Journal of Urgent Care Medicine

Rise in Parvovirus B19 Causing Concern For Pregnant Women

The Centers for Disease Control and Prevention (CDC) issued a new health alert, calling attention to unusually high testing positivity rates for the highly transmissible parvovirus B19 as well as clusters of complications among individuals at high risk, such as those with sickle cell disease and pregnant women. Fetal infection can lead to myocarditis and aplastic crisis, and some cases of fetal anemia have required blood transfusions, according to NBC News. Also referred to as …

Abstracts in Urgent Care – January 2022

Pediatric Burns and Cool, Clear Water Limit Screen Time After Concussion? Gastroenteritis in Children Diagnosing Giant Cell Arteritis POCUS and Ectopic Pregnancy Detecting C diff Vaccinating Adolescents Against COVID-19 Ivan Koay MBChB, FRNZCUC, MD First Aid for Pediatric Burn Patients Take-home point: Many children with burns receive inadequate cooling after burns when presenting for emergency care. Citation: Frear C, Griffin B and Kimble R. Adequacy of cool running water first aid by healthcare professionals in …

CDC: Offering a Flu Shot Moves More Pregnant Women to Get One

Despite the fact that pregnant women and infants are increased risk for severe, influenza-related illness, nearly half of women approaching childbirth fail to get a flu shot, according to the Centers for Disease Control and Prevention. However, in a recently published study, the CDC also found that simply offering to give a pregnant woman a flu shot increased the rate of coverage from 56% to around 70%. The report is careful to distinguish making a …

A Pregnant Woman with Skin Lesions

A 30-year-old woman in her second trimester of pregnancy complained of multiple skin lesions that occurred in wheal patterns whenever she pressed firmly on her skin. Sometimes her skin would itch, causing her to apply pressure or rub and produce the wheal. Upon exam, the doctor could see a linear configuration on her arms from scratching and geometric configurations on her back, produced by her clothing View the image taken (Figure 1) and consider what …

A Surprising Cause for “Pregnancy”

Urgent message: When a test does not confirm a patient’s theory about the cause of her symptoms, both patient and provider must look elsewhere. SEAN MCNEELEY, MD Introduction When a mother of three complains of symptoms of pregnancy, the test usually confirms that she is right. Occasionally, however, the results are surprising, as this case illustrates. Case Presentation WM, a 28-year-old female, presented to an urgent care with concerns that she might be pregnant and …