article just published in the Journal of the American Medical Association reveals newly identified characteristics of children who become ill with multisystem inflammatory …

Prolonged Duration of Pediatric COVID-19

Urgent Message: Many Institutions have established guidelines regarding when individuals can return to their regular activities after recovering from COVID-19. Where children and schools are concerned, it’s unclear what the role of testing is (or should be). Katharine Miao, MD, FACEP; Frank Illuzzi, MD, FACEP, CPE; and Alexander Hwang Citation: Miao K, Illuzzi F, Hwang A. Prolonged duration of pediatric COVID-19. J Urgent Care Med. 2021;15(5):23-25. Introduction Since the outbreak of the SARS-CoV-2 virus within …

FDA Recommends Scaling Down X-rays for Children

The Food and Drug Administration has issued a new guidance suggesting there should be something of a kids’ menu for imaging, one that employs the lowest dose of radiation possible when imaging younger patients (or avoids x-rays altogether, if feasible). “Pediatric patients generally require less radiation than adults to obtain a quality image from an x-ray exam, so doctors must take extra care to ‘child size’ the radiation dose,” the FDA said in a statement. …

A 5-Month-Old with Symptoms Beyond the Presenting Complaint

Urgent message: Treating preverbal children can be challenging under every-day circumstances for pediatricians who know the child and the family. Urgent care providers who may not have the benefit of that history must be especially vigilant for all available signs and symptoms to make diagnoses based on the full scope of the presentation. Michael Weinstock, MD Case Presentation (Please note: The Case Presentation is drawn directly from the treating physician’s notes, without editing or correction, …

Clinical Challenge 2: September, 2011

The patient, an otherwise healthy 10-year-old, fell and suffered a blow to the shoulder. The patient presented with a decreased range of motion. View the image taken (Figure 1) and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.

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