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A Very Tepid Defense of the Physical Exam

Sensible Medicine

But, there are still times that the exam can make a difference in the patient’s care. 2 A 50-year-old woman presents to an urgent care with about a day of right shoulder pain. ” A 50-year-old woman comes to an urgent care for a third visit with right upper quadrant abdominal pain. It is intermittent.

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Ultrasound of the Month: Ocular Abscess

Taming the SRU

Six days prior, the patient was evaluated at an urgent care and prescribed doxycycline and prednisone. Ocular point-of-care-ultrasound (POCUS) was performed as seen below. Our patient underwent anterior orbitotomy, but there are case reports in the literature of ultrasound-guided drainage (4). Brzycki et al.

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Case 20 – Stethoscopically occult pneumonopathies

Urgent Care Ultrasounds

On examination she appeared well, t = 38.0. She had had a cough for the past month but has been otherwise well. She appeared well. Left PLAPS point Despite the obvious consolidation on ultrasound the CXR is clear. In all three there was clear ultrasound evidence of pneumonia.

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Red Leg in the Heartland of America: A Rural Physician’s Approach to the Patient with a Potential DVT

EMDocs

The facility does not have ultrasound (US) availability at the time of the patient’s presentation, as the sonographer comes to the hospital only 2 days a week. First, examine the patient and risk-stratify them for the diagnosis of DVT before deciding on the clinical utility of an ultrasound. What findings make a DVT more likely?

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Case 19 – Through the looking glass

Urgent Care Ultrasounds

A window to your heart… A woman in her 40’s presented to the urgent care clinic with a four day history of cough and fevers following an upper respiratory tract infection the week prior. On examination she appeared well. She had noticed some mild SOB on exertion over the past few days when climbing stairs.

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Three normal high sensitivity troponins over 4 hours with a "normal ECG"

Dr. Smith's ECG Blog

Written by Willy Frick A 46 year old man with a history of type 2 diabetes mellitus presented to urgent care with complaint of "chest burning." In fact, all the T waves are more upright than his prior urgent care ECG. The distal LCx is seen, and the OM is not well visualized here. The following ECG was obtained.

EKG/ECG 103
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Case 15 – Lingulitis

Urgent Care Ultrasounds

On examination he appeared well, t = 38.0, A lung ultrasound was performed just to be sure… left base posteriorly Following the B lines around to the left precordium Disposition and Discussion An area of consolidation with air bronchograms is present in the left upper lobe. So a simple case of the flu?