Am I allowed to say that figuring out atraumatic back pain is a pain in the behind? While the differential diagnosis is wide and we can’t forget all of the life-threatening causes of back pain, atraumatic spinal compression fractures remain among...
Recent blog posts
The Febrile Toddler: Diagnosis and Management of Fever in Ages 3 to 36 Months
Few chief complaints in pediatrics are as common—or deceptively simple—as fever in children. Especially when that fever shows up in toddlers without a clear source.
Biologics 101: What Clinicians Need to Know
Biologic medications have transformed the treatment landscape for autoimmune and chronic inflammatory diseases. While initiation often comes from specialists like rheumatologists, dermatologists, and allergists, clinicians are increasingly likely to encounter patients who are taking or being considered for biologic therapy. Understanding how these medications work, what...
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Snake Bites and Antivenom: Tales from the Pit and What You Need to Know
I grew up on a military base near a small border town in New Mexico. As a child of the 90s, the ideas of what were considered reasonable and safe childhood activities differed greatly from today's standards. A shining example of this was at Moore's Trading Post, a local pawn shop and military surplus store just a few miles from the city limits. They were most famous for...
Managing Financial Toxicity with Prescription Drug Costs
Let’s be honest: most of us in healthcare didn’t learn about how much medications actually cost our patients when we trained. The system is opaque, the rules are ever-changing, and even the language is confusing.
Pyloric Stenosis: Don’t Miss This Classic Diagnosis
Imagine this: a 4-week-old infant is brought to your urgent care with persistent vomiting. The parents are anxious, the baby looks a bit dry, and your differential is wide. Does pyloric stenosis come to mind?
Mental Health Training for Primary Care and Urgent Care
Mental health might not be what we trained for, but in primary care and urgent care, it’s become a core part of the job. Managing anxiety, depression, and ADHD can be a daily challenge, especially when psychiatric support is limited.
Is This Long COVID? A Clinician’s Guide to the Puzzling Symptoms in Kids
When a school-age child comes into clinic with fatigue, brain fog, or vague chest discomfort that just won’t quit, you might hear that little voice in your head: Could this be long COVID?
Spot the Scammers: How to Protect Yourself from Medical Scams
Let’s set the scene: You’re finishing up clinic, maybe finally stealing a minute for lunch, when your phone rings. It’s the medical board—or so it seems. The caller knows your license number, your full name, and insists your credentials have been used in a drug trafficking scheme in another state. They sound serious. You’re a responsible provider and a little spooked, so...
Managing Chronic Pelvic Pain: A Practical Guide for Emergency Clinicians
Picture this: your next patient is a 35-year-old female presenting to the ED with pelvic pain. You biopsy the chart—this is the fifth visit this month. Over the past six months, she’s been coming in two to three times per month with the same chief complaint. She’s had all the tests you’ve ever heard of, some you haven’t heard of, and enough CT scans that you expect she...
Jellyfish Sting in Urgent Care: A Stepwise Guide for Clinicians
It’s a busy summer shift, and someone walks in, limping, pointing to a red, angry welt twisting around their leg. “I think I got stung by a jellyfish.” It’s a classic beach-day-gone-wrong. So—how do you treat a jellyfish sting? Here’s your evidence-based step-by-step guide for urgent care.
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