5 Things That Will Change Your Practice Milk is a practical storage medium for avulsed permanent teeth. Unflavored oral rehydration solution is also an option if the patient has it on hand. Account for all teeth; any that are unaccounted for may have been aspirated, swallowed, or embedded in a laceration. An intrusive luxation mimicking […]
Controversies and Cutting Edge While antibiotics remain the mainstay of treatment for CAP, more recent data have evaluated the use of adjunctive medications. Corticosteroids The 2019 ATS/IDSA guidelines recommend using corticosteroids for CAP and refractory septic shock but recommend against the routine use of corticosteroids in all other cases.3 The authors commented that while no […]
Victoria Pittman, MPAP, PA-C As the role of Urgent Care clinicians continues to expand in the house of medicine and we take on more responsibilities, it’s our job as clinicians to ask ourselves: How can we be better? How can we do better? How can we treat patients better? In other words, how can we […]
Date Reviewed 25 April 2023 Subject Diagnosis and Treatment of Syphilis in Urgent Care Patient Population Sexually active immunocompetent male and female patients Rationale Patients with active syphilis and those with incidental positive lab results for syphilis are presenting with increasing frequency to Urgent Care centers throughout the United States. Urgent Care providers should have […]
Max Lebow, MD, MPH, FACEP, FACOEM Section Editor, Occupational Medicine A patient presents to your center with his employer’s authorization to treat a workplace injury. According to the patient, two days ago, he was involved in an MVA while performing deliveries, a normal part of his job. He reported the injury to his employer that […]
Brad Laymon PA-C, CPC, CEMC Section Editor, Coding Corner Chief Complaint: Cough and fever Subjective: Forty-four y/o female (new patient) complains of cough and fever. The current episode started two days ago. The cough is nonproductive. Exposure to COVID four days ago at work. Associated symptoms include fever, dyspnea on exertion, fatigue, body aches, nasal […]
Lip and facial lacerations are common injuries presenting to Urgent Care. Unfounded fears may be leading Urgent Care clinicians to turn these patients away. I recently co-authored a study (1) with two physician colleagues where we called 100 Urgent Care centers across the country posing as a patient with a lip laceration. An unbelievable 45% […]
Jerry W. Jones, MD, FACEP, FAAEM Section Editor, ECG Figure 1 – ECG by permission of Dawn Altman, RN (“The ECG Guru”) This is an acute anterior epicardial ischemia – also known as an acute anterior MI. We used to call it an anteroseptal MI but today we call it an anteroapical MI. That’s because […]
Ryan Grabeic, FNP-C The essence of providing healthcare to a community lies in the ability to expand beyond the confines of our usual practice, reaching those areas of care inadequately addressed. As in any aspect of society, the stigma surrounding topics such as sexual health has historically limited access to care, as well as created […]
A 46-year-old female patient presents to the Urgent Care center requesting a strep test. Her symptoms included a burning sensation in the mouth with a bad metallic taste for over two weeks. The patient had no insurance, so she waited until the symptoms were intolerable. Today, she noted white patches in her throat, so she […]