A 91 yr old man presented to an Urgent Care clinic with a four day history of frequent hiccups, occuring every few seconds. It was starting to affect his oral intake and I was concerned about his chances of responding to community treatment. He also looked Parkinsonian and I was
Welcome to the latest edition of The Art of Urgent Care newsletter dedicated to accelerated learning via case-based discussion. Have a great weekend. Severe Angioedema A 67 year old man who presented to an Urgent Care clinic with significant tongue swelling which had developed overnight. He had no history of
Persistent hiccups. Non-inferiority trials. Death of the JVP
Last week I discussed the case of a 70 year old man presenting with syncope and bradycardia. If we take a deep dive into this case you will see many learning points. It was difficult to establish all the facts because the discharge paperwork from the hospital was limited so
BRASH syndrome. Prescription errors.
A 70-year-old man presented to urgent care after two sudden collapses that day, associated with brief loss of consciousness. His past medical history included hypertension and type 2 diabetes. He had no previous cardiac history. Medications included felodipine, losartan, metformin, empagliflozin and Lantus. He had been well the last few
A 15-year-old schoolgirl presented to urgent care with nausea and lower abdominal pain that began overnight. The pain was sharp, continuous, and located in the lower abdomen. She also reported urinary frequency but no dysuria. There was no fever or rigors. There was no flank or back pain. She had
A 39-year-old woman presented to an Urgent Care clinic with abdominal distension. She reported that her bowels had not opened for two weeks. The distension had developed over the past four days, and she had vomited once the previous day. She was still passing flatus but described crampy abdominal pain.
Bradycardia and syncope in a 70 year old man. Haematoma blocks
Those of us who work in urgent care know exactly what it is and the value it brings. Yet despite the Royal New Zealand College of Urgent Care (RNZCUC) being in operation for more than 30 years, awareness remains limited—both among the public and even among some hospital colleagues.
An unusual UTI. Bedside approach to shock.
When doctors reflect on what really shaped them, it’s never the lectures or the endless lists of guidelines. It’s the patients. It’s the cases that forced them to think differently, that tested their judgment, that stayed with them years later. That is the essence of case-based learning