Journal of Urgent Care Medicine

Abstracts in Urgent Care – March 2022

When Handlebar Meets Abdomen Corticosteroids and Asthma Antibiotics in Pediatric PAC Surfactant Use in AOM COVID Pneumonia and Disease Progression Neutralizing Antibodies in COVID Pediatric Abdominal Injuries from Handlebars Take-home point: Handlebar impact is a high-risk mechanism for serious intraabdominal injury in children and necessity of operative intervention is common. Citation: Vanderwalle R, Barker S, Raymond J, et. al. Pediatric handlebar injuries: more than meets the abdomen. Pediatr Emerg Care. 2021;37(9):e517-e523. Relevance: It is important …

Abstracts in Urgent Care November 2021

POCUS in Ocular Presentations Experiencing—and Handling—Patient Biases Self-Swabbing for STIs CAM Boots for Toddler’s Fracture? Treating Children with Bronchiolitis Azithromycin in COVID-19 Point-of-Care Ultrasound for Eye Examination Take-home point: Ocular ultrasound (OUS) can be a quick, safe, and effective way to assess eye complaints and complements the clinical exam. Citation: Manton J, Henry C. Benefits to utilising ultrasound in examining the eye. Emerg Med Australas. 2021;33:745–747. Relevance: As availability of point-of-care ultrasound (POCUS) becomes more …

A 10-Year-Old Boy Who Twisted His Knee in the Backyard

The patient is a 10-year-old boy who presents after twisting his right knee while playing a backyard game of badminton. The pain is such that he is unable to bear weight on the leg. 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.

A 5-Year-Old with Foot Pain of Unknown Origin

A father brings his 5-year-old son to your urgent care center with a primary complaint of pain in his right foot. There was no report of trauma or injury. Dad has noticed the boy limping for the past few days and he points to the right foot. You note swelling in the midfoot area. The boy’s pain is evident as he walks with a limp and has tenderness in the area of swelling on the …

A 13-Year-Old Boy with Knee Pain After a Fall

The patient is a 13-year-old boy who presents with knee pain after an awkward fall while playing basketball on an asphalt court. He is unable to walk due to pain and has a swollen knee. View the x-rays taken and consider what your diagnosis and next steps would be.

Chin Lacerations in Children—A Call for Caution

Urgent message: Adhesive repair for skin lacerations in pediatric patients is a viable (sometimes preferable) option—under the right circumstances. Careful consideration is warranted when the wound is to the chin. Joshua Sherman, MD and David Mathison, MD, MBA INTRODUCTION The use of adhesive repair in lieu of sutures for the management of minor lacerations has become increasingly commonplace.1 When used correctly, cosmetic outcomes are similar and may be superior to suture repair in certain situations. …

A 2-Year-Old Girl with Leg Pain After Jumping on a Trampoline

Case The patient is a 2-year-old girl who is brought to your urgent care center by her parents several hours after jumping on a trampoline with her friend, but that she “seemed fine” when the mother picked her up to come home. View the images taken and consider what the diagnosis and next steps would be. Resolution of the case is described on the next page. The Resolution Differential Diagnosis Acute transverse fracture of the …

March 2011

Pitfalls in Assessing and Managing Common Pediatric Injuries

Urgent message: Fractures, in general, are relatively common among pediatric patients. Those most likely to be seen in the urgent care setting include injuries to the radius, ulna, humerus, lateral condyle, clavicle, tibia, and fibula. The second of two parts. Justin Kunes, MD, Shane R. Hanzlik, MD, Allison Gilmore, MD As noted in part 1 of this article (published in the February 2011 issue of JUCM and available at www.jucm.com), fractures are common injuries in …

February 2011

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