Practice Management
Urgent care is a good fit for evolving healthcare marketplaces, ensuring continuing growth for years to come—from $23.5 billion in 2013 to a projected $30.5 billion by 2020, according to a new report from Transparency Market Research (TMR). We’ve told you here that urgent care has been shown to be a popular model for people in the millennial generation (often defined as those born between the mid-1980s and early 2000s), but TMR points out that …
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Urgent message: Triceps tears are an uncommon acute injury that can occur from multiple mechanisms, including direct trauma. Assessment of these injuries requires obtaining a medical history and exam and a knowledge of characteristic diagnostic imaging findings. Early diagnosis and identification in patients presenting to an urgent care center is critical to ensure that appropriate treatment is initiated in a timely fashion. Introduction Triceps tendon (TT) tear is the least common of all tendon injuries …
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Urgent message: Clinicians must be able to determine the cause and severity of injury in patients with neck pain, especially in the very young, whose symptoms vary according to their developmental status, and in the elderly, who have weaker bones and degenerative changes. Introduction Avariety of patients from children to the elderly will present to an urgent care Center with the chief symptom of neck pain. Cervical spine (C-spine) injuries occur in 3.7% of adults …
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Urgent message: Visceral injury is possible in association with the seemingly minor trauma seen in urgent care, underscoring the importance of remaining alert for “red flag” signs and symptoms and judiciously using advanced diagnostics. Introduction Blunt abdominal trauma occurs in 10% to 15% of injured children.1 History and specifically mechanism of injury, and physical exam are important when a patient presents to the clinic with a suspected blunt abdominal trauma. Usually, injuries to the intra-abdominal …
Read MoreThe patient, a 23-year-old male, presented with knee pain and trauma. View the image taken (Figure 1) and consider what your diagnosis would be. Resolution of the case is described of the next page.
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This 16-year-old patient presented with a blow to the left wrist. View the image taken and consider what your diagnosis would be.
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Urgent message: Acute stridor in pediatric patients is alarming to children, parents, and healthcare providers alike. Differential diagnosis is the key to initial evaluation and management of this worrisome symptom. Here is how to think it through. JERRI A. ROSE, MD, FAAP Stridor is an externally audible sound caused by abnormal air passage during breathing.1 It results from turbulent airflow through large airways. When a normal respiratory volume of air passes through narrowed airways, the …
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This 4-year-old patient suffered a blow to the head. View the image taken and consider what your diagnosis and next steps would be.
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Urgent message: Males with a scrotal disorder often present to urgent care with pain, swelling, or both. Especially in boys and young men, it is important to quickly assess the acute scrotum, which can be a surgical emergency. Jason Chao, MD, MS Introduction Males with a scrotal disorder often present with pain, swelling, — or both. Because of the location of the problem, patients often choose to seek urgent medical attention. Especially in boys and …
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