In each issue, JUCM will challenge your diagnostic acumen with a glimpse of x-rays, electrocardiograms, and photographs of determining conditions that real urgent care patients have presented with.

If you would like to submit a case for consideration, please email the relevant materials and presenting information to [email protected]

The patient, a 45-year-old man, presented with vomiting and chest pain.
View the image taken (Figure 1) and consider what your diagnosis would be.
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Resolution of the case is described on the next page.

Clinical Challenge: April, 2012
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