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The patient is a 14-year-old who took a fall two hours prior to presenting to the urgent care clinic. The left ankle is swollen and unable to bear weight, but the patient is otherwise  healthy.

View the x-ray taken (Figure 1) and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.

A 14-year-old who took a fall two hours prior to presenting to the urgent care clinic

Nahum Kovalski, BSc, MDCM

Clinical Researcher at TEREM Emergency Services
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