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Family Medicine Clinic and Urgent Care
Supporting The Tigard, OR Community
We take Urgent Care to mean you (or a loved one) are in enough distress that we must fit you in TODAY as soon as possible. Our goal is to treat your injury or illness with the utmost quality and compassion. Feeling unwell impedes daily functions, and we take it seriously to offer comprehensive care!
Our services come at a fraction of the cost and wait times of traditional ER visits and we offer a family practice relationship for your ongoing needs as well. When you have a non-life threatening emergency, we want you to feel confident in your options for a quality medical experience that can help you feel better immediately. Our providers are always ready to provide medical care for conditions such as:
Lacerations And Bruises
Muscle Sprains And Strains
Nausea And Vomiting
Ear and eye infections
Fractures And Cuts
Migraines And Headaches
Sore throats And Fevers
And Much More!
URGENT CARE SERVICES
Muscle Sprain & Strain
A muscle strain results for over-use or hyper-extension. In some cases, the muscle may actually be torn. Strains can happen in any muscle, but are more common in your shoulders, neck, hamstring, thigh or lower back.
A muscle strain causes pain and may limit movement within the affected muscle group. Mild to moderate strains can be successfully treated at home with ice, heat and anti-inflammatory medications. Severe strains or tears may require medical treatment.
Symptoms of mild to moderate muscle strains are usually gone within a few weeks. More severe strains may take months to heal.
You should seek medical care if:
1. The pain does not subside.
2. You experience numbness in the affected area.
3. Movement is very difficult.
Through physical examination and imaging tests, our providers can determine the extent of your injury.
A cut or break in the skin is called a laceration. The cut may be near the surface of the skin or deeper. It can also be smooth or jagged depending on its cause. Based on the depth of the laceration, it can affect the muscles, tendons, ligaments, nerves or blood vessels.
If your laceration is bleeding profusely, you may need to go to ER. For any of the following symptoms, please make an appointment:
1. The cut is large or more than 1/4 inch deep.
2. You received an animal bite.
3. An object is lodged in the wound – do not remove it.
4. The object causing the injury was rusty.
5. You have not had a tetanus shot in the last 10 years.
Common Causes For Stomach Pain:
Pelvic inflammatory disease
Urinary tract infection
Gastroesophageal reflux disease (GERD)
Reasons For Concern:
2. Inability to keep food down for several days
3. Inability to pass stool, especially if you are also vomiting
4. Vomiting blood
5. Bloody stools
6. Difficulty breathing
7. Painful or unusually frequent urination
8. The abdomen is tender to the touch
10. The pain is the result of an injury to the abdomen in the previous days
11. The pain lasts for several days
Skin Irritation- also known as Contact Dermatitis is a common condition in which the skin becomes red, itchy, and inflamed. It is not contagious, and can occur in adults and children of all ages. The most common causes of skin irritation or Contact Dermatitis are soaps, detergents, bleaches, cleaners, chemicals, and plants. Contact Dermatitis isn’t harmful, but can be very uncomfortable.
Skin Infection- also known as Cellulitis is a non-contagious, spreading bacterial infection in the skin. It occurs when bacteria enters the body through a cut or break in the skin. The most common types of bacteria that cause skin infection are Streptococcus (Strep) or Staphylococcus (Staph). If left untreated, skin infection can spread and cause life-threatening illness. Cellulitis can occur anywhere on the body, but is most common on the lower legs.
If you have any of the following, then it is time to see your doctor.
1. The rash is so uncomfortable that you are losing sleep or are distracted from your daily routine
2. The rash is painful, severe or widespread
3. You're embarrassed by the way your skin looks
4. The rash doesn't get better within a few weeks
5. The rash affects your face or genitals
Cystitis also known as a bladder infection is many times caused by a bacterial infection, which is then referred to as a Urinary Tract Infection (UTI). Cystitis may also be caused by a reaction to certain drugs, radiation therapy, or irritants (i.e. feminine hygiene spray, spermicidal jellies). Cystitis may also occur as a complication of another illness.
1. A strong, persistent urge to urinate
2. A burning sensation when urinating
3. Passing frequent, small amounts of urine
4. Blood in the urine (hematuria)
5. Passing cloudy or strong-smelling urine
6. Discomfort in the pelvic area
7. A feeling of pressure in the lower abdomen
8. Low-grade fever
An ear infection of the middle ear (behind the eardrum) can occur as a result of the common cold. This is because congestion can block the internal passage (“Eustachian Tube”) that drains fluid from the middle ear. When the middle ear fills with fluid, bacteria can grow there and cause an infection.
3. Muffled or temporary loss of hearing
An abscess is a pus and debris filled mass that is usually warm and painful to the touch. Abscesses can show up anywhere on your body, but the most common places are in your armpits, around your anus, the base of the spine, around a tooth, and in your groin.
Abscesses are usually caused by a bacterial infection that gets inside the skin.
Treatment most often involves cutting the abscess open and draining it.
1. Painful, compressible mass that is red, warm to touch, and tender.
2. As some abscesses progress, they may "point" and come to a head so you can see the material inside and then spontaneously rupture.
3. If the infection spreads, you may develop a fever.
Bronchitis is a respiratory disease in which the mucus membrane in the lungs bronchial passages become inflamed. These tubes carry air to and from your lungs. Lung infections are usually caused by viruses, and the leading cause for acute bronchitis. The most obvious side effect of bronchitis is the persistent cough that a person has.
Acute bronchitis is a shorter illness that commonly follows a cold or viral infection, such as the flu. It consists of a cough with mucus, chest discomfort or soreness, fever and sometimes shortness of breath. Acute bronchitis usually lasts a few days or weeks.
Chronic bronchitis is a serious, ongoing illness characterized by a persistent, mucus-producing cough that lasts longer than three months. People with chronic bronchitis have varying degrees of breathing difficulties and symptoms may get better and worse during different parts of the year.
Pneumonia is an infection that inflames the air sacs in one or both lungs. The air sacs may fill with fluid or pus, causing coughs with phlegm, fever, chills and difficulty breathing. Pneumonia has many possible causes. The most common causes are the bacteria and viruses in the air we breathe. Your body usually prevents these germs from infecting your lungs but sometimes these germs can overpower your immune system, even if your health is generally good.
Pneumonia can range in seriousness from mild to life-threatening. It is most serious for infants and young children, people older than age 65 and people with underlying health problems or weakened immune systems.
Symptoms of pneumonia include:
1. Fever, sweating and shaking chills
2. Cough, which may produce thick, sticky fluid
3. Chest pain when you breathe deeply or cough
4. Shortness of breath
5. Fatigue and muscle aches
6. Nausea, vomiting or diarrhea
Staph infections are caused by staphylococcus bacteria. These types of germs are commonly found on the skin or in the nose. Most of the time, these bacteria cause no problems or result in relatively minor skin infections.
Many people carry staph bacteria and never develop staph infections. Staph infections can turn deadly if the bacteria invade deeper into your body, entering your bloodstream, joints, bones, lungs or heart. As a result, signs and symptoms of staph infections can vary widely, depending on the location and severity of the infection.
Treatment usually involves antibiotics and drainage of the infected area.
Skin infections caused by staph bacteria include:
1. Boils - The most common type of staph infection is the boil, a pocket of pus that develops in a hair follicle or oil gland. The skin over the infected area usually becomes red and swollen.
2. Impetigo - This contagious, often painful rash can be caused by staph bacteria. Impetigo usually features large blisters that may ooze fluid and develop a honey-colored crust.
The types of immunizations we offer are:
4. Childhood Immunizations
Sexually Transmitted Diseases are very common, and sometimes the symptoms are not obvious.
Chlamydia does not typically have symptoms, but left untreated it can lead to serious reproductive and general health problems. A simple swab or urine test will put your mind at ease, and Chlamydia is easily treated and cured with antibiotics.
Gonorrhea is bacterial infection that is easily treated and curable with antibiotics. Left untreated however, gonorrhea can lead to serious health problems from infertility to cystistis and Disseminated Gonoccocal Infection (DGI) – and increase your risk of getting other STDs, like HIV.
Herpes (HSV-1 & HSV-2)
Genital herpes are caused by a virus that enters through the skin. Symptoms may range from none at all, to open, raw blisters and sores. A simple swab test will determine if you have the virus. Unfortunately there is no cure for Herpes, but symptoms can be lessened and prevented with treatment. Treatment can also reduce the risk of passing the virus on to someone else.
The human immunodeficiency virus (HIV) is the infection that causes AIDS. Often there are no symptoms for 10 years or more. There is no cure for HIV/AIDS, but treatment is available, with more advances available each year. Early detection and education are key to managing the disease.
Scabies is a skin condition easily transmitted with close contact. Symptoms may include itchy small bumps or a rash.
Anyone designated by Department of Transportation (DOT) regulations as a “safety-sensitive employee” is subject to DOT drug & alcohol testing. This includes the following industries:
Aviation – the FAA
Commercial Motor Carriers – the FMCSA
Maritime – the USCG
Pipeline – PHMSA
Railroads – FRA
Transit – FTA
It you work in these industries that qualify you as a safety-sensitive employee you are tested to ensure the safety of the traveling public, co-workers and you. Back in 1991, Congress passed a comprehensive transportation employee drug and alcohol testing act.
The drug and alcohol tests are conducted at a certified facility and under a strict protocol to ensure accuracy and fairness. For drug testing, a urine sample will be collected and for alcohol testing, a breathalyzer..
Tests are given under the following conditions: