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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.
Resolution of the case is described on the next page.

Clinical Challenge: April, 2012
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