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Where to go? Urgent Care or ER?

Urgent Care or Emergency room?

Often we face some medical health problems and we ask ourselves would we go to an urgent care or an emergency room? This is our recommended road map..!!

Medical Complaint

Headache

Urgent Care

Urgent Care and walk-in clinic

Most headaches including Migraines can be evaluated and treated in the urgent care except when there is a red flag

If you have those symptoms, visit Medical Care 1 in Ypsilanti. No appointments needed. 

  ER

The red flags that require ER evaluation are:

  • High fever with stiff neck
  • High blood pressure
  • Worst headache 10/10
  • Abrupt onset severe headache (Thunder clap)
  • Stroke symptoms (new numbness or weakness)
  • Head injury
  • Loss of or altered consciousness
  • Patient is taking blood thinners
  • Headache is worse with exertion
  • Deterioration or worsening of usual known headache
  • Headache with fever and tender scalp vessels
  • Headache with blurred vision

Head Injury Complaint

Head injury

Urgent Care

  • Minor head injury
  • No loss of consciousness
  • Minimal headache
  • No neurological deficit

  ER

All non minor head injuries should be evaluated in ER.

Head CT is indicated for:

  • Serious mechanism of injury
  • Any of the following symptoms:
  • Severe Headache
  • Vomiting
  • Seizure
  • New numbness or weakness
  • Blurred vision
  • Drowsiness
  • Short memory deficit
  • Physical evidence of serious injury
  • Age over 60
  • Abnormal neuro exam
  • On Narcotics or drinking Alcohol
  • Taking blood thinners

Eye Complaints

eye injury

Urgent Care

Most acute eye problems can be screened,  evaluated and treated in urgent care with the option to refer to the eye doctor if deemed necessary

  ER

Any patient with acute eye problem experiencing severe pain or blurred vision should be evaluated by the eye doctor or ER

Head Congestion Complaint

Head congestion

Urgent Care

All of the head congestion causes can be evaluated in the urgent care setting

Including:

  • Colds
  • Allergies
  • Sinus infections

  ER

Throat and Ear problems

Throat hurts

Urgent Care

Almost all ear and throat problems can be evaluated and treated in the urgent care setting

  ER

Severe throat infection causing peri tonsillar abscess Severe Otitis Externa (malignant) that extends to the bone in a patient with weaker immune system And other rare causes

Chest Pain

Cough

Urgent Care

Most chest pains can be evaluated in urgent care setting except when there are red flags

  ER

The red flags requiring ER evaluation are:

  • Elderly patients
  • Patient with multiple medical conditions
  • Patient with history of heart disease
  • Unstable vitals: high or low blood pressure, rapid or slow heart beat
  • Significant symptoms:
  1. Severe chest pain
  2. Shortness of breath
  3. Dizziness
  4. Nausea and vomiting
  5. Sweating
  6. Coughing up blood
  7. Sudden chest pain shooting to upper back in a smoker with high blood pressure

Shortness of Breath

Cough

Urgent Care

Most mild breathing problems can be evaluated in the urgent care setting including asthma and COPD exacerbation in addition to mild pneumonia

  ER

You should go to ER if you have:

  • Severe trouble breathing
  • Coughing up blood
  • Elderly
  • Multiple medical conditions
  • Chest pain
  • Swelling in throat
  • Dizziness
  • Gradually worsening trouble breathing
  • Exposed to Corona Virus

Cough

Cough

Urgent Care

Most of the cough can be evaluated in the urgent care setting

  ER

Go to ER if you have the above red flags listed with shortness of breath

Abdominal Pain

Urgent Care

Almost all abdominal pain initial evaluation can be done in the urgent care settings unless there is a red flag

  ER

The red flags that require ER evaluation are:

  • Severe or worsening persistent pain
  • High fever
  • Unable to pass gas or have a BM
  • Nausea and vomiting leading to dehydration
  • Passing blood in stools
  • Elderly
  • Immunosuppressed
  • Having multiple chronic medical conditions
  • If you are pregnant
  • If you have abdominal wall or groin bulging or hernia
  • Severe kidney infection with fever and vomiting
  • If you have testicular swelling or pain

UTIs and STDs

Urgent Care

Almost all urine tract infections and sexually transmitted diseases can be adequately evaluated and treated in the urgent care setting

  ER

Please go to ER if you have:

  • Severe Kidney infection (fever, back pain and vomiting)
  • You are pregnant
  • You are elderly
  • You have multiple medical conditions
  • You are not improving or getting worse after initial treatment

Back, Neck and joints Pain

Urgent Care

Almost all back, Neck and joints pain can be evaluated and treatment can be started in the urgent care setting and if it is related to trauma proper evaluation including taking X-Rays can be started

  ER

Please go to ER if you have:

  • Neck or back pain associated with:
  • Numbness or weakness in arms or legs
  • Incontinent to urine or stool
  • Possible joint infection
  • Unexplained sudden arms or shoulders pain in patient with risk factors for heart disease
  • Back pain with chest or abdomen pain
  • Pain is not affected by movement of the affected part
  • Severe trauma

If you think  you have any of the symptoms above, Contact Medical Care One is an urgent care and Walk-in clinic in Ypsilanti

Visit Urgent Care Near You.  All Walkins are welcome and no Appointment  Necessary. Can’t make it to the urgent care?   Meet your doctor online with  Telemedicine.  Read about COVID-19 safety info. 

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