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Doctor insights on: Er Urgent Care

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Dr. Erin Robertson
567 Doctors shared insights

Urgent Care (Definition)

Urgent care is delivered in an ambulatory setting. Patients arrive without appointments, first come, first served (except in cases of emergency) care that is rendered is often to treat minor traumatic injuries (ankle sprain, broken finger), lacerations, minor illnesses - sore throat, cough, uti. Not a primary care setting - patients are referred back ...Read more


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Had miscarriage at 6w3d. On 4/2/13. Have a neg. Blood. Er/urgent care docs did not give rhogam shot. Is it needed? Not sure of hubby's Rh factor.

Had miscarriage at 6w3d. On 4/2/13. Have a neg. Blood. Er/urgent care docs did not give rhogam shot. Is it needed? Not sure of hubby's Rh factor.

You need it soon: 85% of people have rh+ blood, so playing the laws of averages, there is a very strong likelihood that the father was rh+. There is always the chance that the baby would have been rh- and Rhogam wouldn't be necessary, but why take the chance. It's to prevent a problem with future pregnancies. ...Read more

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Should I go to an er? Urgent care? Or just suck it up and wait until I have taken all of my antibiotic? I am being treated for a uti, the second one this month. This time, after 5 days of antibiotics, I still have quite a bit of pain. The burning and

Should I go to an er? Urgent care? Or just suck it up and wait until I have taken all of my antibiotic? I am being treated for a uti, the second one this month. This time, after 5 days of antibiotics, I still have quite a bit of pain. The burning and

Yes,: Yes, you should go to the er if you have failed your second antibiotic, which sounds like you have. Hopefully there were cultures taken of your urine so that they can find out which antibiotic works for you. Urinary tract infections can worsen and can cause kidney infection (pyelonephritis), with symptoms of increased pain, vomiting, or fever. ...Read more

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Heard a pop in my neck 3 days ago. Lots of pain&swelling. No relief w/heat, ibuprofen, muscle relaxer. Hx: 3 bulged discs. ER? urgent care? Will they help

See an Orthopedist: ERs and Urgent Cares are ok for short fixes but not necessarily for a detailed workup. There are a few possible explanations but you should have a proper evaluation by an Orthopedist. ...Read more

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Help please! When should I go to an ER or urgent care for iv?

Help please! When should I go to an ER or urgent care for iv?

When you cant wait: Due to being sick. There is not clear cut answer, but when you are injured or you are too dehydrated, you may require fluid through intravenous route, then you may need to be in ER. ...Read more

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My fasting blood sugar was 259 this morning should I go to the ER or urgent care?

My fasting blood sugar was 259 this morning should I go to the ER or urgent care?

Not necessary: Hi. You can just see your doctor. Generally a good primary care doc will do a better job than an ER in starting treatment for diabetes. The only caveat would be if you also have an infection or something else serious going on. If you have the option, best idea would be to see an endocrinologist. From here on out, change your life. Eat healthily and exercise regularly. Of course, DON'T SMOKE! ...Read more

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Glass stuck on side of knee for 3 days. ER or urgent care (pretty good in mY area). How much will hurt? Never had anything done or break anything

Glass stuck on side of knee for 3 days. ER or urgent care (pretty good in mY area). How much will hurt? Never had anything done or break anything

Depends: Hi Camilla, it depends on the urgent cares capacity to do such procedures and what the knee looks like. 3 days is a long time to have a foreign body in your knee. There are chances that an infection can occur. I would get it checked out. Regarding pain, they should be able to numb the area. Every doctor has his/he own style of treating the pain. ...Read more

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Don't have money for er or urgent care and my gi is booked today unbearable pain doubling over gi suspects adhesions do I just ride out the pain?

No. Go to ER ASAP: You can end up with infarcted bowel (dead bowel)
ER have to treat you irregardless of ability (Cobra Law) to pay and Social Services can line you up with the Affordable Care Act to pay after the fact ...Read more

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Itchy redness on neck, shaped like butterfly. No history on thyroid problem, so what could be the cause? Should I go to ER or urgent care for this?

Itchy redness on neck, shaped like butterfly. No history on thyroid problem, so what could be the cause? Should I go to ER or urgent care for this?

Rash: The differential diagnosis of rashes is very large. A physician typically needs to see your rash in person and get a history to make a diagnosis.
Bactrim can cause a serious rash so call your treating MD immediately for instructions. I noticed you have a skin abscess and a mild fever, but it is unclear how long you have had the abscess or where the abscess is. See MD to ensure improvement. ...Read more

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I've been having intense lower back pain lower right Side pain that runs to my hip should I go to the ER or urgent care clinic?

I've been having intense lower back pain lower right Side pain that runs to my hip should I go to the ER or urgent care clinic?

Acute or chronic?: If your symptoms are very acute/new, you could consider a kidney stone to be present, and you could have this evaluated at the ER if the pain is severe. If the symptoms have been present for quite a long time, you could start with an an evaluation with your PCP for a possible low back condition. ...Read more

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Was not sleeping well and experiencing dizziness muscle cramps and some confusion went to ER vs urgent care gave me lorazapam w/o discussing need why?

Was not sleeping well and experiencing dizziness muscle cramps and some confusion went to ER vs urgent care gave me lorazapam w/o discussing need why?

Lorazepam: Lorazepam can be given for acute anxiety, panic attacks, etc. Your symptom picture is consistent with this, and I'm guessing your er doctor who examined you & ran any tests may have thought this too. When they discharge you from the er, they usually instruct you to follow up with your family doctor or psychiatrist if you have one. Further eval and treatment are possible for you w/your own doctors. ...Read more

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My mom is 83 and has a pool of blood under the skin on her arm. It doesn't hurt and no blood in stool or anything. Shld we go to ER or urgent care?

My mom is 83 and has a pool of blood under the skin on her arm. It doesn't hurt and no blood in stool or anything. Shld we go to ER or urgent care?

Ecchymosis: Your mom likely had senile purpura or easy bruising. .. Usually affect area from elbow to wrist may be made worse by Aspirin or other blood thinners. .. Annoying not dangerous. .. See the doctor routinely. ...Read more

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My Blood pressure has been 146/95 & 150/101. Should I wait to see reg dr on Monday? Or go to ER or urgent care now. Slight Headache

My Blood pressure has been 146/95 & 150/101. Should I wait to see reg dr on Monday? Or go to ER or urgent care now. Slight Headache

Rarely an Emergency: & going to ER drives high cost for lots of expensive, Hi $, defensive medicine tests unlikely to be helpful & possibly harmful. Big hidden drivers of high blood pressure are internalized anger, frustration, sometimes fear & especially pain. The HA pain & HBP are likely interacting. Migraine (meaning vascular, arteries dilate) is most common mechanism of HAs, i.e. literally a painful pulse. ...Read more

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My fasting blood sugar this morning is 259 should I go to the ER or an urgent care?

My fasting blood sugar this morning is 259 should I go to the ER or an urgent care?

See your PCP: And begin to learn about diabetes and how to treat it with education, diet, exercise, weight loss and whatever medication your doctor thinks in needed. Not an emergency, but needs to be evaluated as soon as possible. ...Read more

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Diabetic. Severe ringing right ear. Can hardly hear. See my endocrinologist monday or visit ER today? Visited urgent care 3 months ago. Didn't help

Diabetic. Severe ringing right ear. Can hardly hear. See my endocrinologist monday or visit ER today? Visited urgent care 3 months ago. Didn't help

See regular doc.: If this has been present for many months it would not be considered an emergency. See your primary care doc for a screening exam and likely referral to audiology for an audiogram and consideration of imaging. May need referral to ENT for more advanced testing. ...Read more

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Sometimes when I get anxiety, I check and my BP is skyrocket like 138/109. Extreme high. With those numbers, should I have seeked urgent care, er.

Sometimes when I get anxiety, I check and my BP is skyrocket like 138/109. Extreme high. With those numbers, should I have seeked urgent care, er.

Normal: It's normal for your BP to skyrocket during anxiety. Your diastolic (109) is a little high. What you should do is check it at different times of the day when you're rested and relaxed - then average them. If the average is >135/>85, you have high blood pressure. Bps during exercise, stress, or anxiety don't count! ...Read more

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I think I have scabbies. I itch all over and can't sleep. Should I go to ER or wait till urgent care opens in 7 hrs?

I think I have scabbies. I itch all over and can't sleep. Should I go to ER or wait till urgent care opens in 7 hrs?

Not ER: Er's should be for life threatening illness or severe pain. Even if you went there tonight, it would likely take hours to be seen, you would have to find an all night pharmacy if you need a prescription, and then do the treatment which consists of leaving on medicine for 8-12 hours. So you are not going to get relief tonight from them. Take some Benadryl (diphenhydramine) for the itch tonight and urgent care in am. ...Read more

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My daughter shoulder keeps making popping sounds? What does that mean? It is serious? Should I wait until tomorrow to go to the drs? Urgent care, er?

My daughter shoulder keeps making popping sounds? What does that mean? It is serious? Should I wait until tomorrow to go to the drs? Urgent care, er?

NO: It is not a acute fresh (recent) injury, er is not the place for this problem, you call your family doctor, will refer you to orthopedic surgeon, will examine and evaluate the problem with tests if needed MRI, you will have correct answer, and she will have right treatment ...Read more

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My ear and jaw have been in alot of pain. I went to urgent care/er. They thought I had a eustation tube infection but no meds helped...any advice?

My ear and jaw have been in alot of pain. I went to urgent care/er. They thought I had a eustation tube infection but no meds helped...any advice?

Pain: I have recently found a particular combo of meds that take care of even severe migraines. I recently read another md recommending it too. To be safe kidneys and liver function should be normal and no gerd. Ibuprofen 600-800mg + acetaminophen 1000mg q12 hrs if bad enough q8hrs ...Read more

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I am having pregnancy like symptoms, but five negative test. Been to e.R. And urgent care, they aren't sure what is wrong.

I am having pregnancy like symptoms, but five negative test. Been to e.R. And urgent care, they aren't sure what is wrong.

Be specific: Then your symptoms are not 'pregnancy symptoms'. But, you did not delineate any of your symptoms specifically. That would help us help you if you were specific. But the bigger picture here is that your health care choices are very unusually. None of the common 'pregnancy symptoms' that females report warrant any er or urgent care visit. They war range a visit with the family doctor. ...Read more

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I took a urine sample twice in different er's and they came back negative could I still have kidney damage? I feel I do urinate freguent with urgency

I took a urine sample twice in different er's and they came back negative could I still have kidney damage? I feel I do urinate freguent with urgency

Asking wrong Q: Urinating frequently is rarely a sign of kidney damage. The first answer directs you to get checked out. Urgency and frequency have more to do with infection, bladder or prostate problems (if male). ...Read more

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Went to ER 4 mos ago for pounding heart. Did EKG and release papers say hyper urgency. If they seen any others issues, would they have addressed it?

Went to ER 4 mos ago for pounding heart. Did EKG and release papers say hyper urgency. If they seen any others issues, would they have addressed it?

See your doc: Heart pounding may be nothing, but sometimes it is important. If your heart wasn't pounding when the EKG was done, it won't tell us what's causing your heart to pound. We typically recommend a long-term monitor called an event recorder. Assuming your pounding happens while you are wearing the monitor, you physician can tell you if a rhythm problem is causing it. ...Read more

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