Urgent Bite 317 – Splenomegaly
The spleen, once thought to be the seat of anger, can indicate many different underlying diagnoses and palpating it in urgent care is important.
The spleen, once thought to be the seat of anger, can indicate many different underlying diagnoses and palpating it in urgent care is important.
A recent large study in JAMA showed amoxicillin is as effective as augmentin for treating sinusitis. Which tallies with our national antibiotic guideline advice. It is important to recognise, sinusitis does not usually require antibiotic therapy.
Ehlers-Danlos Syndrome is a genetic connective tissue disorder that can affect many body systems. It is important to understand how it might intersect with urgent care both as a cause of certain presentations and a factor impacting treatment and management of some UC presentations.
Intertrigo is a common presentation to urgent care. Caused by rubbing skin in the presence of moisture it can be concurrent and complicated with bacterial and fungal infections. Targeted, accurate treatment is best, but it is not always obvious which cause is present.
While alternative, natural remedies for toothache seem effective, we must remember that they are not without their potential problems.
While a grand pipe organ has the capacity to pull out all the stops, it is not wise to play it in that state all the time. Not unlike an urgent care clinician working at 100% for too long.
Head Injuries need a thorough and consistent workup in urgent care, which includes looking for signs of depressed skull fracture.
Biliary type pain, usually in female patients who have had a cholecystectomy, could be Sphincter of Oddi Dysfunction. A diagnosis worth keeping on our urgent care differential list.
Biliary type pain, usually in female patients who have had a cholecystectomy, could be Sphincter of Oddi Dysfunction. A diagnosis worth keeping on our urgent care differential list.
A study conducted in the paediatric ICU setting demonstrated the need to not only acknowledge a patient’s emotion with an empathetic response but also the need to allow time and space for that response to be received, free of jargon and over speaking. It is worth reflecting on how this can apply to the urgent care setting.