Q4 Urgent Caring- Management of Acute Asthma Exacerbations in Urgent Care
EB Medicine Treatment Oxygen Oxygen is the first-line treatment agent in the management of hypoxic patients with undifferentiated dyspnea who have low saturations at the initial assessment. Judicious use of oxygen is recommended per Global Initiative for Asthma guidelines to achieve target oxygen saturation (SpO2) levels of 93% to 95% for adults with asthma.29 Hyperoxia […]
Q4 Urgent Caring- Case Study 1-Aortic Dissections
Pete Baker, PA-C A 32-year-old female presents with six months of atypical chest pain. She describes the discomfort as a mild, random sensation radiating left to right across her mid-sternal region. This occurs with and without exertion and lasts several minutes with days between episodes. The patient admitted no other neurovascular or cardiopulmonary symptoms, and […]
Q4 Urgent Caring- Valley Fever, Another Indicator of Climate Change?
Tracey Q. Davidoff, MD, FCUCM Coccidiomycosis, or Valley Fever, is an infection caused by the dimorphic fungi Coccidioides. Coccidioides grows as a mold a few inches below the soil surface and can remain suspended in air for prolonged periods. When inhaled, it can penetrate human airways and lung tissue causing infection. Traditionally, this disease is […]
Q4 Urgent Caring- Editorial-I am NOT a Provider
Bernie Short, MD, FAAFP, BCUCM, FCUCM According to my mother, since I was five years old, all I ever wanted was to be a doctor. Admittedly, there was some confusion about whether I wanted to be an animal doctor or a people doctor. I just knew that I grew up with an urge to help […]
Q4 Urgent Caring- Spotlight On Lena Esmail, APRN, DNP
Q4 Urgent Caring- Urgent Updates
Rocky Mountain Spotted Fever in Mexico The CDC cautions travelers to Mexico about Rocky Mountain spotted fever. The Centers for Disease Control and Prevention is warning people who are traveling to the Baja California region of Mexico to watch out for ticks that could spread Rocky Mountain spotted fever. The travel advisory comes after a […]
Q4 Urgent Caring- Where Mistakes Are Made, ST Segment Depression
Jerry W. Jones, MD, FACEP, FAAEMSection Editor, ECG Corner Let’s look at just the precordial leads of an ECG for the moment. (Figure 1) The most notable finding on this portion of the ECG is the obvious ST depression in Leads V1 – V4. What does ST depression mean to you? Most people reply subendocardial […]
Q4 Urgent Caring-Case Study 2-Pediatric Foreign Body Ingestion
Cesar Mora Jaramillo, MD, FAAFP, FCUCM Accompanied by her mother 18 hours after swallowing a foreign body, a 5-year-old female presents to Urgent Care. The incident was not witnessed, but the patient told her mother that she had swallowed a small “decorative piece” while she was at her grandmother’s house. The patient complained of the […]
Q4 Urgent Caring- The Future of UC Medicine-Interview
An Interview with ChatGPT Corey Amann, MD, MBA Tracey Q. Davidoff, MD, FCUCM We interviewed ChatGPT about several issues of interest to Urgent Care clinicians and operators. Although Urgent Caring does not generally condone any educational content generated by ChatGPT for clinical learning, when soliciting feedback in the context of this purpose, we found the […]
Q4 2023 Urgent Caring-From the Editors-in-Chief
Tracey Davidoff, MD, FCUCM Cesar Mora Jaramillo, MD, FAAFP, FCUCM This edition of Urgent Caring marks the last edition of 2023. The end of the year is always a time to reflect on where we have been and where we are going. This past year, we have had some great contributions from authors not just […]