Should antibiotics be stopped in adults when a urine culture is negative? Although urine culture is currently regarded as the gold standard for diagnosis of UTI (albeit often retrospectively), midstream-voided urine colony counts are an imperfect diagnostic criterion for UTI. Contamination and colony counts below the laboratory’s threshold for reporting can both lead to a […]
Advanced planning for surges in Urgent Care volume should occur on both clinical and administrative levels. This planning should be done with protocols developed and be ready to be activated when needed. Lessons learned from the COVID-19 pandemic should be incorporated into future surge and disaster planning. Clinical staff are critical during volume surges. Infection […]
Brought to you by: Treatment of Dislocations Distal interphalangeal (DIP), proximal interphalangeal (PIP), and metacarpophalangeal (MCP) dislocations are often suspected on initial inspection. Dislocations are described using the position of the distal bone relative to the more proximal one. Dorsal DIP and PIP dislocation are most common. Radiographs are advised to exclude fracture and confirm […]
Victoria Pittman, MPAP, PA-C Brought to you by: Poor Sensitivity Tests: What Are They Good For? Each shift, we order and interpret various diagnostic tests that inform our everyday therapeutic decisions for patients. There are many factors that go into choosing which test to order, but reliability and accuracy are paramount. Two key performance criteria […]
Jerry W. Jones, MD, FACEP, FAAEM Section Editor, ECG The following 12-lead ECG was forwarded to me by one of my former Masterclass students. Figure 1 Chief Complaint: Pressure-like central chest pain with diaphoresis for 45 minutes. Rhythm: Sinus (Upright P waves in Leads I and II, +/- biphasic P wave in Lead V1) Rate: […]
Max Lebow, MD, MPH, FACEP, FACOEM Section Editor, Occupational Medicine Not every employee’s injury or illness is considered related to their employment. One of the unique challenges for the Occupational Medicine provider is determining whether their patient’s injury is related to their work – often a non-clinical decision. Causation determination has repercussions in most aspects […]
Brad Laymon PA-C, CPC, CEMC The Documentation Subjective Five y/o established patient here for runny nose and sore throat. Mom is with patient. Symptoms present for three days. No fever, cough, or rash. No other complaints. Mom would like COVID testing since patient had an exposure at daycare. Past Medical History: None Current Medications: None No […]
Date Reviewed 19 February 2023 Subject The Use of Opioids for Pain Control in Urgent Care Patient Population Patients over 18 with an acute or chronic painful condition. Excludes patients with pain from sickle cell crisis, cancer pain, and palliative or end-of life care. Rationale Patients will present to Urgent Care centers with painful conditions […]
Tracey Davidoff, MD, FCUCM Case Presentation A 56-year-old male with no significant past medical history presents to Urgent Care with a complaint of a urinary tract infection. He is brought back by the medical assistant who obtains a urine sample. Upon evaluation by the provider, he discloses that he suspects he has a urinary tract […]
Sabah Fatima Iqbal, MD The parents rush in, the baby in the crook of the father’s arm, a long bare leg dangling beneath the hastily wrapped blanket, a hat askew, half covering a little eye. The newborn cry of fury. It is late; 10 minutes before close, 10 minutes before we step into the cool […]