Brad Laymon PA-C, CPC, CEMCSection Editor, Coding Corner Chronic Illnesses with Exacerbation Consider the following examples: 67-year-old male with complaint of “my chronic back pain has flared up.” He does have a history of chronic back pain and takes Mobic 7.5 mg PRN. He denies any injury but states it started after raking the back […]
Brian Sun, DMD, MS Oral & Maxillofacial Surgeon (“OMFS”) The prevalence of dental implants has reached a record high in recent decades. Approximately 6% of the U.S. population had at least one endosseous oral implant by 2015, which represents an 8-fold increase from 1999 that continues to rise.[1] Some projections estimate that up to a […]
Chris Chao, MD The incubation period of measles is 10-12 days. A patient is not contagious during this time. Once an infected individual develops symptoms (including fever), they are highly contagious with a transmission rate of 90%. KOPLIK SPOTS ARE THE EARLY SIGNS OF MEASLES Koplik spots occur 1-4 days before the exanthem and occur […]
Cesar Mora Jaramillo, MD, FAAFP, FCUCM Syphilis is one of the oldest known sexually transmitted infections. It was first recorded in the 1490s and known with different names, “the French disease”, “the Neapolitan disease” and “the Polish disease”. Once thought to be under control, syphilis has reemerged as a formidable public health challenge. Recent data […]
Joseph Toscano, MD, FCUCM Though periodically there are calls to add new data points as “the next vital sign”, we still need to pay attention to the traditional ones. Among these, respiratory rate (RR) has always seemed to be the least regarded. Other vital signs can be obtained with the push of a button, and […]
John George, PA-C Key Words: bruising, thrombocytopenia, ITP, petechiae, purpura, spontaneous bleeding Introduction Patients commonly present to Urgent Care with concerns of unexpected bleeding, bruising, and rashes that may be petechiae or purpura. Laboratory testing should be performed if suspicion is high for thrombocytopenia or other bleeding disorders, and if abnormal or if bleeding is […]
Tatiana Havryliuk, MD At 6 p.m. on a busy Monday, 47-year-old Mr. Jones, whom you saw just three days prior, returns with persistent pain, redness, and swelling in his left axilla. Despite taking cephalexin, his condition has not improved. There is a 4 cm area of erythema, induration, and tenderness, but no fluctuance is evident. […]
Tracey Davidoff, MD, FCUCM Cesar Mora Jaramillo, MD, FAAFP, FCUCM This winter season has been the longest peak season for respiratory infections since the pandemic. We have seen COVID-19, influenza, RSV, and other viruses impacting our communities for many weeks. Does it feel like this respiratory season is never-ending? We have been through over 13 […]
Dear CUCM members, Are you ready to Recharge in Las Vegas? I am. I hope that you are finalizing your plans to join us at the Urgent Care Convention because the passion of our members and their commitment to Urgent Care makes the Convention special. It is something I look forward to every year. […]
A Best Practice from the College of Urgent Care Medicine Diagnosis and Treatment of Group-A Streptococcal Pharyngitis in Adults and Children Date Reviewed 11/13/2023 Subject Diagnosis and Treatment of Group-A Streptococcal Pharyngitis in Adults and Children Patient Population Adults and children presenting with sore throat Rationale Sore throat is a common presenting complaint in Urgent […]